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Side Effects
Although side effects from zolpidem are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- drowsiness
- upset stomach
- vomiting
- constipation
- diarrhea
- headache
- dry mouth
- muscle aches

If you experience any of the following symptoms, call your doctor immediately:

- skin rash
- itching
- fast or irregular heartbeat
- chest pain
- difficulty breathing
- fever
- behavior changes
- mental confusion
- abnormal thinking or dreams
- d epression



Drug Interactions
It is especially important that your health care professional know if you are taking any of the following:

- Other central nervous system (CNS) depressants (medicines that cause drowsiness) or
- Tricyclic antidepressants (amitriptyline [e.g., Elavil], amoxapine [e.g., Asendin], clomipramine [e.g., Anafranil], desipramine [e.g., Pertofrane], doxepin [e.g., Sinequan], imipramine [e.g. , Tofranil], nortriptyline [e.g., Aventyl], protriptyline [e.g., Vivactil], trimipramine [e.g., Surmontil])¡XThe CNS depressant effects of either these medicines or zolpidem may be increased, possibly leading to unwanted effects

Stop Using This Medicine
If you will be taking zolpidem for a long time, do not stop taking it without first checking with your doctor. Your doctor may want you to reduce gradually the amount you are taking before stopping co mpletely. Stopping this medicine suddenly may cause withdrawal side effects.

After taking zolpidem for insomnia, you may have difficulty sleeping (rebound insomnia) for the first few nights a fter you stop taking it



What special precautions should I follow?
Pregnancy¡XZolpidem has not been studied in pregnant women. However, studies in pregnant animals have shown that zolpidem slows down the development of the offspring when given to the mother in doses any times the human dose. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.

Breast-feeding¡XAlthough zolpidem passes into breast milk it has not been reported to cause problems in nursing babies



How should you take this medication?
Take Ambien ( Zolpidem ) exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. ? Take each dose with a full glass of water. ? Take Ambien ( Zolpidem ) just before you go to bed. It will make you drowsy, and you could fall and hurt yourself if you take your dose too long before you are ready for sleep. ? Do not t ake more of this medication than is prescribed for you. ? Do not stop taking Ambien ( Zolpidem ) suddenly if you have been taking it for several weeks. Stopping suddenly may cause withdrawal symptoms and make you uncomfortable. Talk to your doctor if you need to stop treatment with Ambien ( Zolpidem ). ? Store Ambien ( Zolpidem ) at room temperature away from moisture and heat.




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