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Zolpidem 5mg and 10mg a sleeping pill. It’s used to treat insomnia (when you might have trouble getting to sleep and staying asleep). It helps you fall asleep more …
Zolpidem 5mg and 10mg sold under the brand name Ambien, among others, is a medication primarily used for the short-term treatment of sleeping problems. Guidelines recommend that it be used only after cognitive behavioral therapy for insomnia and behavioral changes, such as sleep hygiene, have been tried.
ZOLPIDEM 5MG OR 10MG TABLETS
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
1. What zolpidem is and what it is used for
2. What you need to know before you take zolpidem 5mg
3. How to take zolpidem
4. Possible side effects
5. How to store zolpidem
6. Contents of the pack and other information
The name of your medicine is Zolpidem 5mg or 10mg Tablets (called zolpidem throughout this leaflet). Zolpidem contains a medicine called zolpidem tartrate. This belongs to a group of medicines called hypnotics. It works by acting on your brain to help you sleep.
Zolpidem is used for temporary sleep problems in adults that are causing you severe distress or that are affecting your everyday life. This includes sleep problems in adults such as:
Your doctor will identify your sleep problem wherever possible and the underlying factors before prescribing this medicine for you. The failure of your sleep problems to stop after a 7-14 day course of treatment may indicate you have an underlying disorder, your doctor will assess you at regular intervals.
Zolpidem is used for the short-term treatment of insomnia. Do not use long-term. Treatment should be as short as possible because the risk of dependence increases with the duration of treatment. Ask your doctor for advice if you are unsure.
2. What you need to know before you take zolpidem
Do not take this medicine if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking zolpidem.
Talk to your doctor or pharmacist before taking zolpidem if:
The use of zolpidem may lead to the development of abuse and/or physical and psychological dependence.
However, it has not been established whether this is caused by the medicine or if there may be other reasons. If you have suicidal thoughts, contact your doctor as soon as possible for further medical advice.
Zolpidem can cause drowsiness and decrease your level of alertness. This could cause you to fall, sometimes leading to severe injuries.
If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking zolpidem.
Next day psychomotor impairment (see also ‘Driving and using machines)
The day after taking zolpidem, the risk of psychomotor impairment, including impaired driving ability may be increased if:
Take the single intake immediately at bedtime.
Do not take another dose during the same night.
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. This includes medicines you buy without a prescription, including herbal medicines. This is because zolpidem can affect the way some other medicines work. Also, some medicines can affect the way zolpidem works.
Zolpidem may increase the effect of the following medicines:
While taking zolpidem with the following medicines, drowsiness and next-day psychomotor impairment effects, including impaired driving ability, may be increased:
While taking zolpidem with antidepressants including bupropion, desipramine, fluoxetine, sertraline, and venlafaxine, you may see things that are not real (hallucinations).
It is not recommended to take zolpidem with fluvoxamine, ciprofloxacin, or St. John’s Wort (a herbal medicine) used for mood swings and depression.
Concomitant use of zolpidem and opioids (strong pain killers, medicines for substitution therapy, and some cough medicines) increases the risk of drowsiness, difficulties in breathing (respiratory depression), coma and may be life-threatening.
Please tell your doctor about all opioid medicines you are taking, and follow your doctor’s dosage recommendation closely. It could be helpful to inform friends or relatives to be aware of the signs and symptoms stated above. Contact your doctor when experiencing such symptoms.
The following medicines can increase the chance of you getting side effects when taken with zolpidem. To make this less likely, your doctor may decide to lower your dose of zolpidem:
The following medicines can make zolpidem work less well:
Do not drink alcohol while you are taking zolpidem. Alcohol can increase the effects of zolpidem and make you sleep very deeply so that you do not breathe properly or have difficulty waking.
Pregnancy and breast-feeding
Use of this medicine is not recommended during pregnancy.
If you discover that you are pregnant or are planning to have a baby, consult your doctor right away to re-assess the need for treatment.
A large amount of data has not shown evidence of malformations with benzodiazepines.
If taken regularly in late pregnancy, your baby may get withdrawal symptoms. In this case, the newborn should be closely monitored during the postnatal period.
Do not take zolpidem if you are breastfeeding or planning to breastfeed. This is because small amounts may pass into mothers’ milk.
Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breastfeeding.
On the day after taking zolpidem, do not drive or use machinery or tools if you feel sleepy, dizzy, or confused. Zolpidem has a major influence on the ability to drive and use machines such as ‘sleep driving. On the day after taking zolpidem (as with other hypnotic medicines), you should be aware that:
A period of at least 8 hours is recommended between taking zolpidem and driving, using machinery, and working at heights to minimize the above-listed effects.
Do not drink alcohol or take other psychoactive substances while you are taking zolpidem as it can increase the above-listed effects.
Important information about the ingredients of Zolpidem
This medicine contains Lactose monohydrate.
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’
Always take zolpidem exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
Adults
Elderly
Patients with liver problems
Children and adolescents
Do not give this medicine to children under 18 years old.
If you take more zolpidem than you should, tell a doctor or go to a hospital casualty department straight away. Take the medicine pack with you. This is so the doctor knows what you have taken.
Taking too much zolpidem can be very dangerous. The following effects may happen:
Zolpidem must only be taken at bedtime. If you forget to take your tablet at bedtime, then you should not take it at any other time, otherwise,e you may feel drowsy, dizzy, lazy, and confused during the day. Do not take a double dose to make up for a forgotten tablet.
Keep taking zolpidem until your doctor tells you to stop. Do not stop taking zolpidem suddenly, but tell your doctor if you want to stop. Your doctor will need to lower your dose and stop you from taking it sometimes.
If you stop taking zolpidem suddenly, your sleep problems may come back and you may get a ‘withdrawal effect’. If this happens you may get some of the effects listed below.
See a doctor straight away if you get any of the following effects:
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Stop taking zolpidem and see a doctor or go to a hospital straight away if:
Tell your doctor as soon as possible if you have any of the following side effects:
There have been some reports of people doing things while asleep that they do not remember when waking up after taking a sleeping medicine. This includes sleep-driving, sleepwalking, preparing and eating food, and having sex. Alcohol and some medicines for depression or anxiety can increase the chance that this serious effect will happen.
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