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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

Special warnings about this medication
The presence of other medical problems may affect the use of zolpidem. Make sure you tell your doctor if you have any other medical problems, especially:
- Alcohol abuse (or history of) or
- Drug abuse or dependence (or history of)¡XDependence on zolpidem may develop
- Emphysema, asthma, bronchitis, or other chronic lung disease or
- Mental depression or
- Sleep apnea (tem orary stopping of breathing during sleep)¡XZolpidem may make these conditions worse
- Kidney disease or
- Liver disease¡XHigher blood levels of zolpidem may result, increasing the chance of de effects



How should this medicine be used?
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.

Stop Using This Medicine
After you stop using this medicine, your body may need time to adjust. The length of time this takes depends on the amount of medicine you were using and how long you used it. During this time check w ith your doctor if you notice any of the following side effects:

Abdominal or stomach cramps or discomfort; agitation, nervousness, or feelings of panic; convulsions (seizures); flushing; lightheadedness ; muscle cramps; nausea ; sweating; tremors; uncontrolled crying; unusual tiredness or weakness; vomiting; worsening of mental or emotional problems



What special precautions should I follow?
If you develop any unusual and strange thoughts or behavior while you are taking zolpidem, be sure to discuss it with your doctor. Some changes that have occurred in people taking this medicine are li ke those seen in people who drink alcohol and then act in a manner that is not normal. Other changes may be more unusual and extreme, such as confusion, worsening of depression hallucinations (seeing, hearing, or feeling things that are not there), suicidal thoughts, and unusual excitement, nervousness, or irritability



Possible Side Effect
If you experience any of the following serious side effects, stop taking Ambien ( Zolpidem ) and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; s welling of your lips, face, or tongue; hives); or hallucinations, abnormal behavior, or severe confusion. ? Other, less serious side effects may be more likely to occur. Continue to take Ambien ( Zolp idem ) and talk to your doctor if you experience headache, drowsiness, di


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