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Special warnings about this medication
This medicine may cause some people, especially older persons, to become drowsy, dizzy, lightheaded, clumsy or unsteady, or less alert than they are normally. Even though zolpidem is taken at bedtime, it may cause some people to feel drowsy or less alert on arising. Also, this medicine may cause double vision or other vision problems. Make sure you know how you react to zolpidem before you drive, use machines, or do anything else that could be dangerous if you are dizzy, or are not alert or able to see well.



Cautions
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



Proper Use of This Medicine
Zolpidem comes as a tablet to take by mouth. It usually is taken once a day at bedtime as directed. It usually begins working within 15 minutes. This medication usually is taken 7-10 days. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take zolpidem exactly as directed.

Zolpidem can be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to



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



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

What side effects can this medication cause?
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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