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When you purchase your medication straight from the source an online drugstore, make sure that they are licensed. Utilize the FDA BeSafeRx website to confirm their licensing.

Patients should be counseled to be aware that the use of AMBIEN into the third trimester might result in respiratory depression and the onset of sedation for newborns. Advise patients to avoid drinking and taking prescribed drugs or street drugs prior to and following treatment with AMBIEN.

Dosage

Inform patients that AMBIEN could affect the psychomotor function of the following day. It shouldn't be taken if there is less than a full night of sleeping (7 to 8 hours) and in conjunction alongside other CNS depressants (e.g. or sedative/hypnotics opioids) as well as alcohol or other drugs that increase the metabolism rate of zolpidem or in elderly and debilitated patients [see warnings and precautionsfor more information]. Some elderly patients have fallen in the course of taking 10-mg doses tartrate zolpidem. Ambien may cause patients to be prone to falling. Patients should be instructed to take a slow walk out of their bed once they have taken AMBIEN.

AMBIEN can enter the breastmilk. Women who are pregnant should be aware about the possibility of this. Children should be monitored for hypotonia and excessive sedation. A respiratory depression could also occur.

AMBIEN is known to cause severe hepatic dysfunction in patients who have an extensive liver impairment. The chance of developing this condition can be increased when zolpidem co-administered along with medications that affect GABA receptors, such as the benzodiazepines as well as anticholinergics (see INTERACTIONSand DRUGS INTERACTIONS. Inform patients that prolonged use of AMBIEN might cause dependence and tolerance. If you can, as soon as is possible cease the treatment.

The side effects

The most frequently reported adverse effects associated with AMBIEN include headache, dizziness, drowsiness as well as stomach discomfort. These side effects are usually mild and go away at their own pace in just a few days.

If you are using AMBIEN and are planning to drive or participate in any other activities that require the ability to be alert, you should take your time. This is particularly true when the medicine was taken in the wake of a long sleep (7-8 hours) and alcohol or in conjunction with other medications that could impact the CNS. To learn more, read the Medication Guide.

Through studies on the impact of AMBIEN on the different stages of sleep, it has been found to maintain the time spent at the most deep (stage 4) and REM sleep (paradoxical) periods of sleep.

Inform patients about the possibility that AMBIEN could result in a psychomotor impairment the next day if it is taken with less than 7-8 hrs of sleeping time left; in combination together with alcohol; or other medications that raise the blood levels of zolpidem (see NOTES AND PRECAUTIONSNOTE. Instruct patients that AMBIEN must only be taken at night and not taken in the morning.

Use Precautions

A lot of online pharmacies claim that they give convenience, security, as well as cost savings, by offering medications without a doctor's prescription. Yet, not all are legally operating. Certain pharmacies offer dangerous counterfeit or expired drugs. FDA recommends that customers steer clear of online pharmacies who aren't licensed. BeSafeRx is a website that aids consumers to identify pharmacies with no license and help them locate licensed ones has been launched by FDA to help them.

Tell patients to take AMBIEN only for sleep, and to not utilize it more that prescribed. It is not recommended to take AMBIEN while taking alcohol or other medications that induce insomnia. Inform patients to rest for 7 to 8 hours prior to driving or engaging in any other activity that require full alertness after dosing with AMBIEN.

Check for any signs of excess breathing issues, sedation or limpness among infants breastfed [see Specific Populations]. AMBIEN Cmax values and T1/2 are higher in the elderly (>70 year old) patients when compared with younger adults.

Warns

A lot of unlicensed pharmacies on the internet sell medicines that could be fake or include harmful components. The FDA recommends purchasing prescription medicines only from pharmacies online that are licensed with your state board of pharmacies. You can check a pharmacy's license status at the FDA's BeSafeRx website.

It is important to instruct patients to follow dosing instructions carefully, and inform them that AMBIEN may trigger sleep-related issues, for example, walking, driving or preparing meals, making calls or having sex without being fully awake. These episodes can lead to severe injuries or deaths. Discontinue AMBIEN and suggest that patients seek emergency medical attention when they notice these signs (see WARNINGS and PRECAUTIONS).

People with liver insufficiency may not eliminate zolpidem tartrate as rapidly as patients with normal liver function, and mixing AMBIEN with other drugs that affect the GABA receptors can increase the risk in CNS depression (see DRUG INTERACTIONS). Women who become pregnant while taking AMBIEN should inform the healthcare provider of their pregnancy.