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Other Medicines
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])—The CNS depressant effects of either these medicines or zolpidem may be increased, possibly leading to unwanted effects

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

How should you take this medication?
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

What side effects may occur?
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

What special precautions should I follow?
Children—Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of zolpidem in children with use in other age groups.

Older adults Confusion and falling are more likely to occur in the elderly, who are usually more sensitive than younger adults to the effects of zolpidem.

What is this Drug
Ambien ( Zolpidem ) is in a class of drugs called sedative / hypnotics or sleep medications. Ambien ( Zolpidem ) affects chemicals in your brain that may become unbalanced and cause insomnia. Ambien ( Zolpidem ) induces sleep and causes relaxation. It is used to treat sleep disorders such as trouble falling asleep, waking up many times during the night, or waking up too early in the morning. Ambie n ( Zolpidem ) is for short-term use only--usually 7 to 10 days. Longer-term use must be monitored closely by a doctor. Ambien ( Zolpidem ) may also be used for purposes other than those listed in thi s medication guide.