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Stop Using This Medicine
If you will be taking zolpidem for a long time, do not stop taking it without first checking with your doctor. Your doctor may want you to reduce gradually the amount you are taking before stopping co mpletely. Stopping this medicine suddenly may cause withdrawal side effects.

After taking zolpidem for insomnia, you may have difficulty sleeping (rebound insomnia) for the first few nights a fter you stop taking it



Other Medicines
Ambien ( Zolpidem ) may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, other sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves. ? Drugs other than those listed here may also inte ract with Ambien ( Zolpidem ). Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Cautions
ChildrenˇXStudies 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.



Side Effects of This Medicine
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



Proper Use of This Medicine
Since Ambien ( Zolpidem ) is usually taken only if you need it to help you sleep, missing a dose will not cause any problems. Take the missed dose only if you can be sure that you will get 7 or 8 full hours of sleep after the dose. If you do not sleep for 7 or 8 full hours, you may experience carryover effects from Ambien ( Zolpidem ) after you wake up.

Precautions while Using this Medicine
If you think you need to take zolpidem for more than 7 to 10 days, be sure to discuss it with your doctor. Insomnia that lasts longer than this may be a sign of another medical problem.

This medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or a nesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using this medicine.



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