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Zolpidem, sold under the brand name Ambien, among others, is a medication primarily used for the short-term treatment of sleeping problems. Guidelines recommend that it be used only after cognitive behavioral therapy for insomnia and behavioral changes, such as sleep hygiene, have been tried ZOLPIDEM 10MG .
WHY IS THIS MEDICATION PRESCRIBED?- BUY ZOLPIDEM UK
HOW SHOULD THIS MEDICINE BE USED?- BUY ZOLPIDEM UK
To use the oral spray, follow these directions and those that appear in the package label:
- Before using zolpidem spray for the first time, or if you have not used the spray bottle for 14 days, you must prime the pump.
- Line up the arrows on the cap and the base of the container. Squeeze the cap at the arrows and pull the cap and base apart to separate. Remove the clear protective cap from the pump.
- To prime the pump, hold the container upright. Point the black spray opening away from your face and other people. Press down on the pump with your forefinger, release and let it return to the starting position and repeat 4 more times. You should see a fine spray come out of the container.
- To use zolpidem spray, hold the container upright with the black spray opening pointed directly into your mouth, over the top of your tongue. Press down fully on the pump to make sure that a full dose of zolpidem is sprayed.
- Let the pump return to the starting position. If your doctor prescribed only one spray of zolpidem, put the clear protective cap back over the pump at the top of the base after each use. If your doctor has prescribed two sprays of zolpidem for your dose, a second spray should be used.
- Snap the child-resistant cap back onto the base and rotate the cap and base so that the arrows are not lined up. This is to help prevent a child from using the spray mist bottle.
Your sleep problems should improve within 7 to 10 days after you start taking zolpidem. Call your doctor if your sleep problems do not improve during this time or if they get worse at any time during your treatment. Zolpidem should normally be taken for short periods of time. If you take zolpidem for 2 weeks or longer, zolpidem may not help you sleep as well as it did when you first began to take the medication. Talk to your doctor about the risks of taking zolpidem for 2 weeks or longer. Zolpidem may be habit forming. Do not take a larger dose of zolpidem, take it more often, or take it for a longer time than prescribed by your doctor. Do not stop taking zolpidem without talking to your doctor, especially if you have taken it for longer than 2 weeks. If you suddenly stop taking zolpidem, you may develop unpleasant feelings or mood changes or you may experience other withdrawal symptoms such as shakiness, lightheadedness, stomach and muscle cramps, nausea, vomiting, sweating, flushing, tiredness, uncontrollable crying, nervousness, panic attack, difficulty falling asleep or staying asleep, uncontrollable shaking of a part of your body, and rarely, seizures. You may have more difficulty falling asleep or staying asleep on the first night after you stop taking zolpidem than you did before you started taking the medication. This is normal and usually gets better without treatment after one or two nights. Your doctor or pharmacist will give you the manufacturer’s patient information sheet (Medication Guide) when you begin treatment with zolpidem and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions.
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WHAT SPECIAL PRECAUTIONS SHOULD I FOLLOW?- BUY ZOLPIDEM UK
Before taking zolpidem,
- tell your doctor and pharmacist if you are allergic to zolpidem, any other medications, or any of the ingredients in the zolpidem product you are using. Ask your pharmacist or check the Medication Guide for a list of the ingredients.
- tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: antidepressants (‘mood elevators’) including imipramine (Tofranil) and sertraline (Zoloft); chlorpromazine; itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); medications for anxiety, colds or allergies, mental illness, pain, or seizures; rifampin (Rifadin, Rimactane, in Rifamate, in Rifater); sedatives; sleeping pills; and tranquilizers. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- you should not take more than one sleeping pill on the same night. If you have taken a zolpidem product or a different type of sleeping pill at bedtime and you wake up in the middle of the night, you should not take a zolpidem sublingual tablet (Intermezzo) or any other sleeping pill.
- tell your doctor what herbal products you are taking, especially St. John’s wort.
- tell your doctor if you drink or have ever drunk large amounts of alcohol, use or have ever used street drugs, or have overused prescription medications. Also tell your doctor if you have or have ever had depression; mental illness; thoughts of harming or killing yourself or trying to do so; a problem with heavy snoring; sleep apnea (condition in which breathing briefly stops many times during the night); other breathing problems or lung diseases such as asthma, bronchitis, and emphysema; myasthenia gravis (condition that causes weakness of certain muscles); or kidney or liver disease.
- tell your doctor if you are pregnant, especially if you are in the last few months of your pregnancy, plan to become pregnant, or are breastfeeding. If you become pregnant while taking zolpidem, call your doctor.
- talk to your doctor about the risks and benefits of taking zolpidem if you are 65 years of age or older. Older adults should not usually take zolpidem because it is not as safe or effective as other medications that can be used to treat the same condition.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking zolpidem.
- you should know that zolpidem may cause drowsiness, decreased mental alertness, prolonged reaction time, problems with coordination the day after you take it, and may increase the risk that you could fall. Take extra care to be sure you do not fall, especially if you get out of bed in the middle of the night. Your ability to drive or operate machinery the day after you take zolpidem may be impaired even if you feel fully awake. Do not drive a car or operate machinery the day after you take an extended-release zolpidem product. Talk to your doctor about the risks of driving or operating machinery the day after you take any other zolpidem products. ZOLPIDEM 10MG
- do not drink alcohol during your treatment with zolpidem. Alcohol can make the side effects of zolpidem worse.
- you should know that your behavior and mental health may change in unexpected ways while you are taking this medication. It is hard to tell if these changes are caused by zolpidem or if they are caused by physical or mental illnesses that you may already have or suddenly develop. Tell your doctor right away if you experience any of the following symptoms: aggressiveness, strange or unusually outgoing behavior, hallucinations (seeing things or hearing voices that do not exist), feeling as if you are outside of your body, memory problems, difficulty concentrating, anxiety, becoming easily agitated, slowed speech or movements, new or worsening depression, thinking about killing yourself or trying to do so, confusion, and any other changes in your usual thoughts, mood, or behavior. Be sure that your family knows which symptoms may be serious so that they can call the doctor if you are unable to seek treatment on your own.
WHAT SPECIAL DIETARY INSTRUCTIONS SHOULD I FOLLOW?– BUY ZOLPIDEM UK
WHAT SHOULD I DO IF I FORGET A DOSE?- BUY ZOLPIDEM UK
WHAT SIDE EFFECTS CAN THIS MEDICATION CAUSE?
Zolpidem may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- ‘drugged feeling’
- unsteady walking
- difficulty keeping balance
- stomach pain or tenderness
- changes in appetite
- uncontrollable shaking of a part of the body
- pain, burning, numbness, or tingling in the hands, arms, feet, or legs
- unusual dreams
- redness, burning, or tingling of the tongue (with sublingual tablets)
- dry mouth or throat
- ringing, pain, or itching in the ears
- eye redness
- muscle aches or cramps
- joint, back, or neck pain
- heavy menstrual bleeding
Some side effects can be serious. If you experience any of the following symptoms, or those listed in the IMPORTANT WARNINGS or SPECIAL PRECAUTIONS sections, call your doctor immediately:
- swelling of the eyes, face, lips, tongue, or throat
- feeling that the throat is closing
- difficulty breathing or swallowing
- shortness of breath
- yellow eyes or skin
- light-colored stools
- pounding heartbeat
- chest pain
- blurred vision or other vision problems
Zolpidem may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online
WHAT SHOULD I KNOW ABOUT STORAGE AND DISPOSAL OF THIS MEDICATION?
IN CASE OF EMERGENCY/OVERDOSE
Symptoms of overdose may include the following:
- coma (loss of consciousness for a period of time)
- slowed breathing or heartbeat
WHAT OTHER INFORMATION SHOULD I KNOW?
- Ambien CR