Store the zolpidem oral spray bottle upright. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature, away from excess heat, light, and moisture (not in the bathroom). Do not freeze zolpidem oral spray.
Instead, the best way to dispose of your medication is through a medicine take-back program. However, you should not flush this medication down the toilet. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. See the FDA's Safe Disposal of Medicines website ( http://goo.gl/c4Rm4p ) for more information if you do not have access to a take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community.
Unless your doctor ls you otherwise, continue your normal diet.
Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions. Do not let anyone else take your medication. Zolpidem is a controlled substance.
If you are taking the sublingual tablets (Intermezzo), you will take the medication as needed, not more than one time during the night if you wake up and have difficulty returning to sleep. Zolpidem also comes as a sublingual tablet (Edluar, Intermezzo) to place under the tongue and an oral spray (Zolpimist), which is sprayed into the mouth over the tongue. Zolpidem comes as a tablet (Ambien) and an extended-release (long-acting) tablet (Ambien CR) to take by mouth. If you are taking the tablets, extended-release tablets, sublingual tablets (Edluar), or oral spray, you will take the medication as needed, not more than one time a day, immediay before bedtime. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use zolpidem exactly as directed. Zolpidem will work faster if it is not taken with a meal or immediay after a meal.
Call your doctor if your sleep problems do not improve during this time or if they get worse at any time during your treatment. Your sleep problems should improve within 7 to 10 days after you start taking zolpidem.
Zolpidem may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication.
This medication is taken as needed. You may take zolpidem even if it is later than the usual time, as long as you will be able to remain in bed for the required number of hours after you take it.
Do not swallow the tablet whole or take the tablet with water. To remove the sublingual tablet (Edluar) from the blister pack, peel off the top layer of paper and push the tablet through the foil. Do not open the pouch that contains the sublingual tablet (Intermezzo) until you are ready to take the tablet. To take either brand of sublingual tablet, place the tablet under your tongue, and wait for it to dissolve.
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.
Swallow the extended-release tablets whole; do not split, chew, or crush them. l your doctor or pharmacist if you cannot swallow tablets.
Take zolpidem sublingual tablets (Intermezzo) only when you are already in bed and can remain in bed for at least 4 more hours. Plan to go to bed right after you take zolpidem tablets, extended-release tablets, sublingual tablets (Edluar), and oral spray and to stay in bed for 7 to 8 hours. If you get up too soon after taking zolpidem, you may experience drowsiness and problems with memory, alertness, or coordination. Do not take zolpidem if you will be unable to remain asleep for the required number of hours after taking the medication. You will probably become very sleepy soon after you take zolpidem and will remain sleepy for some time after you take the medication.
Duplication for commercial use must be authorized by ASHP. The American Society of Health-System Pharmacists, Inc., 4500 East-West Highway, Suite 900, Bethesda, Maryland. AHFS Patient Medication Information., 2017.
Do not take a larger dose of zolpidem, take it more often, or take it for a longer time than prescribed by your doctor. Zolpidem may be habit forming.
Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website ( http://www.fda.gov/downloads/Drugs/DrugSafety/ucm089833.pdf ) or the manufacturer's website to obtain the Medication Guide. 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.
Keep all appointments with your doctor.
Zolpidem should normally be taken for short periods of time. Talk to your doctor about the risks of taking zolpidem for 2 weeks or longer. 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.
You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. It is also important information to carry with you in case of emergencies.
Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). It works by slowing activity in the brain to allow sleep. Zolpidem belongs to a class of medications called sedative-hypnotics.
If the victim has collapsed or is not breathing, call local emergency services at 911. In case of overdose, call your local poison control center at.
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 ( http://www.fda.gov/Safety/MedWatch ) or by phone.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.Medication ambien