Afraid: Many pharmacies online sell prescription drugs without a valid pharmacy license. The online pharmacies could sell counterfeit medicines or in violation of other safety law in the US. Learn how to buy medicine securely online, by going to the FDA BeSafeRx site.
Patients should be counseled to only take AMBIEN prior to going to bed and to allow for the full amount of time to sleep (7-8 hours). Patients should not drive or operating any machinery for the day immediately following treatment.
Dosage
The adjustment of doses may be necessary for those suffering from renal or liver impairment. Instruct patients to take AMBIEN only right before their bedtime, and only once they are able to stay in bed all day (7-8 hours). It is advised against using AMBIEN during late third trimester of pregnancy due to the fact that zolpidem is able to get into the milk of a nursing mother and trigger more complex sleep-related behaviors like eating, talking, walking while driving, calling calls or engaging in sexual activity in bed. These behaviors have been associated with severe injuries, and sometimes death.
AMBIEN may increase the risk for psychomotor impairment after day 2 when taken within 7 – 8 hours of rest, along with alcohol, or with other CNS depressants. The effects of zolpidem may be higher in older people. In the past, falls have been observed in elderly patients taking zolpidem. Consider discontinuing the drug in those patients who have had a thorough reevaluation.
The Side Effects
Inform patients that AMBIEN could result in a psychomotor impairment the next day Particularly if administered with less than a full day of sleep (7 up to 8 hours); with high doses; in combination with other CNS alcohol or depressants; or in elderly or frail patients. Tell them not to drive or undertake any activities that require full mental alertness before AMBIEN wears off. See WARNINGS AND PRECAUTIONS for more information.
Ambian is only taken by patients who are able to spend a complete night in their bed (7-8 hours), before they have to leave for work or to engage in any other type of activity. Ambian shouldn’t be consumed with food. The patient should avoid drinking any alcohol in the night prior to or just prior to taking AMBIEN.
Patients with moderate to mild liver impairment are not able to clear AMBIEN as quickly as normal subjects. Patients suffering from hepatic impairment are advised to take fewer doses [see DOSAGE AND ADMINISTRATION, Use In Specific Populations].
Take Precautions
Some pharmacies on the internet offer secure, inexpensive and trustworthy drugs. They often do not require a prescription and may be in violation of state regulators for pharmacy licenses. The seller could charge you too much for medicines, mail medications that are damaged or expired, and disclose every single one of your personal information. FDA’s BeSafeRx website offers tools to help you protect yourself and your family when buying medicine online.
Affirm to the patient that AMBIEN could increase the likelihood for impaired psychomotor function if taken in less than 7 – 8 hours of rest, in combination with alcohol, other sedatives/hypnotics as well as other medications that can affect the CNS in a way, like benzodiazepines. Patients should avoid actions that require mental alertness and driving until they’re awake and have had a decent nights’ sleep. (See NOTES AND PRECAUTIONS). Be aware of the fact of the fact that AMBIEN is used in the last 3rd trimester can cause respiratory depression and drowsiness in infants [see Use for Specific Populations].
Warns
Online pharmacies that are not licensed might offer bargain prices or even convenience in the sale of medicines, but they do not have any of the protections that are available to licensed pharmacies. There are some online pharmacies that may be selling medicines that are expired, counterfeit or does not contain the active ingredients recommended by your physician. Make use of the FDA website BeSafeRx to confirm that the pharmacy of choice is legitimate.
AMBIEN is known to cause impaired psychomotor functioning within the following day after only the one dosage. This is especially true for elderly patients, Extra resources patients suffering from liver impairment who are unable to eliminate zolpidem as quickly, or patients taking other CNS-depressants, like alcohol [see WARNINGS and PrecautionsNOTE.
Advise pregnant women that using AMBIEN later in the third trimester might result in respiratory depression in neonates. [see WARNINGS AND PRECAUTIONS]. Inform patients to study the Medication Guide and then discuss it with their physician. Go through the Medication Guide at every refill. Patients are advised to only take AMBIEN in accordance with the instructions of their doctors.
