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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

What special precautions should I follow?
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.

Side Effects of This Medicine
If you experience any of the following serious side effects, stop taking Ambien ( Zolpidem ) and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; s welling of your lips, face, or tongue; hives); or hallucinations, abnormal behavior, or severe confusion. ? Other, less serious side effects may be more likely to occur. Continue to take Ambien ( Zolp idem ) and talk to your doctor if you experience headache, drowsiness, di

What special precautions should I follow?
The presence of other medical problems may affect the use of zolpidem. Make sure you tell your doctor if you have any other medical problems, especially:
- Alcohol abuse (or history of) or
- Drug abuse or dependence (or history of)—Dependence on zolpidem may develop
- Emphysema, asthma, bronchitis, or other chronic lung disease or
- Mental depression or
- Sleep apnea (tem orary stopping of breathing during sleep)—Zolpidem may make these conditions worse
- Kidney disease or
- Liver disease—Higher blood levels of zolpidem may result, increasing the chance of de effects

How should you take this medication?
Take Ambien ( Zolpidem ) exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. ? Take each dose with a full glass of water. ? Take Ambien ( Zolpidem ) just before you go to bed. It will make you drowsy, and you could fall and hurt yourself if you take your dose too long before you are ready for sleep. ? Do not t ake more of this medication than is prescribed for you. ? Do not stop taking Ambien ( Zolpidem ) suddenly if you have been taking it for several weeks. Stopping suddenly may cause withdrawal symptoms and make you uncomfortable. Talk to your doctor if you need to stop treatment with Ambien ( Zolpidem ). ? Store Ambien ( Zolpidem ) at room temperature away from moisture and heat.

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