carecreditBuying Ambien (Zolpidem) 10mg Without Prescription

Taking Ambien (zolpidem) is indicated for sleep disorders, including nighttime and early awakenings and difficulty falling asleep. The instructions for Ambien involve internal (oral) administration of the tablets, with the dosage and duration of use in accordance with the observed sleep disorder and established exclusively by a medical specialist. Exceeding doses, as well as the course of treatment, is unacceptable and can lead to negative consequences.



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Directions for use and doses

The drug is prescribed orally, immediately before bedtime, with a sufficient amount of liquid, no earlier than 30 minutes after a meal. The dosage regimen is determined individually. The course of treatment should begin with a low dose of the drug, gradually increasing it in the future to obtain a therapeutic effect.

Adults and adolescents over 15 years of age are prescribed a single dose of 10 mg; if necessary, the dose can be increased to 20 mg. For patients over 65 years of age, the initial dose is 5 mg; maximum dose - 10 mg.

For patients with liver failure, the drug is prescribed at a dose of 5 mg.The drug should be taken immediately before bedtime (10-30 minutes before).

Side effects

Ambien may cause the following central nervous system side effects:

  • Headache;
  • Irritability;
  • Dizziness;
  • Depressed mood;
  • Residual drowsiness after waking up;
  • Hallucinations;
  • Depressive state;
  • Anterograde amnesia;
  • Confusion;
  • Nightmarish dreams;
  • Aggressiveness;
  • Inappropriate behavior with the possible development of amnesia;
  • Impaired coordination of movements.

On the part of the digestive system, the following side effects may develop during the use of Ambien:

  • Bitterness in the mouth;
  • Dry mouth;
  • Nausea;
  • Dyspepsia;
  • Increased activity of liver transaminases (minor).

The use of Ambien, in some cases, causes the development of allergic reactions, including skin rash, itching, anaphylactic reactions, and angioedema. After stopping treatment with the drug, withdrawal syndrome may occur, which is manifested by the following side effects:

  • Anxiety;
  • Hallucinations;
  • Tachycardia;
  • Rebound insomnia;
  • Excitation;
  • Shiver;
  • Irritability;
  • Increased sweating;
  • Confusion;
  • Nightmarish dreams;
  • Headache;
  • Tremor;
  • Seizures (in rare cases);
  • Delusion.

In mild cases of drug overdose, confusion, drowsiness, and apathy are observed. In case of serious overdose, arterial hypotension, ataxia, respiratory depression, and even coma may develop.

Special instructions

Before starting treatment with Ambien, you should remember that the active substance of the drug can be addictive. The risk of dependence increases if the recommended doses or duration of therapy are not followed. In addition, abuse of alcoholic beverages, and medications, as well as the combination of the drug with other psychotropic drugs and alcohol, also increase the likelihood of developing addiction.

The dose of the drug should be reduced gradually before stopping the use of Ambien due to the risk of developing withdrawal syndrome and rebound insomnia.

It is important to note that the drug can mask the symptoms of depression. To reduce the likelihood of developing anterograde amnesia, which is especially high when there are significant periods of time between sleep and taking pills, it is recommended to take the drug immediately before going to bed. Sleep duration should be at least 6 hours.

During the period of treatment with Ambien, it is necessary to refrain from driving vehicles, operating potentially dangerous mechanisms, and engaging in activities that require increased attention and speed of psychomotor reactions.

Interaction

With the simultaneous use of Ambien with neuroleptics, hypnotics, sedatives, tricyclic antidepressants, opioid analgesics, ethanol-containing drugs, ethanol, antitussive drugs, tranquilizers, antihistamines, clonidine, the inhibitory effect on the central nervous system is enhanced. When Ambien is used simultaneously with benzodiazepine tranquilizers, the risk of developing drug dependence increases. Flumazenil reverses the hypnotic effect of zolpidem. When used simultaneously with imipramine or chlorpromazine, zolpidem has an additive effect, prolonging the half-life of chlorpromazine, increasing drowsiness and the incidence of anterograde amnesia, and reducing the maximum concentration of imipramine.