National Geographic : 2008 Jun
MEDICATION GUIDE AMBIEN CR® (am'be-an see ahr) C-IV (zolpidem tartrateextended-release tablets) Read the Medication Guide that comes with AMBIEN CR before you start taking it and each time you get a refill. There may be new informa tion. This Medication Guide does not take the place of talking to your doctor about your med ical condition or treatment. What is the most important information I should know about AMBIEN CR? After taking AMBIEN CR, you may get up out of bed while not being fully awake and do an activity that you do not know you are doing. The next morning, you may not remember that you did anything during the night. You have a higher chance for doing these activities if you drink alcohol or take other medicines that make you sleepy with AMBIEN CR. Reported activities include: * driving a car ("sleep-driving") * making and eating food * talking on the phone * having sex * sleep-walking Call your doctor right away if you find out that you have done any of the above activities after taking AMBIEN CR. Important: 1. Take AMBIEN CR exactly as prescribed * Do not take more AMBIEN CR than prescribed. * Take AMBIEN CR right before you get in bed, not sooner. 2. Do not take AMBIEN CR if you: * drink alcohol * take other medicines that can make you sleepy. Talk to your doctor about all of your medicines. Your doctor will tell you if you can take AMBIEN CR with your other medicines. * cannot get a full night's sleep What is AMBIEN CR? AMBIEN CR is a sedative-hypnotic (sleep) medicine. AMBIEN CR is used in adults for the treatment of a sleep problem called insomnia. Symptoms of insomnia include: * trouble falling asleep * waking up often during the night AMBIEN CR is not for children. AMBIEN CR is a federally controlled substance (C-IV) because it can be abused or lead to depend ence. Keep AMBIEN CR in a safe place to prevent misuse and abuse. Selling or giving away AMBIEN CR may harm others, and is against the law. Tell your doctor if you have ever abused or have been dependent on alcohol, prescription medicines or street drugs. Who should not take AMBIEN CR? Do not take AMBIEN CR if you are allergic to any thing in it. See the end of this Medication Guide for a complete list of ingredients in AMBIEN CR. AMBIEN CR may not be right for you. Before starting AMBIEN CR, tell your doctor about all of your health conditions, including if you: * have a history of depression, mental illness, or suicidal thoughts * have a history of drug or alcohol abuse or addiction * have kidney or liver disease * have a lung disease or breathing problems * are pregnant, planning to become pregnant, or breastfeeding Tell your doctor about all of the medicines you take including prescription and nonprescription medicines, vitamins and herbal supplements. Medicines can interact with each other, some times causing serious side effects. Do not take AMBIEN CR with other medicines that can make you sleepy. Know the medicines you take. Keep a list of your medicines with you to show your doctor and phar macist each time you get a new medicine. How should I take AMBIEN CR? * Take AMBIEN CR exactly as prescribed. Do not take more AMBIEN CR than prescribed for you. * Take AMBIEN CR right before you get into bed. * Do not take AMBIEN CR unless you are able to stay in bed a full night (7-8 hours) before you must be active again. * Swallow AMBIEN CR Tablets whole. Do not chew or break the tablets. Tell your doctor if you can not swallow tablets whole. * For faster sleep onset, AMBIEN CR should NOT be taken with or immediately after a meal. * Call your doctor if your insomnia worsens or is not better within 7 to 10 days. This may mean that there is another condition causing your sleep problems. * If you take too much AMBIEN CR or overdose, call your doctor or poison control center right away, or get emergency treatment. What are the possible side effects of AMBIEN CR? Serious side effects of AMBIEN CR include: * getting out of bed while not being fully awake and do an activity that you do not know you are doing. (See "What is the most important information I should know about AMBIEN CR?) * abnormal thoughts and behavior. Symptoms include more outgoing or aggressive behavior than normal, confusion, agitation, hallucina tions, worsening of depression, and suicidal thoughts or actions. * memory loss * anxiety * severe allergic reactions. Symptoms include swelling of the tongue or throat, trouble breath ing, and nausea and vomiting. Get emergency medical help if you get these symptoms after taking AMBIEN CR.