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Use caution when driving, operating machinery, or performing other hazardous
activities. Ambien will cause drowsiness and may cause dizziness. If you
experience drowsiness or dizziness, avoid these activities. Ambien should be
taken just before bedtime. You may experience some carryover effects the next
day.

Do not drink alcohol while taking Ambien. Alcohol will increase drowsiness and
may increase dizziness while you are taking Ambien, which could be dangerous.

Do not stop taking Ambien suddenly if you have been taking it for more than 1
or 2 weeks. This may cause withdrawal symptoms and make you uncomfortable. Talk
to your doctor if you need to stop treatment with Ambien.

What is Ambien?

Ambien is in a class of drugs called sedative/hypnotics or sleep medications.
Ambien affects chemicals in your brain that may become unbalanced and cause
insomnia.

Ambien induces sleep and causes relaxation. It is used to treat sleep
disorders such as trouble falling asleep, waking up many times during the night,
or waking up too early in the morning. Ambien is for short-term use
only–usually 7 to 10 days. Longer-term use must be monitored closely by
doctor.

Ambien may also be used for purposes other than those listed in this
medication guide.

What should I discuss with my healthcare provider before taking Ambien?

Before taking this medication, tell your doctor if you

* have kidney disease;

* have liver disease;

* have asthma, bronchitis, emphysema, or another respiratory disease; or

* are depressed or have suicidal thoughts.

You may not be able to take Ambien, or you may require a lower dose or special
monitoring during treatment if you have any of the conditions listed above.

Ambien is in the FDA pregnancy category B. This means that it is unlikely to
harm an unborn baby. Do not take Ambien without first talking to your doctor
if you are pregnant or could become pregnant during treatment.

Ambien passes into breast milk and may affect a nursing baby. Do not take this
medication without first talking to your doctor if you are breast-feeding a
baby.

If you are over 60 years of age, you may be more likely to experience side
effects from Ambien. You may require a lower dose of this medication.

Ambien is not approved by the FDA for use by children younger than 18 years of
age.

How should I take Ambien?

Take Ambien 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 just before you go to bed. It will make you drowsy, and you could
fall and hurt yourself if you take your dose before you are ready for sleep.

Take Ambien only if you are able to get a full night’s sleep before you must
be active again.

Do not take more of this medication than is prescribed for you.

Store Ambien at room temperature away from moisture and heat.

What happens if I miss a dose?

Since Ambien is usually taken only if you need it to help you sleep, missing a
dose will not cause any problems. Take the missed dose only if you can be sure
that you will get 7 or 8 full hours of sleep after the dose. If you do not sleep
for 7 or 8 full hours, you may experience carryover effects from Ambien after
you wake up.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a Ambien overdose may include sleepiness, confusion, dizziness,
difficult or slow breathing, and unconsciousness.

What should I avoid while taking Ambien?

Do not drink alcohol while taking Ambien. Alcohol will increase drowsiness and
may increase dizziness while you are taking Ambien, which could be dangerous.

Avoid other sedatives, sleeping pills, and tranquilizers, including
over-the-counter preparations. They should not be used while you are taking
Ambien unless your doctor directs otherwise.

What are the possible side effects of Ambien?

If you experience any of the following serious side effects, stop taking Ambien
® and seek emergency medical attention:

* an allergic reaction (difficulty breathing; closing of your throat; swelling
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 and talk to your doctor if you experience

* headache, drowsiness, dizziness, or clumsiness;

* nausea, vomiting, diarrhea, or constipation;

* depression;

* muscle aches or pains;

* vivid or abnormal dreams; or

* amnesia (memory loss) after a dose.

A problem that may occur when sleep medicines are stopped is known as “rebound
insomnia.” This means that a person may have more trouble sleeping the first few
nights after the medicine is stopped than before starting the medicine. If you
should experience rebound insomnia, do not get discouraged. This problem usually
goes away on its own after 1 or 2 nights

Ambien is habit forming. Stopping this medication suddenly can cause
withdrawal effects if you have taken it continuously for several weeks. Talk to
your doctor about the safe use of this medication.

Side effects other than those listed here may also occur. Talk to your doctor
about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Ambien?

Ambien may increase the effects of other drugs that cause drowsiness,
including antidepressants, alcohol, antihistamines, other sedatives (used to
treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell
your doctor about all medicines that you are taking, and do not take any
medicine unless your doctor approves.

Drugs other than those listed here may also interact with Ambien. Talk to your
doctor and pharmacist before taking any prescription or over-the-counter
medicines, including herbal products.

Where can I get more information?

Your pharmacist has additional information about Ambien written for health
professionals that you may read.

What does my medication look like?

Ambien is available with a prescription under the brand name Ambien. Other
brand or generic formulations of this medication may also be available. Ask your
pharmacist any questions you have about this medication, especially if it is new
to you.

* Ambien 5 mg–pink, capsule-shaped, film-coated tablets

* Ambien 10 mg–white, capsule-shaped, film-coated tablets

Remember, keep this and all other medicines out of the reach of children, never
share your medicines with others, and use this medication only for the
indication prescribed.

Every effort has been made to ensure that the information provided by Cerner
Multum, Inc. (’Multum’) is accurate, up-to-date, and complete, but no guarantee
is made to that effect. Drug information contained herein may be time sensitive.
Multum information has been compiled for use by healthcare practitioners and
consumers in the United States and therefore Multum does not warrant that uses
outside of the United States are appropriate, unless specifically indicated
otherwise. Multum’s drug information does not endorse drugs, diagnose patients
or recommend therapy. Multum’s drug information is an informational resource
designed to assist licensed healthcare practitioners in caring for their
patients and/or to serve consumers viewing this service as a supplement to, and
not a substitute for, the expertise, skill, knowledge and judgment of healthcare
practitioners. The absence of a warning for a given drug or drug combination in
no way should be construed to indicate that the drug or drug combination is
safe, effective or appropriate for any given patient. Multum does not assume any
responsibility for any aspect of healthcare administered with the aid of
information Multum provides. The information contained herein is not intended to
cover all possible uses, directions, precautions, warnings, drug interactions,
allergic reactions, or adverse effects. If you have questions about the drugs
you are taking, check with your doctor, nurse or pharmacist.

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