Ambien is a third-generation tranquilizer-hypnotic. Its main difference from other drugs is the ability to maintain a full-fledged sleep structure. The primary purpose of Ambien is the implementation of a hypnotic effect. Against the background of taking the medicine, the time to fall asleep is reduced, the quality of rest is significantly improved. In addition to sleeping pills, the medication has a relaxing and calming effect on the entire body.
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Indications for use
According to the annotation, the drug promotes rapid falling asleep. It supports quality sleep at night, providing its phase composition. The drug does not cause post-somnic disorders. This means that the next day there is no feeling of weakness or malaise.
Given the described properties, Ambien is used for:
- sleep disorders (frequent awakenings, difficulty falling asleep);
- bronchial asthma with nocturnal awakenings;
- situational or chronic insomnia.
After taking the pill, sleep occurs within 30 minutes and lasts about 7-8 hours.
Method of application and dosing regimen
The drug Ambien instructions for use recommends using it orally. The doctor determines the dosage regimen. As a rule, patients with insomnia are prescribed one tablet at night. If necessary, the dosage can be increased to two pills.
Tablets can not be chewed, it is better to drink water. The action of the drug begins 20-30 minutes after ingestion. The duration of the course of therapy should not exceed more than four weeks. Otherwise, drug dependence develops, which is very difficult to cope with. If, after one month, sleep does not normalize, it is necessary to consult a doctor again to adjust the treatment regimen.
Contraindications and side effects
When should treatment with Ambien be discontinued? The instruction does not recommend taking pills:
- pregnant and lactating women;
- children under 18;
- patients with respiratory failure.
With caution, the medication is prescribed to people suffering from sleep apnea, acute liver or kidney failure.
Instructions for the drug prohibit its use during pregnancy. The active substance can provoke various disorders of the fetal central nervous system. In case of urgent need, the use of Ambien in the second trimester is allowed, but only with the permission of the doctor. During lactation, medication is possible, provided that breastfeeding is refused for the entire duration of treatment.
Patients well tolerate subject to the dosing regimen of Ambien, the drug analogs. In rare cases, excessive drowsiness and fatigue, dizziness, and confusion may occur.
During treatment with Ambien, you should stop drinking alcohol and drugs that have alcohol in their composition. Cancellation of the drug should be carried out gradually. The risk of drug dependence provided that the medication is used for less than four weeks in a row, is minimal.
Cases of overdose
Taking large doses of sleeping pills causes CNS depression of varying severity (from pronounced drowsiness to coma).
Overdose therapy begins with gastric lavage. Next, the patient is prescribed sorbents.
Symptomatic treatment and control of vital body functions are also carried out. Flumazenil is used as an antidote.
Side effects
What side effects does Ambien cause? Reviews of experienced specialists report that this medication can contribute to the development of the following phenomena:
- nausea, dryness, and bitterness in the mouth;
- dizziness, headache, slight drowsiness in the morning;
- nightmares, aggressiveness, irritability, hallucinations, mood deterioration, and depression, as well as the development of amnesia (very rarely);
- itching, rash, anaphylactic reactions (very rare);
- increased liver transaminases and alkaline phosphatase.
It should also be noted that in rare cases, the drug causes a “withdrawal” syndrome and, as a result, rebound insomnia.
Drug interaction
According to the attached instructions, an increase in the inhibitory effect on the central nervous system of this drug occurs when combined with antidepressants, antipsychotics, anesthetics, tranquilizers, sedatives, and hypnotics, as well as Erythromycin, antiepileptic and antihistamine drugs, narcotic analgesics.
It is highly recommended not to consume alcoholic beverages and alcohol-containing medicines at the same time as Ambien. This is due to the fact that such a combination can increase its sedative effect.
Taking sleeping pills significantly reduces the concentration of perfonal or trimipramine in the blood. This fact must be taken into account in their simultaneous appointment.
Special recommendations for taking sleeping pills
In people with nocturnal asthma attacks, in combination with methylxanthine drugs, sleeping pills reduce the number of attacks in the early morning hours and also reduce their intensity and duration.
When prescribing Ambien, the possibility of developing addiction should not be completely ruled out. The risk of dependence on the drug occurs in the following cases:
- in case of violation of the duration of treatment and dosages;
- with the abuse of alcohol or other drugs;
- when combined with alcohol or other psychotropic drugs.
To avoid withdrawal syndrome, stop taking the drug should be gradual, reducing the dosage to a minimum
