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There are many websites that claim to offer medicine at affordable prices and without a doctor's prescription. Though these websites seem to be genuine but they could pose risk to your security and that of your family.

Patients are not allowed to drive or engage in various other hazardous activities prior to having slept for at least 7-8 hours following the AMBIEN dose. Sleep-related disorders that are complex (eg driving while asleep) have been observed with AMBIEN (see WARNINGS & Precautionsfor more information].

AMBIEN is excreted more slowly by patients with impaired liver function. An adjustment in dosage may be suggested for those with impaired liver function.

Dosage

Inform patients that AMBIEN could create a psychomotor impairment for the next day if used with less than a total of a full night's rest and when doses higher employed; or when administered with other CNS depressants, including alcohol; or when taken late in the third trimester of pregnancy since it could result in respiratory depression and an increase in sedation for infants. the warnings and precautions below].

To ease insomnia, teach patients to use the lowest achievable dose of AMBIEN in the most time. The risk of dependence and tolerance increase with long-term usage. After a few weeks, discontinue the treatment and evaluate the health of your patient. [see Substance Abuse And Dependence].

It is not uncommon to experience constipation or anorexia, flatulence, vomiting. Infrequent: constipation, anorexia, flatulence, vomiting.

The elderly or those with disabilities may require lower doses initially to start with. Patients with a history of dementia should be carefully monitored and not being given the 10-mg dose as they may get up in the middle of the night.

The Side Effects

Inform patients about AMBIEN's potential to make it more likely for them to experience the following day's impairment, in particular when it is taken when there is less than a complete evening of rest (7 to 8 hours) or with doses higher than prescribed; when combined with alcohol or other CNS depressants, or when administered in conjunction with medications that inhibit hepatic enzymes (such as the phenytoin) [see WARNINGS & PRECAUTIONS]. Patients should avoid driving or perform activities that require the use of their brains before they are awake.

A few times: alopecia and enteritis. Hematologic and Lymphatic: Rare the following conditions are common: anemia and hyperhemoglobinemia leukopenia, lymphadenopathy, thrombocytopenia.

It is important for breastfeeding mothers taking AMBIEN to observe infants for excessive breathlessness, sleepiness or limpness. Lactating mothers should think about pumping and discarding breast milk while taking AMBIEN and up to 23 hours (approximately five elimination half-lives) immediately following the administration of AMBIEN to limit drug exposure in a nursing child [see Use In Certain Populations[see Use In Specific Populations]. Debilitated and elderly patients could be more sensitive to the effects of AMBIEN. In clinical studies, AMBIEN is generally found to preserve the sleep stages of 3 and 4 but is known to decrease REM sleeping (see Clinical Studies]. Tell patients to read the Medication Guide that is included with AMBIEN as well as to contact their explanation healthcare provider if they have concerns or questions regarding the medication.

Take Precautions

Certain Internet websites advertise discounted prescription medications. They seem too good to be true. These sites could be unsafe or counterfeit and expose you to health risks. Of course, they will send you medications without marking or using false names. You may also be charged more than your doctor will prescribe. Similar strict security measures that apply to licensed pharmacies won't be applied to them.

It is important to inform patients that AMBIEN might cause next-day psychomotor impairment It is also advised that the danger is more likely if AMBIEN is used with less than 8 hours sleep left and if it is taken in conjunction with alcohol or in combination with other medications that increase the blood levels of zolpidem tartrate (eg, some CNS depressants, prescription narcotics). Patients must be advised to only take AMBIEN as directed [see PRECAUTIONS and WARNINGSNOTES and PRECAUTIONS.

Patients who are older should receive lower doses of AMBIEN because they do not get rid of zolpidem tartrate the same speed as younger adults. Women who are nursing should stay clear of this drug because the drug is eliminated through breast milk.

Warns

These pharmacies can be illegal. Often, they send medicines with unapproved packaging, or with no prescriptions. Additionally, they may charge greater prices than pharmacies that are licensed. Additionally, they may sell your information to websites, and even provide false medicines which are dangerous since they are contaminated with the wrong active ingredient, or have expired.

Patients should go through the Medication Guide provided in AMBIEN every time they are given a new prescription. There's no information on whether AMBIEN could cause you be drowsy, so it's important that you know if you're capable of driving safely or do other tasks in which you require complete mental alertness the next morning.

For patients who are elderly (70 year olds or more) AMBIEN enhances the time that patients spend sleeping phases 3 and 4. Also, it decreases the duration of REM sleep. In addition, zolpidem tartrate accumulates significantly when you are older, and the mean Cmax as well as T1/2 are double that of younger adults after nightly dosing with 10 mg of AMBIEN.