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How Supplied:Zolpidem
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Indications:Short-term treatment of severe or distressing insomnia.
Adults:10mg at bedtime for max 4 weeks.
Children:Under 18 years, not recommended.
Elderly:5mg at bedtime for max 4 weeks.
Contraindications:Severe hepatic impairment, obstructive sleep apnoea, myasthenia gravis, acute or severe respiratory depression, psychosis. Pregnancy, lactation. How can I buy Zolpidem online UK.
Warnings:Risk of tolerance and dependence; ensure withdrawal strategy in place before starting treatment and withdraw gradually. Mild to moderate hepatic impairment. Respiratory impairment. History of drug or alcohol abuse, psychiatric disorders. Risk of sleepwalking and associated behaviours; consider discontinuation if occurs. Risk of rebound insomnia and anxiety on withdrawal.
Interactions:Alcohol, CNS depressants, CYP3A4 inhibitors (eg, erythromycin, ketoconazole) or inducers (eg, rifampicin, carbamazepine, St John’s wort), ciprofloxacin. How can I buy Zolpidem online UK
Adverse Effects:Drowsiness, hallucination, agitation, nightmares, depression, headache, dizziness, ataxia, exacerbated insomnia, anterograde amnesia, GI upset, back pain, RTI, fatigue. Reports of paradoxical psychiatric reactions, tolerance and dependence.
NICE decisions: When, after due consideration of the use of non-pharmacological measures, hypnotic drug therapy is considered appropriate for the management of severe insomnia interfering with normal daily life, it is recommended that hypnotics should be prescribed for short periods of time only, in strict accordance with their licensed indications. How can I buy Zolpidem online UK
It is recommended that, because of the lack of compelling evidence to distinguish between zolpidem, zopiclone or the shorter-acting benzodiazepine hypnotics, the drug with the lowest purchase cost (taking into account daily required dose and product price per dose) should be prescribed.
It is recommended that switching from 1 of these hypnotics to another should only occur if a patient experiences adverse effects considered to be directly related to a specific agent. These are the only circumstances in which the drugs with the higher acquisition costs are recommended.
Patients who have not responded to 1 of these hypnotic drugs should not be prescribed any of the others.
April 2004 (TA77)