{"id":36939,"date":"2022-11-30T07:34:36","date_gmt":"2022-11-30T07:34:36","guid":{"rendered":"https:\/\/zeepedia.com\/?p=36939"},"modified":"2022-12-02T10:04:38","modified_gmt":"2022-12-02T10:04:38","slug":"zolpidem-sandoz","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/zolpidem-sandoz\/","title":{"rendered":"Zolpidem Sandoz &#8211; Zolpidem tartrate uses, dose and side effects"},"content":{"rendered":"\n<p>5 mg, 10 mg&nbsp;film-coated tablets<br>zolpidem tartrate<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Zolpidem Sandoz is and what it is used for<\/h2>\n\n\n\n<p>Zolpidem Sandoz is used for the short-term treatment of insomnia in adults.\u00a0Do not use it for a long time.\u00a0The treatment time should be as short as possible because the risk of addiction increases with the length of the treatment.<\/p>\n\n\n\n<p>The medicine is only used if the insomnia is severe, disabling, or causes the patient great discomfort.<\/p>\n\n\n\n<p>Zolpidem contained in Zolpidem Sandoz may also be approved to treat other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before taking Zolpidem Sandoz<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Zolpidem Sandoz<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are\u00a0<strong>allergic<\/strong>\u00a0to zolpidem or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you have a certain type of\u00a0<strong>muscle weakness<\/strong>\u00a0(\u00a0myasthenia gravis\u00a0)<\/li><li>if you have\u00a0<strong>temporary pauses in breathing<\/strong>\u00a0when you sleep (\u00a0sleep apnea\u00a0)<\/li><li>if you have\u00a0<strong>acute and\/or severe breathing problems<\/strong>\u00a0(\u00a0respiratory insufficiency\u00a0)<\/li><li>if you have severely\u00a0<strong>impaired liver function<\/strong>\u00a0(\u00a0liver insufficiency\u00a0)<\/li><li>if you have ever sleepwalked or experienced other unusual behavior during sleep after taking Zolpidem Sandoz or other medicines containing zolpidem.\u00a0It can e.g.\u00a0be driving, eating, making a phone call, or having sex without being fully awake.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Zolpidem Sandoz.<\/p>\n\n\n\n<p><strong>Generally<\/strong><\/p>\n\n\n\n<p>Before starting treatment with Zolpidem Sandoz,<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>the cause of the sleep problems is determined as well as the possibility of treating these without drugs<\/li><li>underlying diseases are treated.<\/li><\/ul>\n\n\n\n<p>If the sleep problems persist after 7-14 days of treatment with Zolpidem Sandoz, the doctor will carry out more examinations to investigate the causes.<\/p>\n\n\n\n<p><strong>Tolerance<\/strong><\/p>\n\n\n\n<p>Repeated use of sleeping pills for a few weeks can cause the effect to decrease (tolerance).<\/p>\n\n\n\n<p><strong>Dependent<\/strong><\/p>\n\n\n\n<p>Use of Zolpidem Sandoz can lead to the development of addiction and\/or physical and psychological dependence.\u00a0The risk of dependence increases with\u00a0the dose\u00a0and duration of treatment and is greater if zolpidem is used for more than 4 weeks.\u00a0The risk of abuse and dependence is greater in patients who have previously had mental illnesses and\/or abused alcohol, drugs, or medicines.\u00a0Tell the doctor if you have or have had a mental illness, if you abuse or have abused alcohol, drugs, or medicines, or if you are or have been dependent on these substances.<\/p>\n\n\n\n<p><strong>Withdrawal symptoms<\/strong><\/p>\n\n\n\n<p>If a physical dependence has developed, sudden discontinuation of treatment leads to withdrawal symptoms such as headache, muscle pain, anxiety and tension, restlessness, confusion, and irritability.\u00a0In severe cases, feelings of unreality, personality changes, hearing changes (increased sound perception, hyperacusis), numbness and tingling in the arms and legs, hypersensitivity to light, sound, and touch, hallucinations, and epileptic seizures may occur.\u00a0The treatment should therefore be ended slowly by gradually reducing the\u00a0dose.\u00a0Zolpidem can cause withdrawal symptoms even between\u00a0doses.<\/p>\n\n\n\n<p>When treatment\u00a0<strong>ends<\/strong>, temporary\u00a0withdrawal symptoms\u00a0may occur and the\u00a0symptoms that led to treatment with\u00a0Zolpidem Sandoz\u00a0may return in an aggravated form.\u00a0It can be accompanied by mood swings, anxiety, and restlessness.\u00a0Since the risk of withdrawal or withdrawal symptoms is higher if treatment is stopped suddenly, treatment should be stopped slowly by gradually reducing the\u00a0dose.<\/p>\n\n\n\n<p>When Zolpidem Sandoz is taken as recommended for\u00a0the dose\u00a0and duration of treatment, and warnings and precautions are followed, the risk of\u00a0withdrawal\u00a0or withdrawal symptoms when treatment ends is minimal.<\/p>\n\n\n\n<p>Zolpidem Sandoz is not recommended as a basic treatment for certain mental illnesses (&nbsp;psychosis&nbsp;).<\/p>\n\n\n\n<p><strong>Depression<\/strong><\/p>\n\n\n\n<p>As with other hypnotics or sedatives, Zolpidem Sandoz should be used with caution in patients with symptoms of&nbsp;<strong>depression<\/strong>&nbsp;or anxiety accompanied by depression.&nbsp;In some circumstances, the symptoms of depression may worsen if the underlying illness is not treated appropriately (with antidepressants).&nbsp;This may increase the risk of suicide in these patients.&nbsp;A previously hidden depression may become apparent when taking Zolpidem Sandoz.&nbsp;Some studies have shown an increased number of suicides or suicide attempts in patients taking certain sleeping pills or tranquilizers, including Zolpidem Sandoz.<\/p>\n\n\n\n<p>However, it has not been established whether this is due to the drug treatment or whether it may have other causes.<\/p>\n\n\n\n<p>If you have suicidal thoughts (thinking about harming yourself or committing suicide) or suicidal behavior, contact your doctor as soon as possible.<\/p>\n\n\n\n<p><strong>Memory lapses (&nbsp;amnesia&nbsp;)<\/strong><\/p>\n\n\n\n<p>Sleeping pills can cause short and temporary\u00a0<strong>memory lapses<\/strong>\u00a0(anterograde\u00a0amnesia\u00a0).\u00a0This means that after taking this medicine (usually a few hours later) you may do things that you then do not remember.\u00a0It can also be about inappropriate behavior.\u00a0How big the risk of memory gaps is depends on the\u00a0dose.\u00a0To minimize the risk, make sure you get 8 hours of undisturbed sleep.<\/p>\n\n\n\n<p><strong>Psychic and paradoxical reactions<\/strong><\/p>\n\n\n\n<p>Zolpidem Sandoz can cause\u00a0<strong>psychological and so-called paradoxical reactions<\/strong>, such as restlessness, worsening insomnia, agitation, irritability, aggressiveness, delusions, outbursts of anger, nightmares, hallucinations (seeing, hearing, or feeling things that are not there), abnormal behavior, and other behavioral disorders, especially in elderly patients (see section 4).\u00a0If this occurs, treatment with Zolpidem Sandoz should be discontinued (see section 4).<\/p>\n\n\n\n<p><strong>Bedtime<\/strong><\/p>\n\n\n\n<p><strong>Sleepwalking and similar behaviors<\/strong>\u00a0have also been reported in patients taking zolpidem who were not fully awake.\u00a0This includes driving, cooking and eating, making phone calls, or having sex without remembering it when you wake up.\u00a0If you notice any of the above behaviors, stop treatment with Zolpidem Sandoz immediately and consult a doctor, as these sleep behaviors can pose serious risks to you and others.\u00a0Drinking alcohol or taking other drugs that make you sleepy along with zolpidem can increase the risk of these sleep behaviors occurring.<\/p>\n\n\n\n<p><strong>Coordination problems<\/strong><\/p>\n\n\n\n<p><strong>Coordination problems the following day (see also &#8220;Driving ability and use of machines&#8221;<\/strong><\/p>\n\n\n\n<p>Like other hypnotics and sedatives, Zolpidem Sandoz can have a depressant effect on the\u00a0central nervous system.<\/p>\n\n\n\n<p>The day after taking Zolpidem Sandoz, the risk of coordination problems, including impaired driving ability, may be greater if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you take this medicine less than 8 hours before performing activities that require alertness<\/li><li>you are taking a higher\u00a0dose\u00a0than recommended<\/li><li>you take zolpidem at the same time as you take other sedatives that affect the function of the central nervous system, other medicines that increase zolpidem in the blood, drink alcohol, or use drugs or medicines.<\/li><\/ul>\n\n\n\n<p>Take the full\u00a0dose\u00a0just before going to bed.<\/p>\n\n\n\n<p>Do not take any additional&nbsp;dose&nbsp;on the same night.<\/p>\n\n\n\n<p>The use of zolpidem has been associated with an increased risk of\u00a0falls.\u00a0Falls can be caused by\u00a0side effects\u00a0such as coordination problems, muscle weakness, dizziness, drowsiness, and fatigue.\u00a0The risk of falling is higher in elderly patients if a higher-than-recommended\u00a0dose is used.<\/p>\n\n\n\n<p><strong>Impaired respiratory and liver function<\/strong><\/p>\n\n\n\n<p><strong>Patients with&nbsp;chronic&nbsp;impaired respiratory<\/strong>&nbsp;function or&nbsp;<strong>impaired liver function<\/strong>&nbsp;should be treated with caution and the doctor may prescribe a lower&nbsp;dose of&nbsp;Zolpidem Sandoz (see also section 3).&nbsp;Due to the risk of brain damage, patients with severely impaired liver function should not be treated with Zolpidem Sandoz.<\/p>\n\n\n\n<p><strong>Heart problems<\/strong><\/p>\n\n\n\n<p>Patients with a specific congenital disease of the electrical conduction of the heart (so-called &#8221;&nbsp;<strong>long&nbsp;QT&nbsp;syndrome<\/strong>&nbsp;&#8220;) should be treated with caution.&nbsp;The doctor will carefully weigh the benefits against the risks before prescribing treatment with Zolpidem Sandoz.<\/p>\n\n\n\n<p><strong>Elderly patients and patients with reduced general condition<\/strong><\/p>\n\n\n\n<p>These patients should receive a lower&nbsp;dose&nbsp;(see section 3).&nbsp;Caution is required when prescribing to elderly patients due to the risk of falls, especially when getting up at night.<\/p>\n\n\n\n<p><strong>Children and young people<\/strong><\/p>\n\n\n\n<p>Zolpidem Sandoz is not recommended for children and adolescents under 18 years of age as there are insufficient clinical data for this age group.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Special patient groups<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Zolpidem Sandoz<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p><strong>The following medicines can affect the effect of Zolpidem Sandoz or can be affected by Zolpidem Sandoz:<\/strong><\/p>\n\n\n\n<p>The risk of drowsiness and problems with coordination the following day, including impaired ability to drive, maybe higher the day after taking zolpidem if it is taken at the same time as the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>medicines for certain mental problems (antipsychotics)<\/li><li>medicines for sleep problems (\u00a0hypnotics\u00a0)<\/li><li>drugs that suppress or reduce anxiety<\/li><li>medication for depression<\/li><li>medicines for moderate or severe pain (narcotic\u00a0analgesics\u00a0)<\/li><li>drugs against\u00a0epilepsy<\/li><li>drugs used in anesthesia<\/li><li>medicines for hay fever, rashes, or other\u00a0allergies\u00a0that can make you sleepy (sedative antihistamines).<\/li><\/ul>\n\n\n\n<p>Simultaneous use of Zolpidem Sandoz and opioid medicines (strong painkillers, medicines for the treatment of patients who have become addicted to\u00a0opioids, as well as certain cough medicines) increases the risk of drowsiness, breathing difficulties (\u00a0respiratory depression\u00a0),\u00a0coma\u00a0and can be life-threatening.\u00a0Because of this, concomitant use should only be considered by the physician when other treatment options are not possible.<\/p>\n\n\n\n<p>If your doctor prescribes Zolpidem Sandoz together with opioid medicines, the doctor must limit the&nbsp;dose&nbsp;and duration of treatment for simultaneous treatment.<\/p>\n\n\n\n<p>Tell your doctor if you are taking any opioid medication and follow your doctor&#8217;s dosage recommendations carefully.&nbsp;It may be good to inform friends or relatives to be aware of the signs and symptoms described above.&nbsp;Contact a doctor if you experience any of these symptoms.<\/p>\n\n\n\n<p>Combination with opiate-type painkillers (narcotic&nbsp;analgesics&nbsp;) can also lead to an addiction developing more quickly.<\/p>\n\n\n\n<p>If you take zolpidem at the same time as antidepressants such as bupropion, desipramine,\u00a0fluoxetine,\u00a0sertraline,\u00a0or\u00a0venlafaxine, you may see things that are not real (hallucinations).<\/p>\n\n\n\n<p>You are advised not to take zolpidem together with fluvoxamine or\u00a0ciprofloxacin.<\/p>\n\n\n\n<p>With the simultaneous use of muscle relaxants, the effect of muscle relaxants can be increased &#8211; especially in elderly patients and at higher&nbsp;doses&nbsp;(risk of falling accidents!).<\/p>\n\n\n\n<p>Medicines that increase the activity of certain liver enzymes (especially the P450\u00a0isoenzyme\u00a0et CP3A4) may reduce the effect of Zolpidem Sandoz (eg rifampicin, carbamazepine,\u00a0phenytoin,\u00a0and St. John&#8217;s\u00a0wort\u00a0).\u00a0Concomitant use of zolpidem and St. John&#8217;s wort is not recommended.<\/p>\n\n\n\n<p>Certain medicines against fungal infections (azoles eg&nbsp;ketoconazole&nbsp;) and certain&nbsp;antibiotics&nbsp;(&nbsp;macrolide&nbsp;antibiotics&nbsp;)&nbsp;can, on the other hand, increase the effect of Zolpidem Sandoz because they weaken the effect of these liver enzymes.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Zolpidem Sandoz with food, drink, and alcohol<\/h2>\n\n\n\n<p>You should not drink alcohol during treatment as this alters and enhances the effect of zolpidem unpredictably.\u00a0The ability to carry out tasks that require increased concentration is also impaired by this combination.\u00a0Grapefruit juice may increase the effect of Zolpidem Sandoz.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>Use of Zolpidem Sandoz is not recommended during pregnancy.\u00a0If you are pregnant, think you may be pregnant, or are planning to have a baby, consult a doctor.<\/p>\n\n\n\n<p>There is a risk that the baby will be affected if this medicine is used during pregnancy.\u00a0Some studies have shown that there may be an increased risk of cleft lip and\u00a0palate\u00a0(&#8220;cleft palate&#8221;) in newborns.<\/p>\n\n\n\n<p>Reduced fetal movements and effects on the fetal heart rate may occur after taking Zolpidem Sandoz during the last six months of pregnancy.<\/p>\n\n\n\n<p>If Zolpidem Sandoz is taken at the end of pregnancy or during childbirth, the child may have symptoms such as muscle weakness, lower body temperature, difficulty eating, and breathing problems (\u00a0respiratory depression\u00a0).<\/p>\n\n\n\n<p>With regular use late in pregnancy, the child may develop a physical dependence and run the risk of developing withdrawal symptoms such as restlessness and tremors.&nbsp;In this case, the newborn baby must be followed up closely by a doctor after birth.<\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>As zolpidem is excreted in breast milk in small amounts, Zolpidem Sandoz&nbsp;<strong>should not be taken during breastfeeding.<\/strong><\/p>\n\n\n\n<p><strong>Fertility<\/strong><\/p>\n\n\n\n<p>There are no data on the effects on\u00a0fertility.<\/p>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>Zolpidem Sandoz has a major influence on the ability to drive and use machines, through for example sleepwalking and driving when you are not fully awake (&#8220;sleep-driving&#8221;).\u00a0The day after taking Zolpidem Sandoz (as well as other sleeping pills), you should be aware that:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you may feel drowsy, sleepy, dizzy, or confused<\/li><li>it may take you longer to make a quick decision<\/li><li>you may see blurry or double<\/li><li>you can pay less attention.<\/li><\/ul>\n\n\n\n<p>A period of at least 8 hours is recommended between taking zolpidem and driving, using machinery, or working at high altitudes to minimize the effects mentioned above.<\/p>\n\n\n\n<p>Do not drink alcohol or take other psychoactive substances while taking Zolpidem Sandoz as this may increase the effects mentioned above.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with a doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Zolpidem Sandoz contains lactose and sodium<\/h2>\n\n\n\n<p>If you have an intolerance to some sugars, you should contact your doctor before taking this medicine.<\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;of sodium&nbsp;per tablet, i.e.&nbsp;is almost &#8220;sodium-free&#8221;.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Zolpidem Sandoz<\/h2>\n\n\n\n<p>Always take this medicine as directed by your doctor.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>Recommended&nbsp;dose<\/strong><\/p>\n\n\n\n<p><strong>Adults<\/strong><\/p>\n\n\n\n<p>The recommended\u00a0dose\u00a0of Zolpidem Sandoz is 10 mg per 24 hours.\u00a0Some patients may be prescribed a lower\u00a0dose.\u00a0Zolpidem Sandoz should be taken:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>as a single dose<\/li><li>in connection with bedtime.<\/li><\/ul>\n\n\n\n<p>Make sure that a period of at least 8 hours has passed after taking this medicine before doing activities that require you to be awake\/alert.<\/p>\n\n\n\n<p>Never take more than 10 mg per 24 hours.<\/p>\n\n\n\n<p><strong>Elderly patients and patients with reduced general condition<\/strong><\/p>\n\n\n\n<p>The recommended\u00a0dose\u00a0is 5 mg for elderly patients and patients with impaired general conditions as they may be particularly sensitive to Zolpidem Sandoz.\u00a0This\u00a0dose\u00a0should only be increased to 10 mg if the effect is insufficient and the drug is well tolerated.<\/p>\n\n\n\n<p><strong>Breathing problems or impaired liver function<\/strong><\/p>\n\n\n\n<p>For patients with breathing problems or impaired liver function, the\u00a0dose\u00a0is 5 mg of Zolpidem Sandoz.<\/p>\n\n\n\n<p><strong>Children and young people<\/strong><\/p>\n\n\n\n<p>Zolpidem Sandoz is not recommended for children and adolescents under 18 years of age as there are insufficient clinical data to support use in this age group.<\/p>\n\n\n\n<p><strong>How to take the tablet<\/strong><\/p>\n\n\n\n<p>Zolpidem Sandoz should be taken with some liquid (water) immediately before bedtime or in bed.<\/p>\n\n\n\n<p><strong>How long should you take Zolpidem Sandoz?<\/strong><\/p>\n\n\n\n<p>The treatment period should be as short as possible, generally only a few days up to 2 weeks, and should not exceed 4 weeks, including the step-by-step tapering period.<\/p>\n\n\n\n<p>In some cases, longer treatment may be necessary.&nbsp;However, the treatment should not be extended without a renewed medical assessment of your condition.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">If you have taken too much Zolpidem Sandoz<\/h2>\n\n\n\n<p>If you have taken too much,\u00a0you\u00a0must contact a doctor immediately.<\/p>\n\n\n\n<p>Signs of a (small) overdose can be drowsiness, dizziness, blurred vision, slurred speech, lowered\u00a0blood pressure, unsteady gait and unsteady movements, muscle weakness, confusion, and hallucinations.\u00a0In more serious overdoses, symptoms can range from deep sleep to unconsciousness, agitation, breathing problems, and circulatory collapse.\u00a0Cases of zolpidem overdose (alone or in combination with other drugs that depress\u00a0the central nervous system, including alcohol) have been reported with serious consequences (even life-threatening).<\/p>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has ingested the medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Zolpidem Sandoz<\/h2>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a missed\u00a0dose.\u00a0Continue as usual the next day with the\u00a0dose of\u00a0Zolpidem Sandoz prescribed by your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Zolpidem Sandoz<\/h2>\n\n\n\n<p>If you want to stop the treatment, you should first discuss it with the doctor.\u00a0Do not stop treatment on your initiative without receiving medical advice.\u00a0As the risk of withdrawal symptoms is higher if the treatment is stopped suddenly, the doctor will advise you to stop by gradually reducing the\u00a0dose, see section 2 &#8220;Warnings and precautions&#8221;, paragraph &#8220;Withdrawal symptoms&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Stop taking zolpidem and contact a doctor or go to the <\/strong>hospital immediately if you develop an\u00a0allergic reaction\u00a0(\u00a0angioedema\u00a0).\u00a0Signs of such a reaction may include raised and itchy rashes (\u00a0hives\u00a0), and swelling of the hands, feet, ankles, face, lips, or throat which may lead to difficulty swallowing or breathing.<\/p>\n\n\n\n<p>Side effects\u00a0can be dose-dependent, especially\u00a0side effects\u00a0that affect the\u00a0central nervous system.\u00a0To reduce such\u00a0side effects, it is recommended that zolpidem be taken immediately before bedtime or in bed.\u00a0Side effects\u00a0are more common in older people.<\/p>\n\n\n\n<p><strong>Tell your doctor as soon as possible if you get any of the following side effects:<\/strong><\/p>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drowsiness<\/li><li>increased insomnia<\/li><li>nightmares<\/li><li>fatigue<\/li><li>headache<\/li><li>dizziness<\/li><li>the cognitive\u00a0impact such as temporary memory lapses (anterograde\u00a0amnesia, possibly with inappropriate behavior)<\/li><li>hallucinations<\/li><li>increased activity level<\/li><li>Depression<\/li><li>diarrhea<\/li><li>nausea or vomiting<\/li><li>stomach pains<\/li><li>upper respiratory tract\u00a0infection<\/li><li>lower respiratory tract\u00a0infection<\/li><li>back pain.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>appetite disorders<\/li><li>confusion<\/li><li>irritability<\/li><li>restlessness<\/li><li>aggressiveness<\/li><li>sleepwalking or other behaviors that are unusual during sleep, such as driving, eating, talking on the phone, or having sex without being fully awake (see section \u201cWarnings and precautions\u201d)<\/li><li>euphoria<\/li><li>sensory disturbances such as tingling or numbness (&nbsp;paresthesia&nbsp;)<\/li><li>tremors<\/li><li>impaired attention<\/li><li>speech disorder<\/li><li>double vision<\/li><li>blurred vision<\/li><li>elevated liver enzymes<\/li><li>rash<\/li><li>itching<\/li><li>profuse sweating (&nbsp;hyperhidrosis&nbsp;)<\/li><li>joint pain<\/li><li>muscle pain<\/li><li>muscle cramps<\/li><li>neck pain<\/li><li>muscle weakness.<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>sexual\u00a0dysfunction<\/li><li>impaired vision<\/li><li>liver damage (damage to liver cells, gallbladder, or a combination) (see also section 2 &#8220;What you need to know before taking Zolpidem Sandoz&#8221; and section 3)<\/li><li>hives<\/li><li>unsteady gait<\/li><li>falls (especially in elderly patients or if Zolpidem Sandoz is not taken as\u00a0prescribed\u00a0)<\/li><li>reduced level of consciousness.<\/li><\/ul>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>delusions<\/li><li>dependence (&nbsp;withdrawal&nbsp;or withdrawal symptoms may occur when treatment is stopped)<\/li><li>breathing problems.<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurring in an unknown number of users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>outbursts of anger<\/li><li>abnormal behavior<\/li><li>tolerance development<\/li><li>abuse.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Zolpidem Sandoz<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date which is stated on the carton and the blister pack after EXP.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<p>The active substance is zolpidem tartrate.<\/p>\n\n\n\n<p>1 film-coated tablet contains 5 mg or 10 mg zolpidem tartrate.<\/p>\n\n\n\n<p>Other ingredients are:<\/p>\n\n\n\n<p><em>Tablet core:\u00a0<\/em>lactose monohydrate, microcrystalline cellulose, sodium starch glycolate (type A), hypromellose, and magnesium stearate.<\/p>\n\n\n\n<p><em>Tablet coating:<\/em>&nbsp;hypromellose, titanium dioxide (E 171) and macrogol 400.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>Zolpidem Sandoz 5 mg film-coated tablets are white, oval, biconvex, film-coated tablets marked \u201cZIM\u201d on one side and \u201c5\u201d on the other side.<\/p>\n\n\n\n<p>Zolpidem Sandoz 10 mg film-coated tablets are white, oval, biconvex, scored, film-coated tablets marked with \u201cZIM 10\u201d on one side.<\/p>\n\n\n\n<p><em>Package sizes:<\/em><\/p>\n\n\n\n<p>PVC\/PE\/PVDE\/Al blisters: 10, 14, 15, 20, 28, 30, 50, 60, 100, 500, 50&#215;1, 100&#215;1, 500&#215;1<\/p>\n\n\n\n<p>HDPE can with aluminum seal and PP lid: 30, 100, 250, 500<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Sandoz A\/S, Edvard Thomsens Vej 14, 2300 Copenhagen S, Denmark<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Zolpidem Sandoz is used for the short-term treatment of insomnia in adults.\u00a0Do not use for a long time.\u00a0The treatment time should be as short as possible because the risk of addiction increases with the length of the treatment.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22506],"tags":[28615,4752,28616,24722,28614,28618,28617,4751,4753,24720],"class_list":["post-36939","post","type-post","status-publish","format-standard","hentry","category-medicines","category-z","tag-what-is-zolpidem-sandoz","tag-what-is-zolpidem-tartrate","tag-what-zolpidem-sandoz-is-used-for","tag-what-zolpidem-tartrate-is-used-for","tag-zolpidem-sandoz","tag-zolpidem-sandoz-side-effects","tag-zolpidem-sandoz-tablet","tag-zolpidem-tartrate","tag-zolpidem-tartrate-side-effects","tag-zolpidem-tartrate-tablet"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/36939","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=36939"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/36939\/revisions"}],"predecessor-version":[{"id":37407,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/36939\/revisions\/37407"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=36939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=36939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=36939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}