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There are many people who have tried ordering prescriptions on the internet due to the ease of use and cost savings they offer. Most of these sites offer discrete packaging, delivery as well as strict protections for privacy.

Hepatic impairment patients do not remove zolpidem tartrate more quickly than other people. the use of this medication in patients with hepatic impairment is not recommended (see DRUG INTERACTIONSfor more information]. Mothers who breastfeed are advised to observe their babies' sleepiness and breathing difficulties.

Legality

A number of pharmacies' websites are legal offering convenience, savings, security and privacy for purchasing medicines. Some websites are offering counterfeit or unapproved medications and are not subject to the same safeguards licensed pharmacies must adhere to. To protect yourself, you can by only buying from authentic pharmacies and confirming whether the website is registered with the U.S. Food and Drug Administration (FDA) and also your state's pharmacy boards.

Internet pharmacies who ship prescription-only controlled medications to consumers without having a prescription valid are violating the law. Even though the number of illicit pharmacies fell in 2008, they continue to be major sources of diversion. A brand new law from the federal government known as the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 which will stop some of the illegal Internet pharmacies by increasing the criminal penalties for illegal sale of Schedule II controlled prescription drugs via the Internet. It also requires an order for a prescription when selling any medicine on Internet sites with at least a Canadian address, or a domain recognized as legitimate by the National Association of Pharmacy Regulatory Authorities. This will ensure that Canadians are receiving the medication they deserve and require.

Safety

There's a possibility that online pharmacies with no prescription or with lack of supervision won't be able to provide you with your prescription, nor will they be able to transport it in a safe manner. They may also violate the law by selling counterfeit or expired medicines or misrepresenting their status as legitimate pharmacies. The FDA's BeSafeRx webpage has information that can help you spot rogue pharmacies.

In patients who suffer from hepatic or liver insufficiency and hepatic insufficiency, zolpidem tartrate doesn' clear as rapidly and may contribute to hepatic encephalopathy [see CLINICAL PHARMACOLOGY].

Discuss with your physician when you've had a history of abusing or had a dependency on prescription or alcohol-based medications and street drugs. AMBIEN can cause insomnia. Do not drive or use machinery after taking it. Separately from other medicines that could cause you to sleep. Inform your physician and pharmacist about every medication that you are taking, such as herbal supplements and vitamins. Women who are pregnant should not consume AMBIEN late in the third trimester because it can cause the respiratory system to become depressed and cause sedation among babies.

Dosage

Patients must be advised to take the medication only as advised and should not exceed the recommended dose. Patients should be informed that even with the dosage prescribed, mental impairment can occur in as little as 24 hours. Patients are advised to wait for at least eight hours before engaging in activities that require mental alertness. The patients should be warned to not drink alcohol or consume any other drugs that induce sleep until they've had an adequate night's sleep. A few warnings and precautions (see the WARNINGS).

AMBIEN might have a higher effect on elderly patients and those with dementia, especially when it's used for long periods with high doses, and also in combination with alcohol or other CNS-depressants. Patients with liver impairment will not eliminate zolpidem more quickly than those who have normal liver function. This is why they should not take the drug (see dosage for specific populationsfor use with specific populations. Advise pregnant women to notify their physician if they become pregnant during treatment with AMBIEN, as it has been found go to this site cause respiratory depression and/or sleepiness in newborns.

The Side Effects

The risk of side effects is higher with the use of AMBIEN, however they're typically mild and do not last long. Most common are headache, nausea, and dizziness.

AMBIEN could increase the chance of confusion or falls in seniors. For patients who are elderly, cut down dosage down to 5mg.

Encourage patients to contact their physician if they exhibit unusual sleep patterns (e.g. driving while asleep making and eating food and making calls on the phone, engaging in sexual activity while not fully awake) because serious injuries and fatalities have occurred in these instances.

In order to reduce the possibility of drug exposure for infants mother-to-be should be urged to remove the breast milk they give their infants 23 hours after treatment with AMBIEN [see DRUGS INTERACTIONS]. People with liver disease that are chronic can develop hepatic nerve damage when receiving medications that impact GABA receptors. That includes Zypidem. Eight patients suffering from chronic liver diseases had Cmax and half-life of zolpidem that were five and 2 times more than healthy patients after a 20mg oral dose.