Basics
Generic name for Ambien?
Zolpidem
Common CNS side effect?
Drowsiness
What is the onset of action for zolpidem?
15-30 minutes
How much sleep should the patient plan for?
7-8 hours
Is it safe to use during pregnancy?
only if benefits outweigh risks, Category C
Drug Class?
Non benzodiazepine sedative-hypnotic
What are the risk for the elderly population?
falls, confusion, daytime sedation
What is the duration of action?
IR --> 6-8 hours
ER --> 7-8 hours
Can the patient drive after taking Ambien?
NO
Is Ambien available OTC or prescription?
Prescription only
Typical Dose for adults?
5-10 mg PO at bedtime
What is a complex sleep behavior example related to Ambien?
sleep walking, sleep driving
What is the primary use of Ambien?
short term insomnia
Is there an alcohol interaction with Ambien administration?
YES, avoid alcohol completely
Should Ambien be used long term?
no, short term only
How soon before bedtime should you administer?
Immediately before
What are signs of overdose?
Extreme drowsiness, confusion, respiratory depression
What receptor does zolpidem act on?
GABA-A receptor
What administration dose is safe for the elderly?
lower dose of 5 mg
What are the expected effects of Ambien?
CNS depression/sedation
Should it be taken with food?
What is the management for overdose?
supportive care, monitor airway
What is a priority assessment before administering?
Liver function, sleep pattern, mental status
What herbal supplements should be avoided with ambien?
Kava, valerian (CNS depression)
What route is Ambien administered?
PO