The need to use the drug should be determined by a competent physician only after determining the causes of sleep disturbances, which may be due to disorders of the NS or the patient's psyche. If there is no clinical effect after 7-14 days of using the drug, you should adjust.
If there is no therapeutic effect from the use of the drug in the treatment of insomnia, the patient is recommended to be re-examined by a psychiatrist for possible depression. To reduce the risk of anterograde amnesia, the patient must follow a dosing and medication regimen that requires at least 7-8 hours of sleep.
The use of Ambien (Zolpidem) can provoke the development of paradoxical and mental reactions in the patient, which are caused by increased suggestibility, aggressiveness, anterograde amnesia, excitability, impulsivity, disinhibition, euphoria, onirism, confusion, psychotic symptoms, delirium, agitation, nervousness, nightmares, hallucinations, increased insomnia.
These conditions can be accompanied by aggression, which can be potentially dangerous for the patient himself and the people around him. In this regard, the appearance of these manifestations and disturbances in the behavior of the patient is a direct reason to refuse to use the medicine.
The use of Ambien (Zolpidem) can lead to the development of a syndrome of combined disorders of consciousness, behavior and memory. This disorder can manifest itself by walking the patient in a dream, driving a car or eating in a drowsy state, as well as other situations accompanied by amnesia of actions. In this case, zolpidem should be discontinued.
Dependence of a mental and physical nature during Ambien therapy is most often formed in patients with a history of alcohol or other dependence, as well as when dosages are exceeded and the duration of the course is violated. The likelihood of dependence formation is greatly increased if zolpidem and benzodiazepines are combined.