section name header

Pronunciation

ZOLE-pi-dem audio

Indications

BEERS REMS

Action

Therapeutic Effects:

Pharmacokinetics

Absorption: Rapidly absorbed following oral administration. Controlled-release formulation releases 10 mg immediately, then another 2.5 mg later.

Distribution: Minimal amounts enter breast milk; remainder of distribution not known.

Metabolism/Excretion: Converted to inactive metabolites, which are excreted by the kidneys; clearance of Intermezzo lower in women than in men.

Half-life: 2.5–3 hr ( in geriatric patients and patients with hepatic impairment).

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

EENT: blurred vision, double vision.

GI: diarrhea, nausea, vomiting.

Neuro: COMPLEX SLEEP BEHAVIORS (INCLUDING SLEEP DRIVING, SLEEP WALKING, OR ENGAGING IN OTHER ACTIVITIES WHILE SLEEPING), daytime drowsiness, dizziness, abnormal thinking, agitation, amnesia, behavior changes, hallucinations, prolonged reaction time.

Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS), physical dependence, psychological dependence, tolerance.

Interactions

Drug-Drug:

Drug-Natural Products:

Drug-Food:

Route/Dosage

Implementation

US Brand Names

Ambien, Ambien CR, Edluar, Intermezzo, Zolpimist

Canadian Brand Names

Sublinox

Contr. Subst. Schedule

Schedule IV (C-IV)

Classifications

Therapeutic Classification: sedative/hypnotics

Availability

(Generic available)

Time/Action Profile

(sedation)

ROUTEONSETPEAK*DURATION
POrapid30 min–2 hr6–8 hr
PO-ERrapid2–4 hr6–8 hr
PO-Sprayrapidunknownunknown
SLrapidunknownunknown

*Food delays peak levels and effects.

Assessment

Patient/Family Teaching

Evaluation/Desired Outcomes

Pill Image

zolpidemtartrate_195_8664.jpg

Code

NDC Code*