Zolpidem: Difference between revisions

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[[File:Ambien.JPG|300px|right]]
[[File:Ambien.JPG|300px|right]]


= General Information =
'''Zolpidem''', brand name Ambien, Stilnox is a Z-drug prescribed by doctors to help patients sleep. Zolpidem has very weak anxiolytic, myorelaxant, and anticonvulsant properties but very strong hypnotic properties. In low doses and without mixing, zolpidem is great for people who have trouble sleeping.  In high doses, you may black out and do very dangerous/risky things and not remember it. Zolpidem is not a recreational drug and should be used only as prescribed.
Zolpidem, brand name Ambien, Stilnox is a Z-drug prescribed by doctors to help patients sleep. Zolpidem has very weak anxiolytic, myorelaxant, and anticonvulsant properties but very strong hypnotic properties. In low doses and without mixing, zolpidem is great for people who have trouble sleeping.  In high doses, you may black out and do very dangerous/risky things and not remember it. Zolpidem is not a recreational drug and should be used only as prescribed.


== History ==
== History ==
The United States patent for zolpidem was held by the French pharmaceutical corporation Sanofi-Aventis. On April 23, 2007, the U.S. Food and Drug Administration (FDA) approved 13 generic versions of zolpidem tartrate. Zolpidem is available from several generic manufacturers in the UK, as a generic from Sandoz in South Africa and TEVA in Israel, as well as from other manufacturers such as Ratiopharm and Takeda GmbH (both German).
The United States patent for zolpidem was held by the French pharmaceutical corporation Sanofi-Aventis. On April 23, 2007, the U.S. Food and Drug Administration (FDA) approved 13 generic versions of zolpidem tartrate. Zolpidem is available from several generic manufacturers in the UK, as a generic from Sandoz in South Africa and TEVA in Israel, as well as from other manufacturers such as Ratiopharm and Takeda GmbH (both German).


= Dosage =
== Dosage ==
== Oral ==


Light: 10mg
Note: Heavier doses increase chances of blacking out, and becoming unable to function well mentally and physically.


Common: 20-30mg
{| class="wikitable"
|+ Oral
|-
| Light || 10mg
|-
| Common || 20-30mg
|-
| Strong || 40-50mg
|-
| Heavy || 50mg+
|}


Strong: 40-50mg
== Duration ==


Heavy:  50mg NOTE: Any more and you risk blacking out and becoming a ambien "walrus", unable to function well physically and mentally.
{| class="wikitable"
|+ Oral
|-
| Onset || 15-30 minutes
|-
| Peak || 90 minutes
|-
| Total || 8-10 hours
|}


= Duration =
== Effects ==
== Oral ==
 
Onset: 15-30 min
 
Peak: 90min
 
Total Duration: 8-10 hours.  Half life 2-3 hours
 
After-effects:  Drowsiness, physically and mentally tired. Look below for potential negative side effects
 
= Effects =
Some users have reported unexplained sleepwalking while using zolpidem, as well as sleep driving, binge eating while asleep, and performing other daily tasks while sleeping.
Some users have reported unexplained sleepwalking while using zolpidem, as well as sleep driving, binge eating while asleep, and performing other daily tasks while sleeping.


== Postive ==
=== Postive ===


* Helps with insomnia/sleep
* Helps with insomnia/sleep
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* Euphoria and/or dysphoria
* Euphoria and/or dysphoria


== Neutral ==
=== Neutral ===


* Hallucinations, through all physical senses, of varying intensity
* Hallucinations, through all physical senses, of varying intensity
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* Uninhibited extroversion in social or interpersonal settings
* Uninhibited extroversion in social or interpersonal settings


== Negative ==
=== Negative ===


* Headaches (mostly withdrawal symptom)
* Headaches (mostly withdrawal symptom)
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* Impaired judgment and reasoning
* Impaired judgment and reasoning


= Harm Reduction =
== Harm Reduction ==
General info and things to avoid.
General info and things to avoid.


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* Its best to just go to bed
* Its best to just go to bed


= Overdose =
=== Overdose ===


An overdose of zolpidem may cause excessive sedation, pin-point pupils, or depressed respiratory function, which may progress to coma, and possibly death. Combined with alcohol, opiates, or other CNS depressants, it may be even more likely to lead to fatal overdoses. Zolpidem overdosage can be treated with the benzodiazepine receptor antagonist flumazenil, which displaces zolpidem from its binding site on the benzodiazepine receptor to rapidly reverse the effects of the zolpidem.
An overdose of zolpidem may cause excessive sedation, pin-point pupils, or depressed respiratory function, which may progress to coma, and possibly death. Combined with alcohol, opiates, or other CNS depressants, it may be even more likely to lead to fatal overdoses. Zolpidem overdosage can be treated with the benzodiazepine receptor antagonist flumazenil, which displaces zolpidem from its binding site on the benzodiazepine receptor to rapidly reverse the effects of the zolpidem.


== WARNING ==
=== WARNING ===
Chronic users of high doses are more likely to develop physical dependence on the drug, which may cause severe withdrawal symptoms, including seizures, if abrupt withdrawal from zolpidem occurs.
Chronic users of high doses are more likely to develop physical dependence on the drug, which may cause severe withdrawal symptoms, including seizures, if abrupt withdrawal from zolpidem occurs.


== Potentiators ==
=== Potentiators ===


* Benzodiazapines
* Benzodiazapines
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* Other CNS depressants
* Other CNS depressants


== Interactions ==
=== Interactions ===


Notable drug-drug interactions with the pharmacokinetics of zolpidem include chlorpromazine, fluconazole, imipramine, itraconazole,ketoconazole, rifampicin, and ritonavir. Interactions with carbamazepine and phenytoin can be expected based on their metabolic pathways, but have not yet been studied.
Notable drug-drug interactions with the pharmacokinetics of zolpidem include chlorpromazine, fluconazole, imipramine, itraconazole,ketoconazole, rifampicin, and ritonavir. Interactions with carbamazepine and phenytoin can be expected based on their metabolic pathways, but have not yet been studied.


= Chemistry and Pharmacology =
== Chemistry and Pharmacology ==


Zolpidem is a short-acting nonbenzodiazepine hypnotic that potentiates GABA, an inhibitory neurotransmitter, by binding to GABAA receptors at the same location as benzodiazepines.
Zolpidem is a short-acting nonbenzodiazepine hypnotic that potentiates GABA, an inhibitory neurotransmitter, by binding to GABAA receptors at the same location as benzodiazepines.


= Legal status=
== Legal status==


* US: Schedule IV controlled substance in the U.S., according to the Controlled Substances Act, given its potential for abuse and dependence.
* US: Schedule IV controlled substance in the U.S., according to the Controlled Substances Act, given its potential for abuse and dependence.


= Links =
== Links ==


http://en.wikipedia.org/wiki/Zolpidem
http://en.wikipedia.org/wiki/Zolpidem

Latest revision as of 02:03, 11 March 2015

Zolpidem, brand name Ambien, Stilnox is a Z-drug prescribed by doctors to help patients sleep. Zolpidem has very weak anxiolytic, myorelaxant, and anticonvulsant properties but very strong hypnotic properties. In low doses and without mixing, zolpidem is great for people who have trouble sleeping. In high doses, you may black out and do very dangerous/risky things and not remember it. Zolpidem is not a recreational drug and should be used only as prescribed.

History

The United States patent for zolpidem was held by the French pharmaceutical corporation Sanofi-Aventis. On April 23, 2007, the U.S. Food and Drug Administration (FDA) approved 13 generic versions of zolpidem tartrate. Zolpidem is available from several generic manufacturers in the UK, as a generic from Sandoz in South Africa and TEVA in Israel, as well as from other manufacturers such as Ratiopharm and Takeda GmbH (both German).

Dosage

Note: Heavier doses increase chances of blacking out, and becoming unable to function well mentally and physically.

Oral
Light 10mg
Common 20-30mg
Strong 40-50mg
Heavy 50mg+

Duration

Oral
Onset 15-30 minutes
Peak 90 minutes
Total 8-10 hours

Effects

Some users have reported unexplained sleepwalking while using zolpidem, as well as sleep driving, binge eating while asleep, and performing other daily tasks while sleeping.

Postive

  • Helps with insomnia/sleep
  • Euphoria and/or dysphoria

Neutral

  • Hallucinations, through all physical senses, of varying intensity
  • Increased appetite
  • Increased or decreased libido
  • Uninhibited extroversion in social or interpersonal settings

Negative

  • Headaches (mostly withdrawal symptom)
  • Nausea (mostly withdrawal symptom)
  • Vomiting (mostly withdrawal symptom)
  • Dizziness
  • Anterograde amnesia
  • Delusions
  • Altered thought patterns
  • Ataxia or poor motor coordination, difficulty maintaining balance
  • Increased impulsivity (mostly withdrawal symptom)
  • When stopped, rebound insomnia may occur
  • Impaired judgment and reasoning

Harm Reduction

General info and things to avoid.

  • Do not exceed your prescribed dose.
  • Do not drive or opporate heavy machinery
  • Its best to just go to bed

Overdose

An overdose of zolpidem may cause excessive sedation, pin-point pupils, or depressed respiratory function, which may progress to coma, and possibly death. Combined with alcohol, opiates, or other CNS depressants, it may be even more likely to lead to fatal overdoses. Zolpidem overdosage can be treated with the benzodiazepine receptor antagonist flumazenil, which displaces zolpidem from its binding site on the benzodiazepine receptor to rapidly reverse the effects of the zolpidem.

WARNING

Chronic users of high doses are more likely to develop physical dependence on the drug, which may cause severe withdrawal symptoms, including seizures, if abrupt withdrawal from zolpidem occurs.

Potentiators

  • Benzodiazapines
  • Alcohol
  • Opiates
  • Other CNS depressants

Interactions

Notable drug-drug interactions with the pharmacokinetics of zolpidem include chlorpromazine, fluconazole, imipramine, itraconazole,ketoconazole, rifampicin, and ritonavir. Interactions with carbamazepine and phenytoin can be expected based on their metabolic pathways, but have not yet been studied.

Chemistry and Pharmacology

Zolpidem is a short-acting nonbenzodiazepine hypnotic that potentiates GABA, an inhibitory neurotransmitter, by binding to GABAA receptors at the same location as benzodiazepines.

Legal status

  • US: Schedule IV controlled substance in the U.S., according to the Controlled Substances Act, given its potential for abuse and dependence.

Links

http://en.wikipedia.org/wiki/Zolpidem