1. About zolpidem
Zolpidem is a sleeping pill.
It's used to treat失眠（当您可能难以入睡并入睡时）。它可以帮助您更快入睡，并使您在夜间醒来的可能性降低。
Zolpidem作为平板电脑。它仅可用于处方。
2. Key facts
- Zolpidem takes around 1 hour to work.
- You'll usually take it for just a few weeks (up to 4 weeks).
- 常见的副作用是您的口腔或口干的金属味，白天感到困倦。
- Do not drink alcohol or caffeine while you're on zolpidem.
- Zolpidem is also called by the brand name Stilnoct.
3. Who can and can't take zolpidem
Zolpidem can be taken by most adults aged 18 and over.
它不适合某些人。To make sure zolpidem is safe for you, tell a doctor if you:
- 有had an allergic reaction to zolpidem or any other medicines in the past
- 有liver or kidney problems
- 有myasthenia gravis, an illness that causes muscle weakness
- 有breathing problems orsleep apnoea(where you stop breathing for short periods while sleeping)
- 曾经有心理健康问题新利 首页
- 有ever had issues with alcohol or drugs
- 试图怀孕，已经怀孕或母乳喂养
4. How and when to take it
Zolpidem tablets come in 2 different strengths – 5mg and 10mg.
The usual dose is one 10mg tablet, taken 1 hour before you go to bed. If you're over 65 years old, or if you have kidney or liver problems, the doctor may start you on a lower dose of 5mg.
Swallow the tablet whole with a drink of water. Do not crush or chew it. You can take zolpidem with or without food.
It's important to follow the doctor’s advice when taking this medicine. They may ask you to take a tablet just 2 or 3 nights a week, instead of every night.
重要的
不要服用超过规定的剂量。
如果我忘了接受该怎么办？
如果您忘记服用Zolpidem，请遗漏错剂量。第二天晚上重新开始，并在通常的时间拿起Zolpidem。
Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.
What if I take too much?
Urgent advice:立即联系111以获取建议，如果：
If you need to go to hospital, take the zolpidem packet or leaflet inside it, plus any remaining medicine, with you.
如果您在途中变得困倦，最好让朋友或家人与您一起去医院。不要开车自己。
5. Side effects
Like all medicines, zolpidem can cause side effects in some people, although not everyone gets them.
Common side effects
A common side effect is a bitter or metallic taste in your mouth or a dry mouth. Talk to a doctor or pharmacist if these side effects bother you or do not go away.
Using a mouthwash before bedtime may help. Choose one that's good for a dry mouth, as some can make a dry mouth worse. You can also try taking sips of water and keep some water by your bed at night.
Serious side effects
Some people can get serious side effects with zolpidem. Stop taking zolpidem and call a doctor as soon as possible if you:
- developmemory loss (amnesia)
- see or hear things that are not real (hallucinations)
- fall over – particularly if you are over the age of 65
- think things that are not true – these are called delusions
- feel low or sad – this could be a sign ofdepression
严重的过敏反应
In rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to zolpidem.
Immediate action required:Call 999 or go to A&E if:
- 您会感到皮疹，可能包括发痒，红色，肿胀，起泡或剥皮
- you're wheezing
- you get tightness in the chest or throat
- you have trouble breathing or talking
- 你的嘴，脸，嘴唇，舌头或喉咙开始肿胀
您可能会有严重的过敏反应，可能需要立即在医院治疗。
These are not all the side effects of zolpidem. For a full list, see the leaflet inside your medicines packet.
您可以向UK safety scheme.
6. Pregnancy and breastfeeding
如果您怀孕，请勿服用Zolpidem，因为它可能会伤害您的宝宝。有证据表明，服用唑吡坦可以增加婴儿早点来（37周之前）的风险，并具有较低的出生体重。
Taking zolpidem right up until you go into labour may increase your baby's chances of having withdrawal symptoms as soon as they're born.
For more information about how zolpidem can affect you and your baby during pregnancy,read this leaflet on the Best Use of Medicines in Pregnancy (BUMPS) website.
Zolpidem and breastfeeding
If a doctor or health visitor says that your baby is healthy, it's OK to take zolpidem while breastfeeding. Zolpidem passes into breast milk in very small amounts.
However, it's best to try some practical steps to help you sleep first. The side effects of taking zolpidem could make you feel too tired to breastfeed and look after your baby.
如果您要服用Zolpidem，请不要与宝宝共享床。
如果您注意到您的宝宝没有像往常一样喂食，或者看起来异常困倦，或者您对婴儿有其他担忧，请尽快与健康的访客或医生交谈。
Non-urgent advice:Tell a doctor or a pharmacist if you're:
- pregnant
- 试图怀孕
- 哺乳
7. Cautions with other medicines
Some medicines and zolpidem can interfere with each other and increase your chance of having side effects. Certain medicines may increase the drowsy (sedating) effects of zolpidem.
Speak to a doctor or a pharmacist before starting on zolpidem if you take any of the following:
- drowsy antihistamines such as氯苯胺orpromethazine
- medicines to treatschizophreniaandbipolar disorder
- medicines to treatdepression
- medicines for癫痫
- medicines to calm or reduce anxiety
- medicines for sleep problems
- 用于治疗真菌感染的药物（例如酮康唑和伊曲康唑）
- ritonavir (a medicine used to treat HIV infections)
- strong painkillers (such as可待因, methadone,morphine，羟考酮，丙氨酸或曲马多)
将Zolpidem与草药和补品混合
不要服用任何使您在服用Zolpidem时感到困倦的草药。
这些会增加药物的昏昏欲睡（镇静）影响。
重要的
For safety, tell a doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.
8.常见问题
Zolpidem如何工作？
Zolpidem通过在大脑中增加称为γ-氨基丁酸（GABA）的化学物质来帮助改善睡眠。
GABA blocks some of the neurotransmitters that send messages in the brain. This has a calming effect on the brain, which helps you get to sleep.
How long will it take to work?
Zolpidem应在服用后1小时内工作。
How will zolpidem make me feel?
Zolpidem will make you feel sleepy (drowsy). It affects people in different ways and some people may feel sleepier than others.
When you first start taking this medicine, you may feel sleepy during the daytime for the first few days. Be aware that this can affect you being able to carry out everyday tasks.
Will I sleepwalk with zolpidem?
有些人报告做这样的事情sleepwalking, making food and making phone calls while they're asleep after taking zolpidem. They do not remember when they wake up.
This is more likely to happen if you take zolpidem with alcohol, or medicines for mental health problems likedepressionoranxiety.
如果发生这种情况，请不要再带索皮德，然后回去医生寻求建议。
How long will I take it for?
通常，您将只有2到4周的时间开处方Zolpidem。
This is because your body gets used to this medicine quickly. After taking it for a few weeks, it's unlikely to have the same effect. Your body can also become dependent on it.
If you still have problems sleeping after you finish your course of zolpidem, try the lifestyle changes recommended below.
See the doctor again if these changes do not help.
Can I get addicted to zolpidem?
If you just take it for a few weeks, you're unlikely to become addicted to zolpidem.
但是，如果您服用超过4周的时间，您可能会依赖这种药物。
Ask a doctor or pharmacist for advice about stopping zolpidem.
如果您服用了很长时间，或者您担心会依赖它，它们可以逐渐帮助您脱下药物。
Is it safe to take for a long time?
Zolpidem should only be used short term (usually up to 4 weeks) for sleep problems. This is because your body can become dependent on it.
如果您觉得需要服用超过4周，请去看医生。他们将能够讨论您的睡眠问题，并推荐其他可能会有所帮助的事情。
What will happen when I stop taking it?
If you have been taking zolpidem for less than 4 weeks, you're unlikely to have any problems.
如果您服用唑吡坦超过4周，请不要突然停止服药。您可能会出现戒断症状。
您的失眠可能会回来，并且可能比以前更糟。您可能还会感到焦虑，不安和情绪改变。您可能会对光，噪音和被触摸非常敏感。
首先与医生谈谈Zolpidem。他们可能建议在几天或几周内缓慢减少Zolpidem剂量。如果您服用超过4周，这将有助于防止戒断症状。
Can I drive or ride a bike?
如果Zolpidem使您困倦，头晕或笨拙，使您的视力模糊，或者您无法集中精力或做出决定，不要驾驶汽车，骑自行车或操作机器。
This may be more likely when you first start taking zolpidem, but could happen at any time – for example, when starting another medicine.
It's an offence to drive a car if your ability to drive safely is affected. It's your responsibility to decide if it's safe to drive. If you're in any doubt, do not drive.
GOV.UK has more information on the law on drugs and driving
如果您不确定在服用Zolpidem时开车是否安全，请与医生或药剂师交谈。
会影响我的生育能力吗？
There's no firm evidence to suggest that taking zolpidem will reduce fertility in either men or women.
But speak to a pharmacist or doctor if you and your partner are trying for a baby. Your doctor may review your treatment.
Will it affect my contraception?
Zolpidem does not affect how contraception works, including the混合药andemergency contraception.
Is there any food or drink I need to avoid?
当您使用Zolpidem时，请勿含有咖啡因的饮料。其中包括咖啡，茶，可乐和能量饮料以及热巧克力。
Caffeine has the opposite effect of zolpidem on your body and stops it working.
我可以喝酒吗？
No. Do not drink alcohol while you're on zolpidem.
Alcohol and zolpidem together can make you sleep very deeply, so you do not breathe properly and can have difficulty waking up.
它将在我的系统中停留多长时间？
Zolpidem does not stay in your system for more than about 12 hours.
但是第二天早上，有些人醒来时感到困倦。
If this happens to you, do not do any activities that require you to be fully alert, such as driving, cycling, or using tools or machinery.
娱乐性药物会影响它吗？
将大麻与唑吡坦使用大麻会使其诱导睡眠（镇静剂）效应更糟。您可以进入非常深的睡眠，在那里您很难醒来。
Using heroin or methadone with zolpidem may also increase the sedative effects of both drugs. Again, you could go into a very deep sleep and have difficulty waking up.
如果您认为在服用Zolpidem时可能会使用娱乐性药物，请与医生交谈。
Can lifestyle changes help with insomnia?
您可以做很多事情来帮助自己击败失眠：
- 定期上床睡觉并醒来
- relax before bedtime – try taking a warm bath or listening to calming music
- use thick curtains or blinds, an eye mask and earplugs to stop you being woken up by light and noise
- avoid caffeine, cigarettes (or e-cigarettes), alcohol, heavy meals and exercise for a few hours before going to bed
- do not watch TV or use phones, tablets or computers just before going to bed
- 白天不要小睡
- 在上床睡觉之前，请写下您的担忧，以及有关如何解决这些问题的任何想法