Many individuals have taken to taking prescription medication on the internet due to the ease of use as well as cost savings. Many of these sites offer secure packaging, deliveries as well as strict protections for privacy.

Patients suffering from hepatic impairment may not clear buy zolpidem online tartrate as rapidly as others; it is not recommended [see DRUG Interactionsfor more information]. Nursing mothers should monitor infants for increased sleepiness or difficulty breathing.

Legality

Many pharmacies' websites are legitimate that offer savings, convenience as well as privacy and security for purchasing medicines. However, others may be offering counterfeit or unapproved medications outside of the safeguards that licensed pharmacies follow. To ensure your safety, shop on licensed websites for prescriptions and confirm that they're licensed by your state's licensing board or that of the U.S. Food and Drug Administration.

Internet pharmacies who ship prescription controlled drugs without legal prescriptions is in violation of law. The rogue online pharmacies, while they have decreased in size throughout 2008, continue to be a major source of diversion. In 2008, the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. can deter some Internet pharmacies that operate in a rogue manner by increasing the criminal penalties associated with the illegal sale of Schedule II prescription controlled drugs through the Internet. The law requires that prescriptions be provided for any medication sold on Internet sites with the Canadian address, or a domain accredited by the National Association of Pharmacy Regulatory Authorities. This will help ensure Canadians are getting the medicines they are entitled to and require.

Security

The pharmacies online that do not require prescriptions and operate under adequate supervision may not be able to offer your medication or deliver it safely. Additionally, they could violate the law by selling counterfeit or expired drugs or by not claiming to be legitimate pharmacies. The FDA's BeSafeRx web page has resources to help you identify rogue pharmacies.

If a patient has hepatic impairment that is, zolpidem tartrate will not get rid of as efficiently and can cause hepatic encephalopathy [see CLINICAL PHARMACOLOGY».

Contact your healthcare professional if you have ever abused or been dependent on prescription or alcohol-based medications or street-drugs. AMBIEN may induce sleepiness. Be careful not to drive or operate equipment after taking it. Take it separately from other medicines that could cause insomnia. Inform your physician and pharmacist about any medications that you are taking, such as vitamins and herbal supplements. Pregnant women should not take AMBIEN late in the third trimester due to the fact that it may cause the respiratory system to become depressed and cause sedation among infants.

Dosage

Patients must be advised to take the medication only as prescribed and to not exceed the recommended dose. The patient should be advised that even with the prescribed dose, a cognitive impairment could occur within 24 hours. It is recommended that they be patient for at least 8 hours prior to engaging in activities which require a full alertness. Patients are also advised not to drink alcohol or utilize any other medicines that can cause sleepiness until they've had a great night's sleep. Precautions and warnings (see warnings).

The elderly may be more prone to the side effects of AMBIEN. This is especially true when the medication is taken for long durations as well as at very high doses when used in conjunction with other CNS depressants including alcohol. Those with liver insufficiency can't eliminate zolpidem nearly as quickly as patients with normal liver function. They should avoid the medication (see usage with specific populationsfor use with specific populations. Inform pregnant women to inform their doctor if they become pregnant during treatment with AMBIEN as the medication has been shown to cause respiratory depression or sedation in neonates.

The Side Effects

AMBIEN could cause adverse reactions, which are typically mild and brief-lived. The most frequent are headaches dizziness and upset stomach.

AMBIEN could increase the chance of confusion or falls in the elderly. If you are a patient with a chronic illness, lower dosage to 5 mg.

Instruct patients to inform the healthcare professional when they have a difficult time sleeping (e.g., sleep-driving cooking and eating meals and making calls on the phone and engaging in sexual activity even though they are awake) as serious injuries and death have been reported in these cases.

In order to reduce the possibility of drug exposure for infants breastfeeding mothers must be told to stop consuming their breast milk 23 hours after treatment with AMBIEN [see DRUGS INTERACTIONS]. Drugs affecting GABA receptors, including zolpidem tartrate, could trigger an encephalopathy of the liver in those suffering from persistent liver diseases. Eight patients with chronic liver disease were found to have Cmax as well as half-life values for zolpidem between five and two times higher than in healthy people after taking a 20mg dosage taken orally.