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The patient taking Ambien should be properly diagnosed in order to rule out the cause of the disorder. If the patient manifest sleep disturbances related to psychiatric disorders then the insomnia related to this order may become worst and there would be emergence of behavior abnormalities.
Some patients develop severe anaphylactic reactions while taking this drug. The manifestations of this reactions are angioedema, nausea,dyspnea and throat closing. Patients having this kind of symptoms should not be rechallenged with this drug.
There have been reports that abrupt discontinuation of the drug may lead to withdrawal symptoms having the same symptoms experienced by patients taking CNS depressant drugs.
It is recommended that Ambien should only be taken immediately before going to bed. This drug is also not recommended to patients having jobs that requires mental alertness or motor coordination because it might impair the performance after taking the drug.
The patient is not allowed to take alcohol during Ambien therapy because it has additive effects when combined. Dosage adjustment is possible when necessary when taking combined other CNS-depressant drugs because of the potentially additive effects.
For elderly patients, it is best recommended that these patients will take 5 mg dose to decrease the possible side effects and they should be closely monitored while taking the medication.
Patient with existing illness other than insomnia should use this drug with caution because it might affect their metabolism and homodynamic responses.
For patients having depression, safety caution should be done because suicidal tendencies may be present in these patients that is very common. Intentional over-dosage may occur to these group of patients, therefore lesser amount of drugs should be administered at any one time.
Health care providers should inform the patient and significant others about the risk and benefits of this drugs and proper counseling and proper instruction is very beneficial to the part of the patient.