Ambien CR- a controlled release prescription sleep aid.

Adverse Events in Elderly Patients1

Body System/Adverse Event AMBIEN CR 6.25 mg (N=99) Placebo (N=106)

Infections and Infestations

Nasopharyngitis 6 4
Lower respiratory tract infection 1 0
Otitis externa 1 0
Upper respiratory tract infection 1 0

Psychiatric Disorders

Anxiety 3 2
Psychomotor retardation 2 0
Apathy 1 0
Depressed Mood 1 0

Nervous System Disorders

Headache 14 11
Dizziness 8 3
Somnolence 6 5
Burning sensation 1 0
Dizziness postural 1 0
Memory disorders* 1 0
Muscle contractions involuntary 1 0
Paraesthesia 1 0
Tremor 1 0

Cardiac Disorders

Palpitations 2 0

Respiratory, Thoracic and Mediastinal Disorders

Dry throat 1 0

Gastrointestinal Disorders

Flatulence 1 0
Vomiting 1 0

Skin and Subcutaneous Tissue Disorders

Rash 1 0
Urticaria 1 0

Musculoskeletal and Connective Tissue Disorders

Arthralgia 2 0
Muscle cramp 2 1
Neck pain 2 0

Renal and Urinary Disorders

Dysuria 1 0

Reproductive System and Breast Disorders

Vulvovaginal dryness 1 0

General Disorders and Administration Site Conditions

Influenza-like illness 1 0
Pyrexia 1 0

Injury, Poisoning and Procedural Complications

Neck injury 1 0

*Memory disorders include: memory impairment, amnesia, anterograde amnesia.

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Important safety information:

AMBIEN CR is indicated for the treatment of insomnia.

In elderly or debilitated patients, or patients with hepatic insufficiency, the recommended dose is 6.25 mg and patients should be closely monitored. Due to its rapid onset of action, patients should take AMBIEN CR right before going to bed and when ready for sleep.

Patients should not take AMBIEN CR unless they are prepared to get a full night's sleep (7 to 8 hours) to avoid residual effects.

Until they know how it will affect their physical or mental performance upon awakening, patients should not drive or operate hazardous machinery after taking AMBIEN CR or any other sleep medication. Complex behaviors such as somnambulism, including driving or eating while not fully awake, with amnesia for the event, have been reported in patients who have taken a sedative hypnotic. Discontinuation of AMBIEN CR should be strongly considered for patients reporting such complex behaviors. Rare cases of angioedema have been reported in patients after taking sedative hypnotics. Patients who develop angioedema should not be rechallenged. The most commonly observed adverse effects in controlled clinical trials were headache, somnolence, and dizziness. Because individuals with a history of addiction or substance abuse are at increased risk of habituation and dependence, they should be under careful surveillance when receiving AMBIEN CR or any o ther hypnotic. AMBIEN CR is a Schedule IV controlled substance. US clinical trial experience from zolpidem does not reveal any clear evidence for withdrawal syndrome.

Please refer to the full prescribing information.

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References:

1 AMBIEN CR Prescribing Information.