Generic Name: Zolpidem Sublingual Tablets (Intermezzo) (ZOL pi dem)
Brand Name: Intermezzo
Uses of Intermezzo:
- It is used to treat sleep problems.
What do I need to tell my doctor BEFORE I take Intermezzo?
- If you have an allergy to zolpidem or any other part of Intermezzo (zolpidem sublingual tablets (intermezzo)).
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have liver disease.
- If you are taking any other drugs that can make you sleepy. There are many drugs that can do this. Ask your doctor or pharmacist if you are not sure.
- If you are taking any of these drugs: Rifampin or St. John's wort.
This is not a list of all drugs or health problems that interact with this medicine.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Intermezzo with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Intermezzo?
- Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
- Avoid driving and doing other tasks or actions that call for you to be alert after you take Intermezzo. You may still feel sleepy the day after you take this medicine. Avoid these tasks or actions until you feel fully awake.
- This medicine may be habit-forming with long-term use.
- When sleep drugs are used nightly for more than a few weeks, they may not work as well to help sleep problems. This is known as tolerance. Only use sleep drugs for a short time. If sleep problems last, call the doctor.
- Do not take naps.
- To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down stairs.
- Avoid alcohol while taking Intermezzo. Do not take this medicine if you drank alcohol that evening or before bed.
- Talk with your doctor before you use other drugs and natural products that slow your actions.
- Some people have done certain tasks or actions while they were not fully awake like driving, making and eating food, and having sex. Most of the time, people do not remember doing these things. Tell your doctor if this happens to you.
- This medicine may cause sleepiness or lower alertness. This may lead to falls and injuries that may be very bad. Very bad injuries like broken hips and bleeding in the brain have happened. Talk with the doctor.
- If you are a woman, use Intermezzo with care. You could have more side effects.
- If you are 60 or older, use this medicine with care. You could have more side effects.
- This medicine is not approved for use in children. The chance of side effects like dizziness and hallucinations may be raised in children. However, your child's doctor may decide the benefits of taking Intermezzo may outweigh the risks. Talk with the doctor if you have questions about giving this medicine to your child.
- If you have phenylketonuria (PKU), talk with your doctor. Some products have phenylalanine.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Intermezzo while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
How is this medicine (Intermezzo) best taken?
Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Use Intermezzo (zolpidem sublingual tablets (intermezzo)) only for short periods of time (7 to 10 days).
- If you still have trouble sleeping after 7 to 10 days, call your doctor.
- Take this medicine at bedtime.
- Take Intermezzo only 1 time per night.
- Take on an empty stomach.
- Be sure your hands are dry before you touch this medicine.
- Place under tongue and let melt all the way. Do not chew, suck or swallow tablet.
- Do not eat, drink, or smoke while the tablet is melting.
- Take only as needed if you wake up in the middle of the night and have trouble going back to sleep. Only take a dose if you have 4 or more hours of bedtime left. Do not take more than 1 dose per night.
- Only keep 1 pouch with Intermezzo in it at your bedside. Store all other pouches away from your bedside. Do not remove the drug from the pouch until you are ready to take a dose. After you take this medicine, leave the empty pouch where you can see it. This will help remind you that you have taken your dose.
What do I do if I miss a dose?
- If you take Intermezzo on a regular basis, take a missed dose as soon as you think about it.
- If you will not be able to get 4 or more hours of sleep after taking the missed dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- Do not take more than 1 dose of this medicine in the same day.
- Many times Intermezzo is taken on an as needed basis. Do not take more often than told by the doctor.
See also: Dosage Information (in more detail)
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of low mood (depression), thoughts of killing yourself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
- Trouble breathing, slow breathing, or shallow breathing.
- Feeling confused.
- Change in the way you act.
- Hallucinations (seeing or hearing things that are not there).
- Change in balance.
- Change in eyesight.
- Memory problems or loss.
- Feeling very tired or weak.
What are some other side effects of Intermezzo?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
- Feeling sleepy the next day.
- Upset stomach.
- Loose stools (diarrhea).
- Feeling tired or weak.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
See also: Side effects (in more detail)
If OVERDOSE is suspected:
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
How do I store and/or throw out Intermezzo?
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Protect from light.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
Consumer Information Use and Disclaimer
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this medicine is refilled. If you have any questions about Intermezzo, please talk with the doctor, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Intermezzo. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using Intermezzo (zolpidem sublingual tablets (intermezzo)).
Review Date: February 7, 2018
More about Intermezzo (zolpidem)
- Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Interactions
- Support Group
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- En Español
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- Generic Availability
- Drug class: miscellaneous anxiolytics, sedatives and hypnotics