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Intermezzo

Generic name: zolpidem sublingual [zole-PI-dem]
Drug class: Other anxiolytics (sedatives, hypnotics)

Intermezzo has retired from the U.S. There may be equivalents if generic versions have been approved by the FDA.

What is Intermezzo?

Intermezzo, also known as a "hypnotic", is a sedative. It can affect chemicals in the brain, which may become out of balance and cause insomnia. Intermezzo sublingual tablets are used to treat insomnia, characterized by waking up during the night and having difficulty going back to sleep.

Use Intermezzo only if you still have at least four hours before bedtime. If alcohol or any other sleep aid has been consumed, it should not be taken. Intermezzo falls under the federal control of Class 4 because it is addictive or can be misused. To prevent misuse, keep this medicine out of reach.

Warnings

Intermezzo can cause an allergic reaction. If you experience any of the following symptoms, stop taking Intermezzo immediately and seek emergency medical attention: Hives, difficulty breathing, swelling of your lips, face, tongue, or throat This medication should not be shared with anyone, even if the other person has similar symptoms. Men and women receive different doses of this drug, and it is not recommended for children. The misuse of this drug can lead to dangerous side effects.

Intermezzo can impair your reactions or thinking. Even if you take this medication the night before, you may feel sleepy in the morning. This is especially true for women. Wait for at least four hours, or until you feel fully awake, before doing anything that requires alertness. Do not take Intermezzo for longer or in higher doses than prescribed. Do not take this medication if you've consumed alcohol in the morning or before going to bed.

Intermezzo users have reported that they were able to drive, eat, walk, make phone calls, and even have sex, but later had no memory of it. If this occurs, you should stop taking the medicine and consult your doctor to discuss other treatments for your sleep disorder.

Before you take this drug

Intermezzo should not be used if you have an allergy to zolpidem. Intermezzo cannot be used by anyone under the age of 18.

Tell your doctor about any of the following to ensure that this medicine will be safe for you:

  • Mental illness or suicidal ideas;
  • Drug or alcohol abuse;
  • Lung disease or breathing problems
  • Sleep apnea is a condition where breathing stops while sleeping.
  • Liver or kidney disease

If you take zolpidem during the last three months of your pregnancy, it may cause breathing or drowsiness in your baby.

Breast-feeding may not be possible while taking this medication. You should consult your doctor if you are concerned about any risks.

How to take Intermezzo?

Intermezzo should be taken exactly as prescribed by a doctor. Please follow all the instructions on the prescription label. You should read all the information provided, including medication guides and instructions. If you have questions, ask your doctor or pharmacist. Do not take more medicine or longer than prescribed.

Intermezzo tablets should not be swallowed whole. Do not swallow the Intermezzo tablet whole. Intermezzo should not be taken for insomnia in the middle of the night unless there are still 4 hours to sleep before you need to get up and go.

Intermezzo should only be used for a short period of time. If your insomnia symptoms don't improve or worsen after taking this medication for seven to ten consecutive nights, tell your doctor. This medicine should not be taken for more than 4 to 5 weeks, unless your doctor has prescribed it. Intermezzo should not be stopped abruptly after long-term usage. You may experience unpleasant withdrawal symptoms. You can ask your doctor about how to prevent withdrawal symptoms when stopping the medication.

After stopping this medication, insomnia symptoms can also return. The symptoms can seem worse than they were before you began taking the medicine. If your insomnia persists after a few nights of not taking zolpidem, call your doctor. Store away from moisture or heat at room temperature. Don't freeze. Do not freeze.

Details on dosage

Usual Adult Dose for Insomnia:
Intermezzo Sublingual Tablet: Initial and maximum dose: 1.75 mg for women or 3.0 mg for men
Comment: Because women have a lower clearance rate, the recommended doses are different for men and women.
Use: to treat insomnia if you have difficulty falling back asleep after waking up in the middle of the night.

Usual geriatric dose for insomnia:
Intermezzo Sublingual Tablet: Women and Men Over 65 Years of Age: 1.75 mg

What happens if I miss the dose?

You are unlikely to miss a dosage of Intermezzo, as it is only administered if you wake up during the night.

What happens if I overdose?

Call Poison Help at 1-800-222-1222 or seek emergency medical care. A zolpidem overdose can be deadly, especially if it's taken with other drugs that cause drowsiness.

Sleepiness, confusion, and shallow breathing are all possible overdose symptoms. You may also feel light-headed or faint.

What should be avoided?

Intermezzo should not be taken while traveling, for example, to sleep on an airplane. You could be awakened by the medication before its effects have worn off. If you don't get 7 to 8 full hours of sleep, amnesia is more likely.

You should avoid driving and other hazardous activities until you are sure how zolpidem affects you. You might still feel sleepy in the morning after taking Zolpidem, and your reactions may be impaired. You should wait until you have fully woken up before driving, operating machinery, flying, or doing anything else that requires alertness and awareness. Do not take this medication if you've consumed alcohol in the morning or before going to bed.

Side effects of Intermezzo

Intermezzo can cause an allergic reaction. If you experience any of the following symptoms, stop taking Intermezzo immediately and seek emergency medical attention: Hives, difficulty breathing, swelling of your lips, face, tongue, or throat

You should tell your doctor if you notice any new symptoms or worsening ones, including depression, anxiety, aggression, confusion, unusual thoughts, hallucinations, memory problems, and changes in personality and behavior.

Intermezzo should be stopped immediately, and you should consult your doctor if:

  • Feeling short of breath, chest pain, or a fast heartbeat
  • Trouble breathing or swallowing
  • Feeling like you might pass out.

It is possible that the sedative effects of zolpidem are stronger in older adults. Dizziness can lead to accidents or serious injuries.

Common Intermezzo side effects may include:

  • Feeling "drugged" during the day or "light-headed",
  • Tiredness, lack of coordination
  • Dry mouth, stuffy nose, and throat irritation
  • Nausea, constipation, diarrhea, upset stomach,
  • Headache, muscle pain

There may be other side effects. For medical advice on side effects, call your doctor. The FDA can be contacted at 1-800-FDA-1088 to report side effects.

Interaction with other drug

Intermezzo can make you more drowsy if taken with other drugs. Before taking an opioid, a sleeping tablet, a muscle-relaxing medication, or medicine to treat anxiety or seizures, consult your doctor.

There are many drugs that can interact with Zolpidem and reduce its effectiveness or increase its side effects. These include prescription and over-the-counter medicines, vitamins, and herbal products. This list does not include all possible interactions. Inform your doctor of all medications you are currently taking and those that you will stop or start using.

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