Zolpidem

Pediatric Medication

Brand Names: US

Ambien; Ambien CR; Edluar; Intermezzo; Zolpimist [DSC]

Brand Names: Canada

Sublinox

What is this drug used for?

  • It is used to treat sleep problems.
  • This drug is not approved for use in children. The chance of very bad and sometimes deadly skin reactions like Stevens-Johnson syndrome may be raised in children. However, your child’s doctor may decide the benefits of taking this drug may outweigh the risks. Talk with the doctor if you have questions about giving this drug to your child.

What do I need to tell the doctor BEFORE my child takes this drug?

  • If your child has an allergy to this drug or any part of this drug.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If your child is taking any other drugs that can make your child sleepy. There are many drugs that can do this. Ask your child’s doctor or pharmacist if you are not sure.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while my child takes this drug?

All products:

  • Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
  • This drug 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 your child sleep. This is known as tolerance. Only give your child sleep drugs for a short time. If your child’s sleep problems last, call the doctor.
  • Do not let your child take naps.
  • To lower the chance of feeling dizzy or passing out, have your child get up slowly over a few minutes when sitting or lying down. Have your child be extra careful climbing stairs.
  • Alcohol may interact with this drug. Be sure your child does not drink alcohol.
  • Talk with your child’s doctor before giving your child other drugs and natural products that may slow your child’s actions.
  • Some people have done certain tasks or actions while they were not fully awake like driving, and making and eating food. Most of the time, people do not remember doing these things. Tell the doctor if this happens to your child.
  • This drug 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 your child is a female, give this drug with care. She could have more side effects.

If your child is pregnant or breast-feeding a baby:

  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.

Extended-release tablets:

  • Your child may not be alert. Have your child avoid tasks or actions that call for alertness on the day after your child takes this drug.

All other products:

  • Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles. Your child may still feel sleepy the day after taking this drug. Have your child avoid these tasks or actions until your child feels fully awake.

Under the tongue (sublingual) tablet:

  • If your child has phenylketonuria (PKU), talk with your child’s doctor. Some products have phenylalanine.

What are some side effects that I need to call my child’s 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 child’s doctor or get medical help right away if your child has 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 or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • If your child shows signs of low mood (depression), thoughts of killing him/herself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
  • Trouble swallowing.
  • Trouble breathing, slow breathing, or shallow breathing.
  • Feeling confused.
  • Change in the way your child acts.
  • 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 this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
  • Dizziness.
  • Feeling sleepy the next day.
  • Headache.
  • 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 child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.

All products:

  • Use this drug only for short periods of time (7 to 10 days).
  • If your child still has trouble sleeping after 7 to 10 days, call your child’s doctor.
  • Give at bedtime.
  • Give this drug only 1 time per night.
  • Give on an empty stomach.

Tablets:

  • Give this drug right before your child gets into bed.
  • Do not give this drug unless your child can get a full night’s sleep (at least 7 to 8 hours) before needing to be active again.

Extended-release tablets:

  • Give this drug right before your child gets into bed.
  • Have your child swallow whole. Do not let your child chew, break, or crush.
  • Do not give this drug unless your child can get a full night’s sleep (at least 7 to 8 hours) before needing to be active again.

Spray:

  • Give this drug right before your child gets into bed.
  • Spray into mouth over the tongue.
  • Prime pump before first use.
  • Prime pump by spraying it 5 times.
  • If you have not used the spray for more than 14 days, you will need to prime the pump with 1 spray or until you see a fine mist.
  • Do not give this drug unless your child can get a full night’s sleep (at least 7 to 8 hours) before needing to be active again.

Under the tongue (sublingual) tablet:

  • Be sure your hands are dry before you touch this drug.
  • Place under your child’s tongue and let melt all the way before swallowing. Do not let your child chew, suck, or swallow the tablet.
  • Do not let your child eat, drink, or smoke while the tablet is melting.
Edluar:
  • Give this drug right before your child gets into bed.
  • Do not give this drug unless your child can get a full night’s sleep (at least 7 to 8 hours) before needing to be active again.

Intermezzo®:

  • Give only as needed if your child wakes up in the middle of the night and has trouble going back to sleep. Only give a dose if your child has 4 or more hours of bedtime left. Do not give more than 1 dose per night.
  • Only keep 1 pouch with this drug in it at the bedside. Store all other pouches away from the bedside. Do not remove the drug from the pouch until you are ready to give a dose. After you give this drug, leave the empty pouch where you can see it. This will help remind you that you have given the dose to your child.

What do I do if my child misses a dose?

  • Many times this drug is given on an as needed basis. Do not give to your child more often than every 24 hours unless told to do so by the doctor.

How do I store and/or throw out this drug?

All products:

  • Store at room temperature.
  • Store in a dry place. Do not store in a bathroom.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

Spray:

  • Store upright with the cap on.
  • Do not freeze.
  • Throw away after the stated number of sprays have been used, even if it feels like there is more drug left.

All other products:

  • Protect from light.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, 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.

Consumer Information Use and 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 this medicine. 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 this medicine.

Last Reviewed Date

2016-09-01

Copyright

© 2016 Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. All rights reserved.