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Panic Attacks Triggered By Doctor Prescribed Sleep Aids

Sunday, May 6, 2012

Ambien Pharmacology and Indications

Ambien (zolpidem tartrate) is classified as a nonbenzodiazepine, hypnotic medicine. The suggested use is for the short-term treatment (8-12 weeks) of insomnia. Ambien selectively binds to the GABA receptor in the brain and is successful in diminishing the quantity of time it takes to fall asleep and extending sleep time, however not in maintaining sleep throughout the evening. For this cause, Ambien controlled-release (CR) has been developed to provide a steady release of the medicine throughout the evening, in an energy to support sleep service.


Stress and anxiety Danger by having Ambien Therapy

A recent nationwide, double-blind, placebo-controlled research of the performance and problems associated by having Ambien CR was completed recently (1). Persons enrolled in the research were diagnosed as having persistent most important insomnia based on DSM-IV criteria, and were typically literally healthy and free of psychiatric problems. Interestingly, 65.2 % of the research participants getting Ambien ER and 52.7 % of the placebo collection completed the research, recommending just 12.5 % of insomnia persons located Ambien to be more successful than placebo in improving their sleep high quality.

Of the collection getting Ambien CR, 63.2 % experienced an unfavorable event. When compared to the placebo collection there was an 11.9 % boost in unfavorable events due to the medicine. Also though the most common complaint was headache, there was no distinction between the 2 groups. The next most common complaint was anxiety, by having a considerable distinction between the Ambien CR (6.3 %) and placebo (2.6 %) groups. This recommends that Ambien treatment results in 3.7 % of insomnia persons experiencing one or more mild to moderate episodes of an anxiety disorder, which would feature panic attacks. Additional proclaimmed unfavorable events included sleepiness (3.7 %), dizziness (2.8 %), fatigue (1.3 %), attention deficits (2.6 %), feeling sick (1.1 %), and nasal infections (2.4 %).

Ambien Dependency

The published research literature contains a number of reports of persons that developed a dependency on Ambien, often taking 16 to 200 times the recommended everyday serving (3). The present idea is that at these dosage levels, Ambien acts in a manner comparable to benzodiazepines (3). Benzodiazepines are prescribed for short-term treatment of insomnia and anxiety disorders, are at risk to dependency, and sudden withdrawal can easily cause anxiety disorders, misery, insomnia, tremors, and headaches (4). Anyone that has developed a dependence on Ambien would therefore be at risk for experiencing these withdrawal indicators.

Choice Insomnia Treatments

Folks that experience considerable unfavorable reactions to Ambien are normally urged to stop taking it. There are a amount of alternative sleep helps readily available, including over the counter medications like 400 mg of valerian root, diphenhydramine (Benadryl), and doxylamine (Unisom), and prescription hypnotics comparable to Ambien and benzodiazepines (2).

1. Krystal, A. D. et al., 2008. Lasting efficacy and protection of zolpidem extended-release 12.5 mg, administered 3 to 7 nights each week for 24 weeks, in persons by having persistent most important insomnia: A 6-month, randomized, double-blind, placebo-controlled, parallel-group, multicenter research. Rest, 31, p.79-90.

2. Ringdahl, E. N., Pereira, S. L., and Delzell, J. E., 2004. Therapy of most important insomnia. Journal of the American Board of Household Practitioners, 17, 212-219.

3. Cubula, W. J., Landowski, J., and Wlchowlcz, H. M., 2007. Zolpidem abuse, dependence and withdrawal syndrome: sex as susceptibility aspect for unfavorable effects. British Journal of Clinical Pharmacology, 65, p.444-445.

4. Khong, E., Sim, M. G., Hulse, G., 2004. Benzodiazepine dependence. Australian Household Physician, 33, p.923-926.

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