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Old Jan 11, 2013, 12:17 AM
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rainbow8 rainbow8 is offline
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I hope everyone is aware that the FDA just passed a law requiring drug companies to cut the dose of Ambien in half for women only! They say it still has an effect in the morning which could make driving dangerous! I knew it! I was totally not myself the next day and night after taking 1 pill. So it will go down from 10 mg. to 5 mg. I wonder if they can be cut in half. Of course the article said not to stop it without talking to your doctor first. I took 1 and do not think I will ever take another one.

I wish that pdocs would call their patients who are on Ambien and tell them what to do. Mine doesn't know I'm not taking it. I'd faint if the doctor's office was so "with it" and "caring" to do that. Maybe they have to because they don't want to be sued?

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  #2  
Old Jan 11, 2013, 12:54 AM
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nicoleb2 nicoleb2 is offline
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I just heard this today, and the reason is because some women ( a lot of them) metabolize ambien slower than expected, thereby making them think they are ok when they wake up, when really, they still should not be driving.

For some like me, we metabloize medications very quickly. I really hope that my 12.5mg ambien cr is not forced to be reduced to 6.25 because I know 6.25 is not enough.
  #3  
Old Jan 11, 2013, 01:05 AM
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People take a lot of stuff that affects driving. Why is this particular med targeted?

When I wasn't allergic to ambien I had no hangover effects, I do with my current sleeping pill and I take 1/4 of the max dosage!

What about adaptation to the individual instead of gender?
  #4  
Old Jan 11, 2013, 11:14 AM
SingDanceRunLife SingDanceRunLife is offline
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Quote:
Originally Posted by jimi... View Post
People take a lot of stuff that affects driving. Why is this particular med targeted?

When I wasn't allergic to ambien I had no hangover effects, I do with my current sleeping pill and I take 1/4 of the max dosage!

What about adaptation to the individual instead of gender?
So true!!

I definitely think it should be for individuals, not for a specific gender.

I too wonder if the CR version will be affected. I just started Ambien CR 12.5mg nightly...and I sleep really well, but with no hangover effect...and I doubt a lower dose would work nearly as well!
  #5  
Old Jan 11, 2013, 11:20 AM
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Quote:
Originally Posted by rainbow8 View Post
I wish that pdocs would call their patients who are on Ambien and tell them what to do. Mine doesn't know I'm not taking it. I'd faint if the doctor's office was so "with it" and "caring" to do that. Maybe they have to because they don't want to be sued?
I'd think they'd likely bring it up at the next scheduled appointment. Or address patients that call with concerns. A lot of people don't have trouble with their dose. There's no need to call those people now.
  #6  
Old Jan 11, 2013, 12:22 PM
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unaluna unaluna is offline
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I was going to ask you if you were taking 10 mg. My usual scrip is for 5 mg but lately I have been taking half a pill and been just as happy (and sleepy, and dopey, etc!). Usually people complain because things don't sedate them enough.
  #7  
Old Jan 11, 2013, 03:50 PM
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Originally Posted by hankster View Post
I was going to ask you if you were taking 10 mg. My usual scrip is for 5 mg but lately I have been taking half a pill and been just as happy (and sleepy, and dopey, etc!). Usually people complain because things don't sedate them enough.
Was that question for me? I took one Ambien at night the first time ever, when the pdoc prescribed it, fell asleep instantly (it was 10 mg.)got 8 hrs. sleep, was groggy all day, got 11 or so hrs. of sleep the next night, and was still groggy, so I decided not to take anymore! I haven't been taking the valium either. I'm sleeping okay!

It may be too soon to cheer but I woke up feeling "almost myself" for the first time since being on the zoloft. Now I know the difference! The other has been a "drugged" feeling that I hate. It's almost 3 p.m. and I'm getting a little tired but I was shopping. I still feel pretty good! I sure hope this lasts but at least it's a reprieve for today!
  #8  
Old Jan 11, 2013, 11:17 PM
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Quote:
Originally Posted by SingDanceRunLife View Post
So true!!

I definitely think it should be for individuals, not for a specific gender.

I too wonder if the CR version will be affected. I just started Ambien CR 12.5mg nightly...and I sleep really well, but with no hangover effect...and I doubt a lower dose would work nearly as well!
The news stories I saw yesterday said the CR is actually worse for the supposed hangovers than the regular. I hope that my pdoc will still be willing to give me the 12.5mg pills. If not, all hell will break loose
  #9  
Old Jan 11, 2013, 11:22 PM
SingDanceRunLife SingDanceRunLife is offline
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Originally Posted by nicoleb2 View Post
The news stories I saw yesterday said the CR is actually worse for the supposed hangovers than the regular. I hope that my pdoc will still be willing to give me the 12.5mg pills. If not, all hell will break loose
Huh...interesting! I've been taking CR for a week, and I only experienced a little hangover effect after the first day. Since then, I've been absolutely fine. In fact, the other day, I functioned well after a night of sleep from Ambien without even drinking coffee or taking a nap!! And in all honesty, I can't remember the last time that happened before Ambien!!

ETA:

From a news article I found: Doctors can still prescribe the higher dose if the lower one does not work.

So we should be good...but I found something that contradicts that on NPR...

he FDA is ordering companies to cut the dose for women from 10 milligrams to 5 milligrams for immediate-release products — which include Ambien, Edluar and Zolpimist — and from 12.5 milligrams to 6.25 milligrams for the extended-release product Ambien CR.
  #10  
Old Jan 11, 2013, 11:37 PM
katrina319 katrina319 is offline
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I've been taking Ambian for years and can't recall ever feeling groggy the next day. In fact that was what I liked about it...that it had no groggy hangover feeling. I may not want to jump right out of bed at 6 am but I do get going and I feel rested.
  #11  
Old Jan 11, 2013, 11:49 PM
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nicoleb2 nicoleb2 is offline
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Originally Posted by SingDanceRunLife View Post

he FDA is ordering companies to cut the dose for women from 10 milligrams to 5 milligrams for immediate-release products — which include Ambien, Edluar and Zolpimist — and from 12.5 milligrams to 6.25 milligrams for the extended-release product Ambien CR.
that's what I saw, which is making me very nervous. I am female, and just because SOME women, maybe even most, metabolize meds slower, I shouldn't have to have my dose changed. I metabolize meds ridiculously quickly
  #12  
Old Jan 12, 2013, 12:13 AM
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I never had problems with the regular dose either. I suspect if the lower the dose per pill, pdocs will just prescribe two pills each night for those patients who don't get help with the halved dose.
  #13  
Old Jan 12, 2013, 12:50 AM
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nicoleb2 nicoleb2 is offline
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Originally Posted by farmergirl View Post
I never had problems with the regular dose either. I suspect if the lower the dose per pill, pdocs will just prescribe two pills each night for those patients who don't get help with the halved dose.
Hopefully insurance will cover that!
  #14  
Old Jan 12, 2013, 10:24 AM
SingDanceRunLife SingDanceRunLife is offline
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Quote:
Originally Posted by nicoleb2 View Post
that's what I saw, which is making me very nervous. I am female, and just because SOME women, maybe even most, metabolize meds slower, I shouldn't have to have my dose changed. I metabolize meds ridiculously quickly
I agree!
  #15  
Old Jan 12, 2013, 12:28 PM
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A doctor interviewed today on CNN said that this information isn't new. Clinicians have known for quite some time that females metabolize Ambien slower and they have been dosing accordingly. Evidently, it is just the FDA ruling that is new. I hope this relieves some concerns
  #16  
Old Jan 12, 2013, 12:34 PM
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The FDA is saying to lower the dosage recommendation, not the dosage. It's recommended people/women start with 5 instead of 10 (what it has been). If what you take works for you, nothing changes but if a new person decides to try Ambien, it's recommended (not law) on any information/packaging your doctor gets that they start with 5.

http://www.fda.gov/Safety/MedWatch/S.../ucm334738.htm
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  #17  
Old Jan 12, 2013, 12:52 PM
SingDanceRunLife SingDanceRunLife is offline
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Quote:
Originally Posted by Perna View Post
The FDA is saying to lower the dosage recommendation, not the dosage. It's recommended people/women start with 5 instead of 10 (what it has been). If what you take works for you, nothing changes but if a new person decides to try Ambien, it's recommended (not law) on any information/packaging your doctor gets that they start with 5.

http://www.fda.gov/Safety/MedWatch/S.../ucm334738.htm
*Whew!*

Thanks for the info.

Most news articles say that it's a requirement, not a recommendation.
  #18  
Old Jan 12, 2013, 02:06 PM
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elliemay elliemay is offline
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The FDA can't pass a law...
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  #19  
Old Jan 12, 2013, 02:28 PM
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Also kInda goes wIthout sayIng, but maybe not, that you don't want to physically chop a CR or SR or XR type pill in half cuz they have a special coating on them. You're supposed to swallow them whole, not chew them or anything, and the special coating dissolves later to release more medication. Personally I never trust them cuz I feel I can't trust my internal processes that much!! So I try to stick with regular drugs!
  #20  
Old Jan 12, 2013, 11:58 PM
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nicoleb2 nicoleb2 is offline
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Originally Posted by hankster View Post
Also kInda goes wIthout sayIng, but maybe not, that you don't want to physically chop a CR or SR or XR type pill in half cuz they have a special coating on them. You're supposed to swallow them whole, not chew them or anything, and the special coating dissolves later to release more medication. Personally I never trust them cuz I feel I can't trust my internal processes that much!! So I try to stick with regular drugs!
My first pdoc (the one who almost killed me from med interactions) told me to take one and a half ambien cr. I didn;t think about it that night, and just did what he said. Felt weird to say the least the next morning, called him back and he denied ever saying to take one and a half. He was a jerk...
  #21  
Old Jan 13, 2013, 12:30 AM
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I have a friend who ended up driving people home on it and was totally unaware of it, they woke up thinking it was a dream and then found out they had given people rides home. So yeah I certainly would not want any of that driving while mostly asleep or going out at all seems like it could be pretty dangerous.
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