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Beers Criteria: Zolpidem, a nonbenzodiazepine benzodiazepine-receptor agonist hypnotic, is identified in the Beers Criteria as a potentially inappropriate medication to be avoided in patients 65 years and older independent of diagnosis or condition due to adverse events similar to benzodiazepines in older adults eg, delirium, falls, fractures and an increase in emergency room visits, hospitalizations, and motor vehicle crashes. Nonbenzodiazepine Benzodiazepine Receptor Agonist. Older Adult: High-Risk Medication: Beers Criteria: Zolpidem, a nonbenzodiazepine benzodiazepine-receptor agonist hypnotic, is identified in the Beers Criteria as a potentially inappropriate medication to be avoided in patients 65 years and older independent of diagnosis or condition due to adverse events similar to benzodiazepines in older adults eg, delirium, falls, fractures and an increase in emergency room visits, hospitalizations, and motor vehicle crashes.

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Zolpidem uses include treatment of insomnia sleeplessness. Zolpidem is also used in other sleep disorders like frequent disturbances in sleep. Atypical thinking and behaviour, hallucination, nightmare, somnolence, somnambulism, headache, nausea, vomiting, dizziness, vertigo, drowsiness, asthenia, ataxia, rebound insomnia, amnesia, GI disturbances, upper and lower respiratory tract infection, fatigue, visual disturbances, increased ALT serum concentrations, abnormal LFT. Zolpidem is an imidazopyridine derivative that acts by binding to the benzodiazepine BZD receptors of the GABA receptor complex resulting in neuronal hyperpolarisation, action potential inhibition, increased in chloride conductance and decreased in neuronal excitability. It has strong sedative action but only minimal anxiolytic, myorelaxant and anticonvulsant properties due to its selectivity for the BZ1-receptor over the BZ2-receptor. Zolpidem has a rapid onset but short duration of hypnotic action.

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