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Zolpidem SL middle-of-night

INTERMEZZO

What it isSublingual GABA-A positive allosteric modulator in 1.75/3.5 mg strengths; insomnia marked by middle-of-the-night awakening.

Why this oneIt is the only insomnia label for middle-of-the-night awakening, targeting a single late-night awakening rather than bedtime sleep initiation.

What limits itTake only with ≥4 h of bed time remaining; women dose 1.75 mg (slower zolpidem clearance). Next-morning impairment and complex sleep behaviors can cause serious injury.

FDA-approved for

⚠ BOXED WARNING

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Zolpidem SL middle-of-night ballicule

Zolpidem SL middle-of-night ballicule: receptor binding, kinetics and half-life diagram

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Memory aids: mascots and interaction avatars

Zolpidem SL middle-of-night mascot mnemonic cartoon
“Intermediate Z’s”
Zolpidem SL middle-of-night CYP3A4 substrate avatar
CYP3A4 substrate

Open Zolpidem SL middle-of-night in the interactive console ↗