Zolpidem+Melatonin
Description
Zolpidem + Melatonin is a combination medicine used for managing insomnia, espe
cially in individuals who have difficulty falling asleep or maintaining a normal sleep cycle. Zolpidem is a sedative-hypnotic that enhances the action of GABA, a calming neurotransmitter in the brain, helping to slow brain activity and promote deep, restful sleep. Melatonin is a natural hormone released by the brain in response to darkness and helps regulate the body’s internal clock, supporting a healthy circadian rhythm. By combining these two mechanisms, the medicine helps improve sleep onset, quality, and overall sleep–wake balance. Because it can cause drowsiness, dizziness, confusion, unusual dreams, memory impairment, or next-day sleepiness, it must be taken strictly under medical guidance and monitored carefully. Abruptly stopping the medication without a doctor’s advice can worsen insomnia or trigger withdrawal symptoms, so dosage changes should always be supervised.
Uses
- As per CDSCO-
- Treatment of Insomnia
Contraindications
When should one not use Zolpidem+Melatonin
- If you are allergic to Zolpidem or Melatonin
- If you are experiencing sudden mood changes or suicidal ideation
- If you have myasthenia gravis (a disease that causes muscle weakness)
- If you have liver impairment
- If you have kidney problems
- If you have any history of drug or alcohol addiction
- If you have any mental health problems
- If you have respiratory problems like sleep apnea
Side effects
Common side effects of this drug are:
- Nausea
- Diarrhoea
- Dry mouth
- Headache
- Dizziness
- Drowsiness
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
- You have any allergic reactions after taking Zolpidem + Melatonin.
- You have any suicidal ideation or self-harming thoughts
- You experience any severe side effects
- Your symptoms do not improve or there is worsening of your condition
- You have a history of epilepsy or fits and are taking antiepileptic medication
- You have withdrawal symptoms like agitation, nausea, tremor, sweating and confusion
Mode of Action
How Does It Work?
Interactions
Interactions with other medicines
- Tell your doctor and pharmacist what prescription and non-prescription medications, herbal products, vitamins and nutritional supplements, you are consuming or plan to take as there is a chance of drug interaction. Many medicines can interact with Zolpidem + Melatonin, making it less effective or increasing side effects. This includes-...
- Interaction with antidepressants or mood-elevating medicines like fluoxetine and desipramine can cause increased side effects.
- Interaction with antihistamines (allergy medicines), opioid painkillers, sleeping pills, etc, can increase drowsiness and fatigue.
- Interaction with antifungal medications like itraconazole and ketoconazole can reduce its effects of it.
Interactions with food items
- You should avoid caffeine-containing drinks like cola, tea, coffee etc, especially in the evening
Dosage
Overdose
Missed a Dose
Content Details
Ravindra Ghongade
B. Pharm
Dr. Nikita Toshi
BDS (Bachelor of Dental Surgery), WHO FIDES member
Frequently Asked Questions (FAQs)
Q: Can I get addicted to Zolpidem + Melatonin?
Q: Can I Stop taking the Zolpidem + Melatonin on my own after the desired effect?
Q: Does taking Zolpidem + Melatonin more than the recommended dose will resolve my symptoms quickly?
References
- CDSCO [Internet]. Cdscoonline.gov.in. 2022 [cited 24 Nov 2025].
- Drugs H. Zolpidem: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2022 [cited 24 Nov 2025].
- [Internet]. Rxlist.com. 2022 [cited 24 Nov 2025].
- [Internet]. Pennmedicine.org. 2022 [cited 24 Nov 2025].
- Zolpidem: a sleeping pill used to treat insomnia [Internet]. nhs.uk. 2022 [cited 24 Nov 2025].
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