Zolpidem dependence in an adult with bipolar affective disorder and epilepsy: A case report. Issue 5 (6th September 2019)

• Record Type: Journal Article
• Authors: Kar, Sujita Kumar; Dwivedi, Suyash
• Is Part Of: General psychiatry. Volume 32:Issue 5(2019)
• Publication Date: 2019-09-06
• Subjects: Zolpidem dependence -- bipolar affective disorder -- epilepsy; Psychiatry -- Periodicals; 616.89
• DOI: 10.1136/gpsych-2019-100102
• Languages: English
• ISSNs: 2096-5923

Abstract

Abstract : Zolpidem is a short-acting non-benzodiazepine hypnotic agent, commonly recommended for short-term treatment of insomnia. Zolpidem has less dependence potential than benzodiazepines. Patients with mental illnesses often have disturbed sleep, for which zolpidem is often prescribed. Long-term use and self-medication (in more than recommended doses) are more likely to cause dependence. We report here a case of bipolar affective disorder with epilepsy, who developed dependence to zolpidem and had severe withdrawal symptoms. The management issues are also discussed with review of the literature.