Inpatient Zolpidem Addiction Rehab

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Calendar icon Last Updated: 03/28/2022

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Zolpidem (Ambien) is a Schedule IV controlled substance categorized as a sedative/hypnotic, which is generally used as a short-term solution to insomnia specific to initiating sleep, improving sleep latency, sleep duration, and reducing frequent awakenings at night.1,2 This medication can cause changes in thinking or behavior and may include decreased inhibition, depersonalization, bizarre behaviors often resulting in no memory of their occurrences, or agitation.1 Some people may misuse this medication to get high; chronic misuse can lead to zolpidem addiction, which may require inpatient rehab to overcome.

How Addictive is Zolpidem?

The Drug Enforcement Administration (DEA) classifies zolpidem as a controlled substance, recognizing that it has potential for abuse, diversion, and addiction.1

Some data suggest that people may misuse zolpidem or use it in a way other than prescribed by their doctor.3,4 Despite a substantial decline in effectiveness after 14 days of continued use, many subjects in the study continued using zolpidem, increasing their risk for dependence.4 Zolpidem depresses the central nervous system (CNS), cardiovascular and respiratory systems, and can cause cognitive impairments leading to coma or an increase in excess sleepiness, especially when combined with other CNS depressants like alcohol.4

Typically, zolpidem addiction begins with short-term insomnia. It can turn into a full-blown substance use disorder because the individual underestimates the addictive potential of the medication that is only supposed to be used as an occasional sleep aid. Taking zolpidem longer than prescribed makes it hard to stop because your insomnia may have worsened, and you’ve become incapable of sleeping without zolpidem.

Many are unaware that they may have an addiction because, after cessation, they cannot sleep without the medication and exhibit signs of compulsive zolpidem use, including:5

  • Filling prescriptions too frequently
  • Tolerance (repeatedly taking larger and larger doses than originally prescribed)
  • Withdrawal
  • Inability to control the use of zolpidem
  • Continued use despite subsequent harm (issues with finances, employment, interpersonal relationships, school, etc.)
  • Compulsive use
  • Cravings
  • Amnesia (engaging in dangerous situations without any memory of the incident)
  • Spending large amounts of money on zolpidem
  • Isolating yourself from friends and/or family members

What is an Inpatient Zolpidem Rehab?

Inpatient rehab involves living at the facility for the duration of treatment, receiving 24/7 care and oversight. It’s the most intensive treatment setting for addiction. Many people benefit from the structure of inpatient zolpidem rehab, where they can focus solely on their recovery without external distractions or stressors.

Inpatient treatment for zolpidem addiction is similar to treatment for other types of substances but does differ in key ways since the medication is classified as a sedative/hypnotic. Inpatient treatment for zolpidem first begins with a detoxification process as a means to safely manage withdrawal symptoms.6,7 After detoxing, you will begin your individualized treatment plan, which may involve individual therapy, group counseling, family therapy, support groups, drug education and relapse prevention classes, vocational counseling, and more.

If you were prescribed zolpidem for sleep problems, then this will be the time in which you focus on addressing poor sleep and the underlying factors that may be affecting your sleep, such as anxiety.

When in inpatient treatment, you can expect to be in treatment for anywhere from 30 days to one year, may live with a roommate, may receive medication-assisted treatment, different behavioral therapies, and collaboration with social workers to help address medical, social, and interpersonal issues.6,7

Benefits of Inpatient Rehab

The benefits of inpatient programming include:5,6,7

  • Reprogramming your circadian rhythm (internal clock): Establishing a consistent bedtime schedule helps you become tired at a regular bedtime.
  • Therapy: Therapy can facilitate better sleep because poor sleep is often due to anxiety, stress, or depression.
  • Minimizing distractions to increase sleep: A distraction-free environment can help you sleep. Good ways to minimize distractions include blackout curtains, avoiding television before bed, and ambient noise such as a fan.
  • Reduce stress by meditating, engaging in daily exercising, engaging in a hobby, journaling, or even getting an occasional massage.
  • Daily support from staff as well as peers
  • Rigid/structured routine
  • Removal from distractions and (most) stressors to increase focus
  • Around-the-clock care and supervision
  • Medical management of zolpidem withdrawal symptoms

Do I Need Inpatient Zolpidem Rehab?

Although anyone may benefit from inpatient zolpidem rehab, those who this setting may particularly benefit include:

  • Those with a severe zolpidem addiction
  • Those with a co-occurring mental health disorder, such as anxiety or insomnia
  • Those with a comorbid medical condition, such as hypertension
  • Those without a support system at home
  • Those without reliable transportation to outpatient rehab every day
  • Those who prefer the extra structure and routine
  • Those who have previously dropped out of outpatient rehab

If you still aren’t sure which treatment setting is right for you, you can always receive an assessment from your treatment provider. They can evaluate your zolpidem use, mental health, physical health, withdrawal risk, and more, and refer you to inpatient or outpatient zolpidem rehab.

How to Choose an Inpatient Recovery Center

Choosing an inpatient treatment facility can feel intimidating. A useful strategy is to break the situation down into smaller, more manageable parts. It can be helpful to define your needs and prioritize your treatment preferences. Look at your situation through financial, interpersonal, and long-term goal lens:6,7,8 Here are some factors to consider:

  • What type of insurance do you have, and what type of insurance does the facility accept?
  • What is the treatment environment? (mountains, isolated location, city, beach, urban, desert, high crime rate or gang-run area, etc.)
  • Treatment location (in or out of state, how long does it take to get there, access to a car, or need to take public transportation)
  • Types of therapy offered (individual, group, holistic)
  • Accreditations (how long has the program been practicing, accreditations, reviews, reputation)
  • Program expectations and rules
  • Amenities/features (access to alternative recovery methods, planned social events, extracurricular activities, etc.)
  • Do you identify with a certain group, and does the facility tailor treatment to that group (veterans, LGBTQ+, co-occurring, HIV+, adolescents)?
  • Can family visit? If so, how frequently?
  • Can cell phones be used at the facility?
  • Whether aftercare planning is offered
  • Are treatment plans tailored to meet individual patient needs?
  • Are peer groups available?

If you still need help finding the right program for you, you can always give our helpline a call (800) 662-HELP (4357). One of our knowledgeable and compassionate treatment support specialists can assist you.

Resources

  1. Access Data. (2008). Highlights of Prescription Information.
  2. Bouchette D., Akhondi, H. & Quick. J. (2022, January, 19). Zolpidem. StatPearls.
  3. Moore, T.J. & Mattison, D.R. (2018). Assessment of Patterns of Potentially Unsafe Use of Zolpidem. JAMA Internal Medicine, 178(9), 325-332.
  4. Moore T.J., Furberg C.D., Mattison D.R., & Cohen M.R. (2015). Quarter 2: New Safety Perspectives.
  5. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. American Psychiatric Association Publishing.
  6. Rural Health Information Hub. (2022). Opioid Treatment Program (OTP).
  7. National Institute on Drug Abuse (2018). Principles of Drug Addiction Treatment: A Research-Based Guide (3rd Ed.).
  8. Lesser, B. (2021). A Comprehensive Guide to Johnson Treatment Model.

Where do calls go?

Calls to numbers on a specific treatment center listing will be routed to that treatment center. Additional calls will also be forwarded and returned by a quality treatment center within the USA.

Calls to any general helpline (non-facility specific 1-8XX numbers) for your visit will be answered by a licensed drug and alcohol rehab facility, a paid advertiser on Addictions.com.

All calls are private and confidential.