Mixing Ambien and Alcohol

Ambien is an effective sleep medication with fewer side effects than benzodiazepines, which are often prescribed for insomnia. But Ambien does have addictive qualities, especially when mixed with alcohol, another central nervous system depressant that increases Ambien’s potency and puts users at much greater risk for overdose. When an addiction to Ambien is diagnosed, with or without the complication of alcohol dependency, residential treatment offers the best chance for recovery and lasting sobriety.

Ambien is the brand name for a sleep-inducing medication called zolpidem. It belongs to a category of drugs known as sedative-hypnotics.

Nearly 40 million Americans have active prescriptions for Ambien or similar zolpidem-based sleep products, making zolpidem the most widely-prescribed sleeping aid in the country. It is generally considered a safe alternative to benzodiazepines, with lower addictive qualities and less potential for overdose.

Despite its relatively benign reputation, Ambien is normally prescribed for short-term use and can be addictive if used for more than two-to-four weeks. Beyond this point tolerance for the drug builds, and as users feel compelled to take more they can quickly slip into dependency.

When taken hours before bedtime, Ambien can cause a euphoric reaction, and possibly even hallucinations, mimicking the effects of illicit drugs consumed by recreational drug users.

Regardless of when Ambien is taken, those who mix it with even small amounts of alcohol are risking their health and increasing their risk of drug dependency.

Why Do People Mix Ambien and Alcohol?

Like Ambien and other sedative-hypnotic drugs, alcohol is a central nervous system depressant. Consequently, mixing sleeping pills with alcohol creates an excessively strong effect. Alcohol enhances Ambien’s capacity to produce relaxation at bedtime, and increases the intensity of the euphoria it causes if taken during the daytime.

Tolerance to the effects of Ambien will grow quickly if it is taken for more than a few weeks. However, when it is combined with alcohol tolerance will build at an even faster pace. People choose to combine the two substances because of how they complement each other, but it is that natural blending of effects that makes the mixture of Ambien and alcohol so potent—and so hazardous.

The danger of mixing Ambien and alcohol is immense. The combination increases the addictive qualities of both substances and adds to the risk of overdose, which can be fatal in some instances.

Physical and Emotional Symptoms of Ambien and Alcohol Abuse

Since Ambien and alcohol both suppress activity in the brain, the symptoms each produces individually are quite similar. When the two substances are used together, those symptoms are stronger and potentially more disabling.

The physical and emotional symptoms of Ambien and alcohol abuse include:

  • Persistent drowsiness
  • Lack of motor control
  • Gaps in memory
  • Dizziness, poor equilibrium
  • Impairments in judgment and decision making
  • Sudden changes in mood
  • Slow heart rate
  • Breathing difficulties
  • Mental fog or confusion
  • Visual hallucinations
  • Loss of consciousness

Any of these symptoms may be experienced by someone who has been taking large doses of Ambien without consuming alcohol. But when alcohol is added to the equation, modest quantities of Ambien are enough to produce exaggerated effects.

As dependency to Ambien unfolds, users may seek to boost its impact by crushing the pills and snorting it. This allows the drug to be absorbed into the bloodstream more quickly and in a more concentrated dose, which boosts the medication’s potency and speeds the user’s descent into addiction.

The side effects of snorting Ambien may include:

  • Blurred vision
  • Memory loss
  • Chest pain
  • Rapid relaxation
  • Vomiting
  • Lapses in focus and concentration
  • Significantly slower heart rate
  • Shallow breathing
  • Vivid hallucinations

Alcohol and Ambien are a bad mixture in any case, but a person who snorts Ambien while also drinking alcohol could be at dire and imminent risk of overdose and/or addiction.

Behavioral Symptoms of an Ambien Addiction

Ambien dependency has a dramatic impact on the lifestyle and behavioral choices of those who suffer from this form of substance use disorder. Mixing sleeping pills with alcohol only makes the situation worse, and those who are in the grip of an alcohol-fueled Ambien addiction may see their entire world thrown into chaos.

Some of the behavioral signs of an Ambien addiction, and possible mixing with alcohol, include:

  • Taking more of the drug than before, in response to growing tolerance and stronger cravings
  • Taking Ambien earlier in the day, when it was originally prescribed for nighttime use
  • Inability to sleep at all without Ambien, or unless alcohol is mixed with the drug
  • Going to multiple doctors looking for additional prescriptions
  • Stealing the drug, or the money to buy it, from friends, family, or acquaintances
  • Lying about activities or whereabouts, specifically to cover up the truth about drug use
  • Neglecting personal, parental, financial, or job-related responsibilities
  • Impulsive and risky behavior that shows a lack of judgment
  • Arrests for driving under the influence of drugs and/or alcohol
  • Falling asleep or passing out at odd times or in unusual locations
  • Irritability and defensiveness, and a general unwillingness to answer questions or explain behavior
  • Trips to the emergency room for symptoms consistent with drug overdose

In some cases, hardcore Ambien and alcohol abusers may slip into semi-conscious states that resemble sleepwalking. While in this condition they may attempt to perform normal activities, such as driving a car, which needless to say can put them in grave danger of accident or injury.

All of these behaviors are generally indicative of a burgeoning substance abuse problem, and a clear sign that evaluation and treatment are needed. The dangers of mixing Ambien and alcohol are especially serious, and if alcohol use is complicating an Ambien addiction treatment should be sought immediately.

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Ambien and Alcohol Overdose

The risks of dying from an Ambien overdose death are usually small. But mixing sleeping pills with alcohol is a hazardous, reckless, and potentially fatal activity. At least 2,200 people die from alcohol poisoning each year, and other drugs are a contributing factor in many cases.

While Ambien and alcohol overdose doesn’t usually lead to death, it is still a serious medical condition that requires rapid intervention. The signs of an Ambien and alcohol overdose include:

  • Extreme respiratory distress
  • Fluctuating heart rate
  • Persistent drowsiness
  • Confusion, disorientation
  • Dizziness
  • Headaches
  • Poor coordination, possibly leading to falls or other accidents
  • Hallucinations
  • Memory gaps
  • Whole-body muscle fatigue
  • Loss of consciousness or coma

When an Ambien and alcohol overdose is suspected, emergency medical treatment is essential. Ambien is especially dangerous when mixed with alcohol, and if someone taking both shows signs of distress the time to act is immediately.

Withdrawal Symptoms of Ambien and Alcohol

For individuals suffering from addiction, Ambien withdrawal will begin within a few hours of stopping the drug’s use. The most serious withdrawal symptoms will be experienced in the first three-to-five days, and it can take up to two weeks for symptoms to subside as the brain and body adjust to the absence of the drug.

The side effects of Ambien withdrawal include:

  • Strong cravings
  • Anxiety
  • Irritability
  • Rising heart rate
  • Hyperventilation
  • Shaking, tremors
  • Symptoms of a panic attack
  • Sweating
  • Chronic fatigue
  • Abdominal cramps
  • Depression
  • Insomnia

Since both substances suppress activity in the brain, the symptoms of mild alcohol withdrawal are similar to the symptoms of Ambien withdrawal. But if an alcohol addiction has developed in addition to the sleeping pill dependency, more severe alcohol withdrawal side effects may be experienced, such as:

  • Nausea and vomiting
  • Heavy sweating
  • Pounding headaches
  • Severe anxiety
  • Seizures
  • The onset of delirium tremens (DTs), which can produce powerful hallucinations, delusions, racing heart rate, fever, extreme confusion, loss of consciousness, and death

The symptoms of Ambien and alcohol withdrawal should be carefully managed and monitored in a full-service medical facility, preferably at a residential treatment center where a complete range of addiction recovery services can be provided. Medical detox is vital when substance use disorders are diagnosed, since withdrawal symptoms must be brought under control before addiction treatment can begin.

Treatment and Prognosis

Ambien addiction, whether complicated by alcohol abuse or not, is a chronic and debilitating disorder that can cause further health and life problems if not treated. When an alcohol use disorder is present as well, Ambien dependency can be even more intense, and anyone with a dual diagnosis for both conditions is likely at high risk for overdose and other medical complications.

The best hope for recovery from Ambien and alcohol addiction is inpatient treatment at a fully-staffed addiction treatment center. After the completion of detox, patients in residential rehab will transition into individual, group, and family therapy, within the framework of a comprehensive recovery program designed to address all the physical, emotional, and behavioral aspects of their disorder.

In some instances, intensive outpatient treatment plans may be offered as an alternative to inpatient treatment for drug and alcohol addiction. But residential rehab plans provide complete, dedicated, 24-hour medical services that can dramatically increase the prospects for long-term recovery.

It takes hard work and true commitment to wellness to overcome a substance use disorder. But with the help of trained, compassionate treatment specialists, people suffering from Ambien and alcohol addiction can restore their health, preserve their sobriety, and create a future filled with hope and possibility.