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Drug interactions

Amisulpride + Zolpidem

Severity: Moderate

Amisulpride and Zolpidem: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both drugs depress the central nervous system, so taking them together can deepen drowsiness and impair psychomotor performance. Next-day impairment, falls and confusion are more likely, particularly in older patients.

What this interaction means in plain words

Amisulpride and Zolpidem can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amisulpride belongs to Central Nervous System; Zolpidem belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression from GABA-A agonism (zolpidem) and dopamine antagonism with sedative properties (amisulpride).

What to do

Start zolpidem at the lowest dose and counsel the patient about driving and operating machinery. Monitor for excessive sedation and reduce the dose if it occurs.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amisulpride with Zolpidem?

MediHelp rates the interaction as moderate. Amisulpride and Zolpidem can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs depress the central nervous system, so taking them together can deepen drowsiness and impair psychomotor performance. Next-day impairment, falls and confusion are more likely, particularly in older patients.

How serious is the interaction between Amisulpride and Zolpidem?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start zolpidem at the lowest dose and counsel the patient about driving and operating machinery. Monitor for excessive sedation and reduce the dose if it occurs.

What other medicines interact with Zolpidem?

MediHelp also lists interactions of Zolpidem with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Benzhydrocodone / acetaminophen. The full list is on the Zolpidem page.

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