Can You Cut Or Split Ambien?

Answer

Ambien (zolpidem) can safely be cut/split in half.

However, it is important to note that Ambien also comes in an extended-release formulation, 'Ambien CR'. Ambien CR should not be split, as this may result in the entire dose of the medication being released at once, greatly increasing the risk of side effects.

In addition, if you have been taking one tablet of Ambien 10mg for an extended period of time and are looking to split the tablet to get a dose of 5mg, you may experience rebound insomnia for a few days/weeks as your body adjusts.

Safe Ambien Doses

The usual starting dose for adults, especially females, is 5mg once at night, at least 7 to 8 hours remaining before the planned time of awakening to reduce the risk of next-day sedation. Higher doses (e.g. 10mg) are much more likely to cause next-day impairment and the side effects you mentioned in your inquiry (acting drunk).

It is not uncommon for lower doses, such as 5mg, to not work nearly as well if you have been taking higher doses. Ambien has been known to cause dependency and withdrawal reactions in some individuals. Immediately stopping or lowering the dosage too much, too quickly, can cause:

• Insomnia
• Nervousness
• Shaking
• Sweating
• Fast heart rate

It sounds as though you may be having rebound insomnia. This will generally resolve after 1 to 2 weeks, but if you are having continued difficulty falling asleep, be sure to reach out to your doctor for treatment options. They may decide to slowly taper your dose down from 10mg or they may try alternative medications such as Ambien CR, Lunesta, or Sonata for example.

What About Crushing?

I also have gotten questions regarding whether or not Ambien can be crushed, and the answer is similar to what I have written above.

Regular-release Ambien tablets can be crushed and taken that way. Ambien CR cannot be crushed and must be taken whole.

Final Words

Thanks for your question and please feel free to reach out again!