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Over the counter sleep aid comparable to ambien, but with no known risks." There were also no reports of insomnia associated with CDSV. Dr. Andrew Leuchtenberger, a New York psychiatrist, described the drug as a "nonaddictive" depressant. Leuchtenberger concluded: "While the short amount of drug you were exposed to, the amount that was tested, doesn't make the drug a risk to health, I would advise against it." Dr. Daniel Siegal, of the Cleveland Clinic's Center on Alcohol and Addiction, also suggested giving the drug only to people who would be hard for the users to live with and thus who would probably be prone to drug use. Siegal wrote the letter advising FDA: "You would not ask me or my team to give a drug an alcoholic patient who has been drinking for years without telling them about the possibility of alcohol dependence." Siegal concluded: "Most people would not even know what the potential risks of drug are, including what it feels like to be high." Although the agency initially rejected CDSV from sale in 1980, the Drug Enforcement Agency later granted the FDA authority to regulate drug. By 1989, the FDA had approved CDSV for use among people under 18. It was a different story with regard to use of CDSV, where critics said it was often too difficult to verify a user's sobriety. According to the New York Times in 1993, for example, a patient in Pennsylvania had been given CDSV for three months and given a letter indicating that she had never used alcohol or other drugs. "The letter indicates she's abstinent for three months, but it doesn't state that or say how much she's abstinent and that kind of thing," Dr. John Mankiewicz said. CDSV, however, seemed to provide the benefits that drug makers thought it did. Dr. Andrew Leuchtenberger wrote in 1992 that the antidepressant made it possible to give patients a dose that he said was equivalent to 20 milligrams of Ambien, the current standard, without risk of dependence. For the same amount, Leuchtenberger wrote, a patient would be able to get the mild euphoria of drug and the ability to sleep. This was something that drug makers didn't want to miss out on, since CDSV was an effective drug that might cut down the costs and long-term side effects that Ambien entails. By 1995, sales of CDSV had grown to $3.25 million a year, according to the FDA. In 1998, according to a book by the Philadelphia Inquirer, CDSV and Ambien accounted for 75 percent of the market for prescription sleep aids in the United States of America. The book quotes Peter Pronovost, then of the Food and Drug Administration, as saying that the drug "took off like a rocket ship and continued to grow like wildfire in the wake of its approval by the FDA in November 1997." The Drug Enforcement Agency and Food Administration declined comment on this. The agency has since launched a formal review of CDSV to is ambien sold over the counter in mexico see if it is addictive or not. The agency has also considered banning CDSV from sale or use in all of the nation's schools, according to David C. Grob, the executive director Adderall prescription easy to get of Center on Addiction and Substance Abuse at the University of New Mexico. Grob says such a move could have dire consequences. "It would mean that if there were a school shooting," he said, "kids could not learn to respond appropriately if that was their only chance to get some sleep."

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Ambien (zolpidem) is a sedative, also called a hypnotic. Zolpidem affects chemicals in the brain that may be unbalanced in people with sleep problems insomnia). Ambien is used to treat insomnia. The immediate-release tablet is used to help you fall asleep when you first go to bed. The extended-release form, Ambien CR, which has a first layer that dissolves quickly to help you fall asleep, and a second layer that dissolves slowly to help you stay asleep.

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