How Long Does Ambien Stay in Your System?
- Robert Newyork
- Oct 15, 2024
- 4 min read

Ambien, also known by its generic name zolpidem, is a prescription medication commonly used to treat insomnia. It's classified as a sedative-hypnotic, designed to help people fall asleep quickly and stay asleep through the night. Like many medications, Ambien's effects can linger in your system for varying lengths of time depending on several factors. In this blog, we will explore how long Ambien stays in your system, the factors that influence its duration, and what you need to know about its use.
How Ambien Works in the Body
Ambien works by affecting the brain's neurotransmitter, gamma-aminobutyric acid (GABA). GABA is responsible for reducing nerve activity, which helps induce sleep. Once ingested, Ambien is quickly absorbed into the bloodstream, and users typically feel its effects within 15 to 30 minutes. This fast action is why it's often prescribed to be taken right before bed.
Ambien comes in two forms:
Immediate-release tablets – These are designed to help you fall asleep faster.
Extended-release tablets (Ambien CR) – These help you fall asleep and stay asleep by slowly releasing the medication over time.
Half-Life of Ambien
The half-life of a drug is the time it takes for half of the drug's active substance to be eliminated from the bloodstream. For Ambien, the half-life is relatively short, at about 2.5 to 3 hours. This means that, in most people, half of the drug is cleared from their system within this time frame.
However, just because the half-life is short doesn't mean Ambien is completely gone from your system after a few hours. Several factors influence how long it remains detectable in various parts of your body.
How Long Does Ambien Stay in Different Parts of Your System?
Blood: Ambien can be detected in the bloodstream for up to 24 hours after ingestion.
Urine: Ambien remains detectable in urine for about 24 to 48 hours. This is often used in drug screenings.
Saliva: Saliva tests can detect Ambien for approximately 6 to 8 hours after the last dose.
Hair: Ambien, like many other drugs, can be detected in hair follicles for up to 90 days. However, this is not a common method for testing Ambien use.
Factors That Influence How Long Ambien Stays in Your System
Several factors can impact how long Ambien stays in your body, including:
Dosage: Higher doses of Ambien will naturally take longer to leave your system. The extended-release version, Ambien CR, also takes longer to metabolize than the immediate-release version.
Frequency of Use: If you take Ambien regularly or in high doses, it may build up in your system and take longer to fully eliminate.
Age: As we age, our metabolism slows down. Older individuals may metabolize and clear Ambien more slowly than younger individuals.
Liver Function: The liver plays a critical role in breaking down medications. People with liver impairment will process Ambien more slowly, leading to a longer duration of the drug in their system.
Body Mass: Individuals with higher body mass may take longer to metabolize Ambien. Body fat can also store some of the medication, releasing it slowly over time.
Metabolism: People with faster metabolisms will clear Ambien more quickly than those with slower metabolisms.
Other Medications: Some medications can interact with Ambien and either speed up or slow down its metabolism. This includes drugs that affect liver enzymes like CYP3A4.
Ambien’s Potential for Dependence and Withdrawal
Although Ambien is effective for short-term use, it is not recommended for long-term use due to the risk of dependence. Individuals who use Ambien for extended periods may develop a tolerance, requiring higher doses to achieve the same effect. This can also lead to withdrawal symptoms when the medication is discontinued, including:
Anxiety
Irritability
Nausea
Sweating
Insomnia rebound (worse sleep than before starting Ambien)
To prevent withdrawal, doctors typically recommend tapering off Ambien rather than stopping abruptly.
How to Use Ambien Safely
Only take Ambien when you are ready to sleep: Because it acts quickly, you should only take it when you can dedicate 7 to 8 hours to sleep.
Follow your prescription: Do not take more than prescribed or use it longer than recommended.
Avoid alcohol: Alcohol can amplify Ambien's sedative effects, increasing the risk of side effects like dizziness, confusion, and respiratory depression.
Avoid activities after taking Ambien: Operating machinery or driving after taking Ambien is not safe due to the risk of impaired judgment and slowed reaction time.
FAQs About Ambien
How long does Ambien take to work?
Ambien starts working within 15 to 30 minutes after ingestion, which is why it’s important to take it right before bedtime.
Can I take Ambien every night?
Ambien is typically prescribed for short-term use (2 to 4 weeks) due to the risk of dependence and tolerance. It’s not recommended for long-term use.
Will Ambien show up on a drug test?
Ambien can show up in a urine test for 24 to 48 hours and a blood test for up to 24 hours. Hair tests can detect it for up to 90 days.
What happens if I take too much Ambien?
Taking too much Ambien can cause serious side effects like extreme drowsiness, confusion, difficulty breathing, and in severe cases, coma or death. Seek immediate medical attention if an overdose is suspected.
Can Ambien cause memory loss?
Yes, one of the potential side effects of Ambien is short-term memory loss or "blackouts," particularly if you perform activities while under its influence.
Is Ambien addictive?
Ambien can be habit-forming, especially if taken for an extended period or in higher-than-prescribed doses.
Can Ambien cause sleepwalking?
Ambien has been known to cause unusual behaviors such as sleepwalking, sleep-driving, and other activities while not fully awake. If you experience these symptoms, you should stop taking Ambien and consult your doctor.
Can I stop taking Ambien suddenly?
It’s best to consult your doctor before stopping Ambien, as abrupt discontinuation can lead to withdrawal symptoms like anxiety and insomnia rebound.
What are the side effects of Ambien?
Common side effects include dizziness, headache, and drowsiness. Less common but serious side effects include memory loss, hallucinations, and unusual behaviors like sleepwalking.
Can I take Ambien with other medications?
Some medications may interact with Ambien, altering its effectiveness or increasing the risk of side effects. Always discuss with your healthcare provider if you are taking other medications.
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