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  Sleep medication linked to bizarre behaviour  New evidence has linked a commonly prescribed sleep medication with bizarre behavioursincluding a case in which a woman painted her front door in her sleep.  UK and Australian health agencies have released information about 240 cases of odd occurrencesincluding sleepwalkingamnesia and hallucinations among people taking the drug zolpidem.  While doctors say that zolpidem can offer much-needed relief for people with sleep disordersthey caution that these newly reported cases should prompt a closer look at its possible side effects.  Zolpidemsold under the brand names AmbienStilnoct and Stilnoxis widely prescribed to treat insomnia and other disorders such as sleep apnea. Various forms of the drugmade by French pharmaceutical giant Sanofi-Aventiswere prescribed 674,500 times in 2005 in the UK.  A newly published report from Australias Federal Health Department describes 104 cases of hallucinations and 62 cases of amnesia experienced by people taking zolpidem since marketing of the drug began there in 2000. The health department report also mentioned 16 cases of strangesleepwalking by people taking the medication.  Midnight snack  In one of these sleepwalking cases a patient woke with a paintbrush in her hand after painting the front door to her house. Another case involved a woman who gained 23 kilograms over seven months while taking zolpidem. It was only when she was discovered in front of an open refrigerator while asleep that the problem was resolvedaccording to the report.  The UKs Medicines and Healthcare products Regulatory Agencymeanwhilehas recorded 68 cases of adverse reactions to zolpidem from 2001 to 2005.  The newly reported cases in the UK and Australia add to a growing list of bizarre sleepwalking episodes linked to the drug in other countriesincluding reports of people sleep-driving while on the medication. In one casea transatlantic flight had to be diverted after a passenger caused havoc after taking zolpidem.  Hypnotic effects  There is no biological pathway that has been proven to connect zolpidem with these behaviours. The drug is a benzodiazepine-like hypnotic that promotes deep sleep by interacting with brain receptors for a chemical called gamma-aminobutyric acid. While parts of the brain become less active during deep sleepthe body can still movemaking sleepwalking a possibility.  The product information for prescribers advises that psychiatric adverse effectsincluding hallucinationssleepwalking and nightmaresare more likely in the elderlyand treatment should be stopped if they occur.  Patient advocacy groups say they would like government health agencies and drug companies to take a closer look at the possible risks associated with sleep medicines. They stress that strange sleepwalking and sleep-driving behaviours can have risky consequences.  When people do something in which theyre not in full control its always a dangersays Vera Sharav of the New York-based Alliance for Human Research Protectiona US network that advocates responsible and ethical medical research practices.  Tried and tested  The more reports that come out about the potential side effects of the drugthe more research needs to be done to understand if these are real side effectssays sleep researcher Kenneth Wright at the University of Colorado in BoulderUS.  Millions of people have taken the drug without experiencing any strange side effectspoints out Richard Millman at Brown Medical Schooldirector of the Sleep Disorders Center of Lifespan Hospitals in ProvidenceRhode IslandUS. He says that unlike older types of sleep medicationszolpidem does not carry as great a risk of addiction.  And Wright notes that some of the reports of sleep-driving linked to zolpidem can be easily explainedsome patients have wrongly taken the drug right before leaving work in hopes that the medicine will kick in by the time they reach home. Doctors stress that the medication should be taken just before going to bed.  The US FoodDrug Administration says it is continuing to actively investigate and collect information about cases linking zolpidem to unusual side effects.  The Ambien label currently lists strange behaviour as a special concern for people taking the drug. Its a possible rare adverse eventsays Sanofi-Aventis spokesperson Melissa Feltmannadding that the strange sleepwalking behaviours may not necessarily be caused by the drug but instead result from an underlying disorder. She says that the safety profile [of zolpidem] is well established. The drug received approval in the US in 1993.  Questions 1-6  Do the following statements agree with the information given in the reading passage?  In boxes 1-6 on your answer sheet write  TRUE if the statement is true according to the passage  FALSE if the statement is false according to the passage  NOT GIVEN if the information is not given in the passage

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