“How in the hell can a guy walk out in 20-below zero and not wake up?”
The answer may be Ambien (via Schwitzer), where there have been previous reports of patients sleep-walking or sleep-driving while on the medication.
The deadly episode wasn’t the first time for this particular patient, who previously “drove into the side of his own garage, knocked a neighbor’s hanging plant off the eave of their house, and came to rest against a tree.”
Discussing this uncommon, but disturbing, side effect should be mandatory prior to starting Ambien in any patient.





![Clinicians are failing at value-based care because no one taught them the system [PODCAST]](https://kevinmd.com/wp-content/uploads/bd31ce43-6fb7-4665-a30e-ee0a6b592f4c-190x100.jpeg)













![Silence at the chessboard changed how I talk to patients [PODCAST]](https://kevinmd.com/wp-content/uploads/b664dfaa-d79f-41b8-9445-d43d50340ea4-190x100.png)