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Drug Name:
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Aa-Ab | Ac | Ad-Ak | Al | Am | An-Ap | Aq-Ar | As-Az    
Ba-Bd | Be-Bh | Bi-Bo | Bp-Br | Bs-Bz    
Ca | Cb-Ce | Cf-Ch | Ci | Cj-Cl | Cm-Co | Cp-Cz    
Da-Dd | De | Df-Di |Dj-Do | Dp-Dz    
Ea-El | Em-Ep | Eq-Es | Et | Eu-Ez    
Fa-Fd | Fe-Fh | Fi-Fk | Fl | Fm-Ft | Fu-Fz    
Ha-He | Hf-Hz    
Ia-Il | Im-In | Io-Ip | Iq-Iz    
La-Ld | Le| Lf-Ln| Lo | Lp-Lz    
Ma-Md | Me-Meo | Mep-Mes | Met | Meu-Mi | Mj-Mo | Mp-Mz    
Na | Nb-Nh | Ni | Nj-Nz    
Oa-Op | Oq-Ow | Ox-Oz    
Pa | Pb-Pe | Pf-Ph | Pi | Pj-Pr | Ps-Pz    
Ra-Rd | Re| Rf-Rz    
Sa-Sd | Se-Sh | Si | Sj-So | Sp-Sub | Suc-Sul | Sum-Sz    
Ta-Td | Te | Tf-Th | Ti | Tj-Tq | Tra-Tri | Trj-Tz    
  
Alpidem
Alpidem
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1. What condition do you use Alpidem  to treat / prevent?
 
2. How effective do you think Alpidem has been in treating your condition? (1 = least effective; 10 = most effective)
 
3. What do you like best about Alpidem?
4. What do you like least about Alpidem?
5. What is your dosage?
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6. How long have you been taking Alpidem? / How regularly?
 
7. Since taking Alpidem, have you noticed any changes in the following areas of health and well-being?
Effect on:
Much Worse Worse No Change Better Much Better
Emotional Well-being
Quality of Sleep
Energy Level
Coordination/Motor Skills
Sexual Health
Appetite
Patience
Confidence
Breathing
Sensitivity to Pain
Mental Clarity
Balance/Equilibrium
Digestion
Skin Complexion
Eyesight
Stress Level
Memory
Blood Pressure
Other General Effects Not Listed Above:
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8. Since taking Alpidem, have you noticed any of the following commonly reported side-effects?
Effect on:
None Mild Moderate Strong Severe
Allergic Reaction
Anxiety
Constipation
Change in Libido / Sex Drive
Diarrhea
Dizziness
Drowsiness
Dry Mouth
Fatigue
Headache
Insomnia
Irritability / Impatience
       
Have you noticed any of the following less commonly reported side-effects?
Effect on:
None Mild Moderate Strong Severe
Nausea
Sweating Increase / Decrease
Tremors
Change in Weight
Amnesia / Memory Loss
Blurred Vision
Confusion
Coordination / Balance Problems
Depression
Disorientation
Hallucinations
Slurred Speech
Aggressive / Impulsive Behavior