What are sleeping pills?
Sleeping pills are medicines or natural remedies that make it
easier to fall asleep. You can buy some forms of this
medicine without a prescription. Others are available only
with a prescription.
Nonprescription sleep medicines usually contain
antihistamines such as diphenhydramine or doxylamine.
Antihistamines are used to treat allergies, and they can
also make you sleepy.
Natural remedies that may help treat sleep problems include
valerian root, melatonin, and St. John's wort. They may help
most when sleep problems are due to shift work or jet lag.
The most common prescription sleep medicine is zolpidem
(Ambien). Other prescription sleep medicines include
lorazepam (Ativan), zaleplon (Sonata), eszopiclone
(Lunesta), and triazolam (Halcion).
Can they be harmful?
All sleeping pills have side effects. Side effects may
include headaches, nightmares, and trouble concentrating.
Antihistamines can make your nose, mouth, and eyes dry, so
you need to drink plenty of water to avoid dehydration.
Some people are at greater risk of side effects if they take
sleeping pills. This includes people with chronic liver or
kidney disease, adults over the age of 65, and women who
are pregnant or breast-feeding.
Sleep medicine stays in the blood stream, and may cause a
kind of "sleep hangover". You may be drowsy or dizzy the
day after you take it. You should not take a sleep aid
unless you will get 7 or 8 full hours of sleep after taking
it.
When you stop taking sleeping pills after using them for a
short time you may feel nervous and cranky for a few days.
With long-term use, you may have problems remembering things
and in making good decisions. Your muscles may get weak,
and you can become confused and disoriented.
After the first couple of weeks, sleep medicine may not
work as well. This is called developing a tolerance. If
you have taken sleep aids for a long time and stop suddenly,
you may become very sick. Symptoms of withdrawal may range
from headaches and insomnia to seizures or hallucinations.
This is because many sleeping pills are habit-forming. You
may become addicted.
Sleeping pills increase the effects of alcohol and other
drugs that slow down your nervous system. This includes
drugs such as cold and allergy medicines, sedatives,
tranquilizers, and muscle relaxants. Check with your
pharmacist or health care provider before you drink alcohol
or take other medicines while taking sleep aids.
How do I take them safely?
Check with your health care provider or pharmacist before
taking any kind of sleep aid. Nonprescription pills and
natural remedies can cause as many problems as prescription
medicines.
Generally, sleep aids should be used no longer than 1 to 2
weeks. Trouble sleeping (insomnia) that lasts longer than 2
weeks may be a sign of a medical problem. Medical problems
such as diabetes, sleep apnea, or arthritis can cause
insomnia. Stress, depression, or being overweight can also
keep you from sleeping. If insomnia is caused by these
kinds of problems, it will continue until the cause is
corrected.
Don't take more than directed or take sleep aids longer than
2 weeks. If the dosage no longer works, stop taking the
medicine and talk with your health care provider. In the
long term, there are better ways to deal with stress and
trouble sleeping. Some of these are exercise, biofeedback,
relaxation techniques, and counseling.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File MED4271F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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