{"id":4026,"date":"2023-08-01T12:09:43","date_gmt":"2023-08-01T12:09:43","guid":{"rendered":"https:\/\/www.floridarehab.com\/?page_id=4026"},"modified":"2025-02-07T12:31:36","modified_gmt":"2025-02-07T12:31:36","slug":"sleeping-pills","status":"publish","type":"blog","link":"https:\/\/www.floridarehab.com\/drugs\/sleeping-pills\/","title":{"rendered":"Sleeping Pills: Uses, Side Effects &amp; Addiction Risk"},"content":{"rendered":"\n<p class=\"has-text-align-center has-large-font-size eplus-wrapper wp-block-paragraph\"><strong>Despite their popularity, OTC and prescription sleeping pills are not a long-term solution for a good night\u2019s sleep. Many cause tolerance, and they are associated with a risk for developing physical and\/or psychological dependence.<\/strong><\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Side Effects, Risks or Complications<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">All sleeping aids have been reported to cause at least some level of psychological dependency (including OTC drugs), and most prescription drugs (particularly BZDs and barbiturates) are linked to physical dependence\/addiction. Different classes of sleeping pills may have different&nbsp;<a href=\"http:\/\/aasm.org\/resources\/pdf\/choosingwisely-sleepingpills-adults-insomnia.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">side effects<\/a>, but all have been associated with symptoms like:<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Complex Sleep Behaviors<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">One of the most dangerous side effects of sleeping pills are complex sleep behaviors like sleepwalking. Even people with no history of sleepwalking may sleepwalk after taking sleeping pills. Reports of people dying while performing complex behaviors while they are asleep led the&nbsp;<a href=\"https:\/\/www.jwatch.org\/fw115371\/2019\/05\/01\/insomnia-drugs-get-boxed-warning-complex-sleep-behaviors\" target=\"_blank\" rel=\"noreferrer noopener\">FDA to require several prescription sleeping medications to carry \u201cblack box warnings\u201d<\/a>, which alert users to potentially lethal risks associated with the drug. Examples of lethal complex sleep behaviors include automobile accidents (with the patient driving), drowning, apparent suicide and poisoning.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Nonfatal injuries associated with complex sleep behaviors include burns, gunshot wounds and attempted suicide. Even first-time and low-dose users can exhibit these behaviors, underscoring the importance of using caution when taking prescription sleeping pills.<\/p>\n\n\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Physical Effects<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Sleeping pills may affect the body in several ways. People who take these drugs may notice&nbsp;<strong>dry mouth, fatigue, headaches, heartburn, digestive problems like gas, constipation or diarrhea, appetite changes, tingling sensations in the hands or feet, balance problems and dizziness, muscle weakness, and shaking or tremors.<\/strong><\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">People should stop taking this medication and talk to their doctor if they are experiencing side effects from sleep aids. Sometimes, these symptoms can be a sign of a bigger issue, or they can lead to more serious complications.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">One way to lower the risk of sleeping pill side effects is to make sure to take the medication exactly as prescribed. Taking higher doses can lead to more harmful effects. Additionally, people having trouble with side effects from one drug may have better luck if they switch to another. Different categories of sleeping pills affect different processes in the brain and trying a different medication may produce milder or more severe side effects. People don\u2019t know which sleeping pills are more likely to be effective or less likely to cause side effects until they try them, and some people may have to try a few different types before they find one that suits them.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Mental Effects<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">How do sleeping pills affect the brain? Those who take sleeping pills regularly may find that they experience&nbsp;<strong>memory problems, difficulty concentrating, and vivid dreams.<\/strong><\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Sleeping pills can also cause parasomnias. These sleep disorders consisting of unusual behaviors, emotions and perceptions that occur while someone is falling asleep, sleeping or waking up. Examples include sleepwalking, nightmares, night terrors, teeth grinding and talking in one\u2019s sleep. People often don\u2019t know when they are experiencing parasomnias. However, if there is any indication that someone is experiencing this side effect, they should talk to their doctor. Parasomnias can sometimes take the form of more extreme and potentially dangerous behavior like eating, driving or having sex while asleep.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Sleeping Pill Withdrawal Side Effects<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Someone who has become physically dependent on sleeping pills may feel&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/sleeping-pills\/withdrawal-detox\/\">withdrawal symptoms<\/a>&nbsp;if they try to stop using them. Additionally, a person may find that the drugs become less effective over time as their body adapts to the presence of the medication. If a person becomes physically dependent on sleeping pills, they will probably experience some withdrawal symptoms once they stop using them.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The most common side effects of sleeping pill withdrawal are insomnia and&nbsp;<a href=\"https:\/\/www.floridarehab.com\/co-occurring-disorders\/anxiety-disorders\/\">anxiety<\/a>. If a person has trouble sleeping once they stop using a sleep aid, they may think that it\u2019s impossible for them to sleep without the medication. However, this is usually a temporary withdrawal symptom that will eventually go away once sleeping pill use is halted. Other sleeping pill withdrawal side effects&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK361010\/\" target=\"_blank\" rel=\"noreferrer noopener\">include<\/a>&nbsp;bizarre dreams, restlessness and shivering.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Side Effects of a Sleeping Pill Overdose<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><a href=\"https:\/\/www.floridarehab.com\/drugs\/sleeping-pills\/overdose\/\">Sleeping pills overdose symptoms<\/a> are&nbsp;<strong>extreme tiredness, difficulty breathing, stomach pain, and clumsiness or loss of coordination.<\/strong><\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Anyone who suspects a <a href=\"https:\/\/www.floridarehab.com\/drugs\/ambien\/overdose\/\">sleeping pill overdose<\/a> should seek emergency medical care right away. Overdosing on sleeping pills can be fatal. Side effects of a sleeping pill overdose may worsen and result in brain damage if left untreated.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Related Topic:&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/valium\/valium-overdose\/\">What is a lethal dose of valium?<\/a><\/strong><\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Signs of Misuse<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Sleeping pill misuse happens when someone takes their sleeping pill medication outside of its prescribed use:<\/p>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">Taking sleeping pills without a prescription<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Taking them longer than recommended by a doctor<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Taking them at higher doses than what was prescribed.<\/li>\n<\/ul>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">However, using sleeping pills over long periods usually makes a person sleep worse. People should only use these medications for a short time.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Can You Get Addicted to Sleeping Pills?<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Yes, although different drugs have different levels of risk associated with them. The most dangerous sleeping pills are barbiturates, which are not only addictive but can have severe consequences when mixed with other drugs or alcohol.&nbsp;<a href=\"\/drugs\/benzodiazepines\/\">Benzodiazepines<\/a>&nbsp;are also associated with a high risk of dependency and addiction. Z-drugs (<a href=\"\/drugs\/ambien\/\">Ambien<\/a>, Sonata, Lunesta) have lower risks for dependency. OTC drugs are generally not thought to cause physical addiction, but psychological addiction is commonly reported and can be challenging to overcome.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">A person\u2019s risk of addiction is lowered if they take sleeping pills exactly as prescribed. Anyone who has a personal or family history of substance misuse may want to avoid sleeping pills altogether. Adopting other healthy habits, including exercising, limiting caffeine consumption, avoiding electronic screens before bedtime and getting in the habit of waking and going to bed at the same time every day can improve a person\u2019s sleep quality without the use of potentially addictive drugs.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">If you suffer from insomnia, the safest long-term way to deal with it is behavioral modifications like establishing a strict bedtime, refraining from looking at a screen in bed or making sure your bedroom is dark and quiet.&nbsp;<a href=\"\/treatment\/addiction-therapies\/cognitive-behavioral\/\">Cognitive-behavioral therapy<\/a>&nbsp;has shown success in treating sleep disorders. It usually&nbsp;<a href=\"http:\/\/aasm.org\/resources\/pdf\/choosingwisely-sleepingpills-adults-insomnia.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">works as well as sleeping pills<\/a>&nbsp;but without the risks.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Sleeping Pill Abuse Facts and Statistics<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Nearly&nbsp;<a href=\"https:\/\/www.cdc.gov\/nchs\/fastats\/sleep-health.htm\" target=\"_blank\" rel=\"noreferrer noopener\">a third of adults<\/a>&nbsp;and three-quarters of high school students report not getting enough sleep, so it\u2019s easy to see why people want to turn to medications to help deal with insomnia or other sleep issues.&nbsp;<a href=\"https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db127.htm\" target=\"_blank\" rel=\"noreferrer noopener\">A 2010 study<\/a>&nbsp;reported that about one in eight people who said they had trouble sleeping used sleep aids. Additional statistics include:<\/p>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\"><strong>Overall:<\/strong>&nbsp;About 4% of adults in the United States used sleeping pills within a month prior to the study.<\/li>\n\n\n\n<li class=\" eplus-wrapper\"><strong>Prevalence in Men:<\/strong>&nbsp;3.1% of men surveyed said that they use sleeping pills.<\/li>\n\n\n\n<li class=\" eplus-wrapper\"><strong>Prevalence in Women:<\/strong>&nbsp;About 5% of women surveyed reported using prescription sleep aids.<\/li>\n\n\n\n<li class=\" eplus-wrapper\"><strong>Teen Abuse:<\/strong>&nbsp;5% of&nbsp;<a href=\"\/resources\/teen-addiction\/\">teens<\/a>&nbsp;surveyed used a prescription sleeping pill.&nbsp;<a href=\"https:\/\/mottpoll.org\/sites\/default\/files\/documents\/091718_Sleep.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">In one poll<\/a>, 28% of parents reported that their teen had tried some type of medication for sleeping difficulties.<\/li>\n\n\n\n<li class=\" eplus-wrapper\"><strong>Senior Abuse:<\/strong>&nbsp;Generally, the older someone is, the more likely they are to use sleep aids. People ages 80 and older reported the highest use of sleeping pills, with 7% of people in this age range saying they used prescription sleep aids in the last month.<\/li>\n<\/ul>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">No sleeping pills are approved for use in children. However, some kids who have trouble sleeping might be given anti-allergy medication, which might make them drowsy. Some healthcare providers recommend that children use melatonin, but this supplement hasn\u2019t been well-studied in children. Additionally, teens who are prescribed anti-anxiety or sleeping pills are up to 12 times more likely to abuse them later on.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Related Topic:<\/strong>&nbsp;<a href=\"\/drugs\/ambien\/ambien-overdose\/\">Lethal dose of Ambien<\/a><\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">How to Stop Using Sleeping Pills<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">When people go through withdrawal, they are at a high risk of relapsing because they experience intense cravings and because they may have a desire to use again to help other symptoms disappear. One thing that can help is&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK361010\/\" target=\"_blank\" rel=\"noreferrer noopener\">tapering sleeping pills<\/a>&nbsp;by gradually taking smaller and smaller doses over time. For some medications, including&nbsp;<a href=\"\/drugs\/benzodiazepines\/\">benzodiazepines<\/a>&nbsp;like&nbsp;<a href=\"\/drugs\/xanax\/\">Xanax<\/a>, tapering is difficult to manage on one\u2019s own and withdrawal symptoms may be more severe. People who have been using more addictive sleeping pills or who have a more severe dependence on sleeping pills may not be able to safely or successfully stop using them on their own. If someone is not sure how to stop using sleeping pills, they can talk to a healthcare professional to learn about:<\/p>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\"><strong>Detox:<\/strong>&nbsp;Sleeping pill&nbsp;<a href=\"\/treatment\/medical-detox\/\">detox<\/a>&nbsp;may last for a couple of weeks. During this time, doctors may slowly wean a person off of the medication until there is no drug left in their body. Going through detox at a medical facility gives people access to medical care in case something goes wrong and they experience severe withdrawal symptoms. This approach also makes people more likely to avoid setbacks.<\/li>\n\n\n\n<li class=\" eplus-wrapper\"><strong>Rehab:<\/strong>&nbsp;<a href=\"\/treatment\/inpatient-rehab\/\">Inpatient<\/a>&nbsp;and&nbsp;<a href=\"\/treatment\/outpatient-rehab\/\">outpatient rehab<\/a>&nbsp;programs provide participants with many opportunities to learn more about addiction, develop healthier behaviors and come up with strategies to help prevent a setback. These programs may involve individual therapy and group counseling as well as educational classes and treatment for other&nbsp;<a href=\"\/co-occurring-disorders\/\">co-occurring mental health disorders<\/a>.<\/li>\n<\/ul>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">FAQs About Sleeping Pills<\/h2>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">What are sleeping pills?<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Sleeping pills&nbsp;are sedatives that can help people who are suffering from insomnia. Many people rely on them to get a good night\u2019s sleep, but sleeping pill side effects and addiction may be a concern. For the most part, these medications are meant to be used for short periods to limit the chances that they will be habit-forming or have harmful effects.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">There are multiple types of sleeping pills that each work in different ways. Some sleeping pills, including anti-anxiety&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/benzodiazepines\/addiction\/\">benzodiazepines<\/a>&nbsp;like&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/xanax\/addiction\/\">Xanax<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/valium\/addiction\/\">Valium<\/a>, are fairly likely to cause physical dependence and addiction. Others, like Lunesta and&nbsp;<a href=\"https:\/\/www.floridarehab.com\/drugs\/ambien\/addiction\/\">Ambien<\/a>, are less likely to cause dependence. Some new types of sleeping pills, such as Rozerem and Silenor, are non-addictive. People who are worried about sleeping pill addiction should talk to their doctor to learn more about options that won\u2019t cause physical dependence.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">What do sleeping pills do?<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Sleeping pills either help someone fall asleep more quickly or by help them stay asleep throughout the night. This is why they are used to treat insomnia. Sleeping pills are commonly used in other situations as well.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Approximately&nbsp;<a href=\"https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db127.htm\" target=\"_blank\" rel=\"noreferrer noopener\">4%<\/a>&nbsp;of American adults take prescription sleeping pills, and somewhere between&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4157947\/\" target=\"_blank\" rel=\"noreferrer noopener\">3-11%<\/a>&nbsp;report using over-the-counter (OTC) sleep aid pills. Sleeping pills, including OTC and&nbsp; \u201cnatural\u201d alternatives, are associated with risk of dependency, addiction and other health consequences.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Flying \u2013<\/strong>&nbsp;It is generally not recommended to take sleeping pills for short flights or daytime flights. Taking sleeping aids before long, overnight flights also poses&nbsp;<a href=\"https:\/\/www.cnn.com\/travel\/article\/planes-sleeping-pills\/index.html\" target=\"_blank\" rel=\"noreferrer noopener\">risks<\/a>. Ambien, in particular, has become infamous for causing embarrassing sleepwalking episodes (as was documented by \u201cBetty\u201d in \u201c<a href=\"https:\/\/www.yahoo.com\/lifestyle\/confessions-of-a-fed-up-flight-attendant-attack-of-the-83629894522.html\" target=\"_blank\" rel=\"noreferrer noopener\">Confessions of a Fed-Up Flight Attendant: Attack of the Ambien Zombies<\/a>\u201d). However, if you want to take a sleeping aid for an overnight flight, it is highly recommended that you test the drug ahead of time so you understand how it will affect you. Also, if you take sleeping aids before a flight it is strongly recommended that you avoid alcohol on the flight.&nbsp;<a href=\"https:\/\/www.hopkinsmedicine.org\/health\/wellness-and-prevention\/melatonin-for-sleep-does-it-work\" target=\"_blank\" rel=\"noreferrer noopener\">Melatonin<\/a>, another popular sleep supplement, is used by travelers to help ease jet lag. Melatonin regulates the sleep-wake cycle, so supplementing melatonin can help you modify the cycle.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Anxiety \u2013<\/strong>&nbsp;Benzodiazepines are the most common prescription anti-anxiety drug. Both benzodiazepines and z-drugs (the most common prescription sleeping pill) enhance the efficacy of a neurotransmitter called GABA, resulting in sedation. Benzodiazepines and, to a lesser extent, z-drugs pose a risk for developing dependency and addiction issues and they should be taken with caution.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Depression \u2013<\/strong>&nbsp;<a href=\"https:\/\/www.floridarehab.com\/co-occurring-disorders\/anxiety-disorders\/\">Anxiety<\/a>&nbsp;and depression often coexist, and z-drugs and benzodiazepines can help with&nbsp;<a href=\"https:\/\/www.karger.com\/Article\/FullText\/486696\" target=\"_blank\" rel=\"noreferrer noopener\">anxious depression<\/a>. However, prescription sleeping pills should not be taken by people who suffer from major depressive disorders. Z-drugs and benzodiazepines can both make&nbsp;<a href=\"https:\/\/www.floridarehab.com\/co-occurring-disorders\/depression\/\">depression<\/a>&nbsp;worse, and they are associated with&nbsp;<a href=\"https:\/\/www.psychiatrist.com\/PCC\/article\/Pages\/2017\/v19n02\/16r02037.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">increased incidence of suicidal ideation and completion<\/a>&nbsp;even among people who have not been diagnosed with depressive disorders.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Diabetes \u2013<\/strong>&nbsp;Many people with diabetes&nbsp;<a href=\"https:\/\/health.usnews.com\/health-care\/patient-advice\/articles\/2017-07-11\/6-ways-to-sleep-better-with-diabetes\" target=\"_blank\" rel=\"noreferrer noopener\">suffer from sleep disturbances<\/a>&nbsp;due to sleep apnea, diabetic neuropathy, hormonal dysregulation, or other causes. Sleeping pills can have dangerous consequences for diabetes patients. For example, high doses of benzodiazepines can cause respiratory depression. In a patient with sleep apnea, this could be lethal. If you are diabetic, speak with your doctor before using any OTC or prescription sleep aids.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">How do sleeping pills work?<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Most prescription sleeping pills (including z-drugs and benzodiazepines) work by enhancing the effects of a brain chemical called GABA. GABA is a neurotransmitter that quiets brain excitability. This is why some prescription sleeping pills (notably benzodiazepines) are often prescribed as anti-anxiety drugs.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The most common sleeping pills purchased without a prescription are melatonin, antihistamines and valerian root. The ways that OTC sleeping pills work vary, and in some cases, the mechanism of action is unclear.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">What are some common types of sleeping pills?<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Over the Counter Sleeping Pills<\/strong><\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">OTC sleeping pills are available without a prescription, and anecdotal reports suggest that many of them are quite useful. However, most of them are relatively untested in controlled research trials.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Melatonin \u2013<\/strong>&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5405617\/#sec3title\" target=\"_blank\" rel=\"noreferrer noopener\">Melatonin<\/a>&nbsp;is a natural hormone that is secreted by the pineal gland and regulates circadian rhythm (the sleep-wake cycle). OTC melatonin supplements can help reduce insomnia. Although melatonin is not associated with&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/drug-addiction\/related-topics\/difference-drug-tolerance-addiction\/\" target=\"_blank\" rel=\"noreferrer noopener\">tolerance<\/a>, some people report that they become psychologically dependent on melatonin for sleep.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Sedating antihistamines \u2013<\/strong>&nbsp;Diphenhydramine (brand names include Zzzquil, Benadryl, Sominex, Unisom SleepGels) and doxylamine (brand names include Unisom SleepTabs and Sleep Aid) are antihistamines that are generally used to treat allergies, but they also induce drowsiness. However, tolerance can develop quickly with regular use and they are associated with side effects like dry mouth and dizziness. In general, sedating antihistamines should not be used regularly as sleep aids.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Valerian \u2013<\/strong>&nbsp;Valerian root (specifically&nbsp;<a href=\"https:\/\/ods.od.nih.gov\/factsheets\/Valerian-HealthProfessional\/\" target=\"_blank\" rel=\"noreferrer noopener\">Valeriana officinalis<\/a>) is often considered to be a natural sleeping pill, but data supporting its efficacy is&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4394901\/\" target=\"_blank\" rel=\"noreferrer noopener\">inconclusive<\/a>. In addition, valerian\u2019s mechanism of action remains unclear.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Before taking any OTC sleeping pills, it is highly recommended that you talk to your doctor. All OTC drugs have the potential to interact with other drugs you take or make existing health concerns worse. In addition, some data exists suggesting that regular use of OTC sleep aids&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4157947\/\" target=\"_blank\" rel=\"noreferrer noopener\">may increase the risk of stroke<\/a>&nbsp;in middle-aged and older individuals with no prior history of stroke.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Prescription Sleeping Pills<\/strong><\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">In general,&nbsp;<a href=\"https:\/\/www.fda.gov\/drugs\/postmarket-drug-safety-information-patients-and-providers\/sleep-disorder-sedative-hypnotic-drug-information\" target=\"_blank\" rel=\"noreferrer noopener\">FDA-approved prescription sleeping medications<\/a>&nbsp;are either z-drugs or benzodiazepines. Here is a list of the most common prescription sleeping pills including the most common brand name and the generic medication name.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Zolpidem (brand name Ambien) \u2013&nbsp;<\/strong>Zolpidem is a z-drug. These drugs work by increasing the effectiveness of the neurotransmitter GABA, which makes the brain less excitable. Although somewhat less risky than benzodiazepines, z-drugs are associated with a risk for dependency\/addiction and should not be used daily or long term.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Zaleplon (brand name Sonata) \u2013<\/strong>&nbsp;Zaleplon is another z-drug used to treat insomnia.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Lunesta \u2013&nbsp;<\/strong>Lunesta is the brand name for eszopiclone. It\u2019s also a z-drug approved for sleep disorder treatment.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Temazepam (brand name Restoril) \u2013<\/strong>&nbsp;Temazepam is one of five FDA-approved&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4730295\/\" target=\"_blank\" rel=\"noreferrer noopener\">benzodiazepines for insomnia<\/a>. Extreme caution should be used when taking benzodiazepines due to the high level of risk of developing dependency\/addiction.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Trazodone (brand name Desyrel) \u2013<\/strong>&nbsp;Trazodone is an off-label drug that is prescribed for sleep disorders. This means that although they are not FDA-approved as sleeping aids, they can still be prescribed for insomnia. Trazodone is an&nbsp;<a href=\"https:\/\/www.floridarehab.com\/treatment\/medication-assisted-treatment\/antidepressants\/\">antidepressant<\/a>&nbsp;and is currently one of the most common sedative-hypnotic type drugs prescribed for insomnia.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">How long do sleeping pills stay in your system?<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Most sleeping pills will be metabolized relatively rapidly. Z-drugs have the shortest half-life (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3504423\/\" target=\"_blank\" rel=\"noreferrer noopener\">1-7 hours<\/a>), and BZDs have intermediate half-lives (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3504423\/\" target=\"_blank\" rel=\"noreferrer noopener\">up to 24<\/a>&nbsp;hours for FDA-approved sleeping pills, up to 80 hours for off-label BZDs).<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">How long sleeping pills stay in your system and show up in a drug test depends on the test. Sleeping pills may be detected in:<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Blood:<\/strong>&nbsp;Approximately 2-5 days<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Urine:<\/strong>&nbsp;Approximately 2-5 days<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Hair:<\/strong>&nbsp;Up to months<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Breastmilk:<\/strong>&nbsp;Approximately 2-5 days. If you are breastfeeding, it is imperative that you discuss plans to use OTC or prescription sleeping pills with your pediatrician before you take the first dose. Some drugs are safe to use while breastfeeding, while others can have profoundly negative impacts on your baby.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>If you or a loved one is struggling with sleeping pill dependency,&nbsp;<a href=\"\/contact-us\/\">The Recovery Village Palm Beach at Baptist Health<\/a> can help. Call us today to learn how we can help you get your days and nights back in order.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Despite their popularity, OTC and prescription sleeping pills are not a long-term solution for a good night\u2019s sleep. Many cause tolerance, and they are associated with a risk for developing physical and\/or psychological dependence. Side Effects, Risks or Complications All sleeping aids have been reported to cause at least some level of psychological dependency (including [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":481,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false},"categories":[],"tags":[],"class_list":["post-4026","blog","type-blog","status-publish","hentry"],"acf":{"written_by":321,"enable_medically_and_up":["Yes"],"medically_reviewed_by":257,"medically_reviewed_content":"This article was reviewed by a medical professional to guarantee the delivery of accurate and up-to- date information. <a href=\"\/research\/\">View our research policy.<\/a>","up_to_date":"<i>Last Updated<\/i> - <b>12\/28\/22<\/b>","page_first_published_date":null,"page_last_edit_date":null,"highlighted_description":"If you or a loved one is struggling with addiction, help is available. Speak with a Recovery Advocate by calling <a href=\"tel:8886480738\"><b>888-648-0738<\/b><\/a> now.","key_takeaways":"","source":{"source_label":"Sources","source_content":"Chong, Yinong; Fryar, Cheryl D. and Gu, Qiuping. \u201c<a href=\"https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db127.htm\" target=\"_blank\" rel=\"noopener\">Prescription Sleep Aid Use Among Adults: United States, 2005\u20132010<\/a>\u201d Centers for Disease Control and Prevention, August 2013. Accessed August 19, 2019.\r\n\r\nDucharme, Jamie. \u201c<a href=\"https:\/\/time.com\/5584937\/sleeping-pills-safe\/\" target=\"_blank\" rel=\"noopener\">Are Sleeping Pills Safe? Here\u2019s What Research Says.<\/a>\u201d Time, May 2019. Accessed July 30, 2019.\r\n\r\nRuiter Petrov, Megan E; Howard, Virginia J; Kleindorfer, Dawn; Grandner, Michael A; Molano, Jennifer R; Howard, George. \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4157947\/\" target=\"_blank\" rel=\"noopener\">Over-the-Counter and Prescription Sleep Medication and Incident Stroke: The REGARDS Study.<\/a>\u201d The Journal of Stroke and Cerebrovascular Diseases, September 2015. Accessed July 30, 2019.\r\n\r\nLaMotte, Sandee. \u201c<a href=\"https:\/\/www.cnn.com\/travel\/article\/planes-sleeping-pills\/index.html\" target=\"_blank\" rel=\"noopener\">Sleeping pills and planes: Embarrassing tales from 35,000 feet.<\/a>\u201d CNN Travel, updated July 4, 2019. Accessed July 30, 2019.\r\n\r\nYahoo Lifestyle. \u201c<a href=\"https:\/\/www.yahoo.com\/lifestyle\/confessions-of-a-fed-up-flight-attendant-attack-of-the-83629894522.html\" target=\"_blank\" rel=\"noopener\">Confessions of a Fed-Up Flight Attendant: Attack of the Ambien Zombies.<\/a>\u201d April 2014. Accessed July 30, 2019.\r\n\r\nJohns Hopkins Medicine. \u201c<a href=\"https:\/\/www.hopkinsmedicine.org\/health\/wellness-and-prevention\/melatonin-for-sleep-does-it-work\" target=\"_blank\" rel=\"noopener\">Melatonin for Sleep: Does It Work?<\/a>\u201d Accessed July 30, 2019.\r\n\r\nBenasi, Giada; Guidi, Jenny; Offidani, Emanuela; Balon, Richard; Rickels,Karl; Fava, Giovanni A. \u201c<a href=\"https:\/\/www.karger.com\/Article\/Pdf\/486696\" target=\"_blank\" rel=\"noopener\">Benzodiazepines as a Monotherapy in Depressive Disorders: A Systematic Review.<\/a>\u201d Psychotherapy and Psychosomatics, February 2018. Accessed July 30, 2019.\r\n\r\nDodds, Tyler J. \u201c<a href=\"https:\/\/www.psychiatrist.com\/PCC\/article\/Pages\/2017\/v19n02\/16r02037.aspx\" target=\"_blank\" rel=\"noopener\">Prescribed Benzodiazepines and Suicide Risk: A Review of the Literature.<\/a>\u201d The Primary Care Companion for CNS Disorders, 2017. Accessed July 30, 2019.\r\n\r\nCaceres, Vanessa. \u201c<a href=\"https:\/\/health.usnews.com\/health-care\/patient-advice\/articles\/2017-07-11\/6-ways-to-sleep-better-with-diabetes\" target=\"_blank\" rel=\"noopener\">6 Ways to Sleep Better With Diabetes.<\/a>\u201d U.S. News Health, July 2017. Accessed July 30, 2019.\r\n\r\nTordjman, Sylvie; Chokron, Sylvie; Delorme, Richard; Charrier, Annaelle; Bellissant, Eric; Jaafari, Nemat; Fougerou, Claire. \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5405617\/#sec3title\" target=\"_blank\" rel=\"noopener\">Melatonin: Pharmacology, Functions and Therapeutic Benefits.<\/a>\u201d Current Neuropharmacology, April 2017. Accessed July 30, 2019.\r\n\r\nOlson, Eric J. \u201cIs it OK to use over-the-counter antihistamines to treat insomnia? I\u2019d like to avoid prescription sleep aids.\u201d Mayo Clinic, January 2018. Accessed July 30, 2019.\r\n\r\nNational Institutes of Health. \u201c<a href=\"https:\/\/ods.od.nih.gov\/factsheets\/Valerian-HealthProfessional\/#en11\" target=\"_blank\" rel=\"noopener\">Valerian<\/a>.\u201d Updated March 15, 2013. Accessed July 30, 2019.\r\n\r\nBent, Stephen; Padula, Amy; Moore, Dan; Patterson, Michael; Mehling, Wolf. \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4394901\/\" target=\"_blank\" rel=\"noopener\">Valerian for Sleep: A Systematic Review and Meta-Analysis.<\/a>\u201d The American Journal of Medicine, April 2015. Accessed July 30, 2019.\r\n\r\nU.S Food and Drug Administration. \u201c<a href=\"https:\/\/www.fda.gov\/drugs\/postmarket-drug-safety-information-patients-and-providers\/sleep-disorder-sedative-hypnotic-drug-information\" target=\"_blank\" rel=\"noopener\">Sleep Disorder (Sedative-Hypnotic) Drug Information.<\/a>\u201d Updated April 2019. Accessed July 30, 2019.\r\n\r\nAsnis, Gregory M; Thomas, Manju; Henderson, Margaret A. \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4730295\/\" target=\"_blank\" rel=\"noopener\">Pharmacotherapy Treatment Options for Insomnia: A Primer for Clinicians.<\/a>\u201d International Journal of Molecular Sciences, January 2016. Accessed July 30, 2019.\r\n\r\nAtkin, Tobias; Comai, Stefano; Gobbi, Gabriella. \u201c<a href=\"http:\/\/pharmrev.aspetjournals.org\/content\/70\/2\/197#sec-19\" target=\"_blank\" rel=\"noopener\">Drugs for Insomnia beyond Benzodiazepines: Pharmacology, Clinical Applications, and Discovery.<\/a>\u201d ASPET Pharmacological Reviews, April 2018. Accessed July 30, 2019.\r\n\r\nQuera\u2010Salva, Maria\u2010Antonia; Lemoine, Patrick; Guilleminault, Christian. \u201c<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/hup.1112\" target=\"_blank\" rel=\"noopener\">Impact of the novel antidepressant agomelatine on disturbed sleep\u2013wake cycles in depressed patients.<\/a>\u201d Human Psychopharmacology, March 2010. Accessed July 30, 2019.\r\n\r\nAmerican Association of Sleep Medicine. \u201c<a href=\"http:\/\/aasm.org\/resources\/pdf\/choosingwisely-sleepingpills-adults-insomnia.pdf\" target=\"_blank\" rel=\"noopener\">Sleeping pills for insomnia.<\/a>\u201d Consumer Reports, 2015. Accessed July 30, 2019.\r\n\r\nYoung, Kelly. \u201c<a href=\"https:\/\/www.jwatch.org\/fw115371\/2019\/05\/01\/insomnia-drugs-get-boxed-warning-complex-sleep-behaviors\" target=\"_blank\" rel=\"noopener\">Insomnia Drugs Get Boxed Warning for Complex Sleep Behaviors.<\/a>\u201d New England Journal of Medicine \u2013 Journal Watch, May 2019. Accessed July 30, 2019.\r\n\r\nMayo Clinic. \u201cInsomnia treatment: Cognitive behavioral therapy instead of sleeping pills.\u201d Updated September 2016. Accessed July 30, 2019.\r\n\r\nChong, Yinong; Fryar, Cheryl D.; Gu, Qiuping. \u201c<a href=\"https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db127.htm\" target=\"_blank\" rel=\"noopener\">Prescription Sleep Aid Use Among Adults: United States, 2005\u20132010<\/a>.\u201d NCHS Data Brief No. 127, August 2013. Accessed August 31, 2019.\r\n\r\nCenters for Disease Control and Prevention. \u201c<a href=\"https:\/\/www.cdc.gov\/nchs\/fastats\/sleep-health.htm\" target=\"_blank\" rel=\"noopener\">Sleep Health<\/a>.\u201d August 31, 2018. Accessed August 31, 2019.\r\n\r\nInstitute for Quality and Efficiency in Health Care. \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK361010\/\" target=\"_blank\" rel=\"noopener\">Using medication: What can help when tring to stop taking sleeping pills and sedatives?<\/a>\u201d InformedHealth.org, August 10, 2017. Accessed August 31, 2019.\r\n\r\nNational Poll on Children\u2019s Health. \u201c<a href=\"https:\/\/mottpoll.org\/sites\/default\/files\/documents\/091718_Sleep.pdf\" target=\"_blank\" rel=\"noopener\">Mott Poll Report<\/a>.\u201d September 17, 2018. Accessed August 31, 2019."},"staff_member_heading":"Authorship","staff_member":[{"staff_member_title":"Medically Reviewed By","select_staff_member":257},{"staff_member_title":"Editor","select_staff_member":321}],"insurance_label":""},"_links":{"self":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/4026","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog"}],"about":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/types\/blog"}],"author":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/comments?post=4026"}],"version-history":[{"count":0,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/4026\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/481"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/staff\/257"},{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/staff\/321"}],"wp:attachment":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/media?parent=4026"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/categories?post=4026"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/tags?post=4026"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}