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Sleeping pills are over-the-counter (OTC) or prescription medications that treat patients with insomnia. By definition, insomnia is a sleep disorder that makes it challenging to fall asleep and stay asleep. Other symptoms of insomnia include:
Many of these medications promote and prolong sleep, which means people will not wake up randomly throughout the night. Sleep pills are also referred to as sedatives because they have calming effects and can make you drowsy.
In the U.S., about 4 percent of adults 20 and older used prescription sleeping aids in the last month. Women also take sleeping pills more often than men.Centers for Disease Control and Prevention (CDC)
There are many different types of prescription sleeping pills available, depending on individual needs and reasons for taking the drug. However, the three most common types of pills include Ambien (zolpidem), Sonata (zaleplon), and Lunesta (eszopiclone).
Some medications only help you fall asleep, while others help you fall asleep and stay asleep throughout the night. Additionally, certain sleeping pills are also at risk for dependence, but others are not addictive.
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For example, commonly prescribed sleeping pills that can lead to dependence, but also help you fall asleep and stay asleep, include:
Medications that help you fall asleep, but not stay asleep, and can lead to dependence include:
Lastly, sleeping pills that help you fall asleep and stay asleep (but are not addictive) include:
Sleeping pills are addictive and many of them lead to dependence. Although people do not crave the drug as intensely as a person addicted to opioids (e.g., heroin or fentanyl) does, they can become psychologically dependent over time. In other words, a person who routinely takes sleeping pills may believe they can’t sleep without them. This belief is true because their brain and body start to rely on the drug to sleep properly throughout the night.
It is often difficult to recognize sleeping pill abuse because they are taken before bed. However, if you or a loved one begins taking the medications after the prescription runs out, it is a strong indicator that abuse has formed.
Other common signs of sleeping pill abuse include:
Signs of addiction are more severe than abusing sleeping pills. In particular, when a person becomes addicted, they constantly think about obtaining or taking more of the drug. This can negatively impact daily life and responsibilities, including work, social life, and finances.
Symptoms of a sleeping pill addiction include:
Sleeping pills are central nervous system (CNS) depressants, which means they decrease a user’s heart rate and breathing. As a result, respiratory problems and breathing difficulties can develop with excessive use. Loss of consciousness, brain damage, or death can also occur if your heart rate decreases low enough.
Mixing sleeping pills with opioids, such as heroin or fentanyl, or alcohol, is very dangerous and life-threatening. These drug interactions increase your chance of respiratory depression and can cause an overdose.
Lastly, some people take more sleeping pills than prescribed to achieve a “high” rather than fall asleep. Doing so is extremely dangerous and can also lead to an overdose.
The most common withdrawal symptom of sleeping pills is “rebound insomnia.” By definition, rebound insomnia is when sleep becomes worse after stopping the use of certain sleep medications. In most cases, rebound insomnia is worse than the patient’s original insomnia before taking sleeping pills.
More specifically, rebound insomnia frequently occurs after someone withdrawals from nitrazepam, flunitrazepam, or triazolam, even if they only took it for a short period of time. Diazepam and flurazepam, however, do not cause rebound insomnia during withdrawal.
People will begin to develop withdrawal symptoms in about seven days after stopping use. Depending on your age, gender, dosage, and length of use, the symptoms can last for a few weeks. Besides rebound insomnia, withdrawal symptoms include:
A sleeping pill addiction is a serious mental health issue, and there are several different treatments available to support your recovery. For example, treatment for benzodiazepine addictions usually includes four stages:
Tolerance and dependence increase significantly with continued use of sleeping pills. As a result, it is difficult to quit using without professional help. Find treatment today.
Harvard Health Publishing. “By the Way, Doctor: Are Sleeping Pills Addictive?” Harvard Health, www.health.harvard.edu/newsletter_article/By_the_way_doctor_Are_sleeping_pills_addictive.
“Insomnia.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 15 Oct. 2016, www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167.
Lie, Janette D, et al. “Pharmacological Treatment of Insomnia.” P & T : a Peer-Reviewed Journal for Formulary Management, MediMedia USA, Inc., Nov. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4634348/.
Kales, Anthony. “Rebound Insomnia.” Jama, vol. 241, no. 16, 1979, p. 1692., doi:10.1001/jama.1979.03290420018017.