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Understanding the Risks of Dependency on Sleeping Aids

In our busy lives, getting a good night’s sleep often feels like a rare luxury. With so many demands on our time, it’s no wonder people turn to sleeping aids—whether prescription or over-the-counter—to catch some Z’s. 

Moreover, research shows that over a third of Americans struggle with insomnia and don’t get enough sleep—maybe you’re in that group. If so, you might be thinking about trying a sleeping pill to get some relief. While sleeping aids might do the trick in the short term, relying on them too much can lead to a range of problems and eventually result in sleeping aid dependency. It’s important to understand these potential problems so you can make smart choices about your sleep and look into other ways to improve it.

What Are Sleeping Aids? 

Sleeping aids, also known as sleep medications or hypnotics, are substances used to promote sleep. They come in various forms, including prescription medications like benzodiazepines and non-benzodiazepine sleep medications and over-the-counter options like diphenhydramine (an antihistamine) and melatonin (a hormone supplement). 

Sleeping pills, like benzodiazepines, barbiturates, and newer options, fall under sedative hypnotics and help with sleep. Benzodiazepines (e.g., Ativan, Valium) are good short-term but can be addictive and affect memory. Barbiturates, while effective, are risky and mainly used for anesthesia due to their potential for fatal overdose. Newer meds like Ambien and Lunesta work fast and are less likely to be addictive, but they can still lead to sleeping aid dependency over time.

Short Term Benefits But Long-Term Risks

In the short term, sleeping aids can really help. They’re great for dealing with sleep problems caused by things like stress, jet lag, or temporary changes in your routine. If you’re having trouble sleeping now and then because of these kinds of situations, these aids can give you the immediate relief you need to feel rested, which is important for your overall well-being.

But here’s the thing: if you keep using sleeping aids over a long period of time to solve your sleep problems, do they still work the same way?  Let’s dive into the long-term challenges, like sleeping aid dependency or side effects, that you might run into with these medications.

What Are The Side Effects Of Sleeping Aids? 

Like most medications, sleeping pills come with potential side effects, and you might not know how you’ll react until you try them. If you have conditions like asthma or other chronic lung issues, it’s especially important to discuss this with your doctor, as some sleeping pills can affect your breathing and be risky for people with these problems.

Common side effects of prescription sleeping pills, such as Ambien, Halcion, Lunesta, Rozerem, and Sonata, include things like:

  • Feeling a tingling or burning sensation in any part of your body
  • Appetite changes 
  • Diarrhea or constipation
  • Shakiness and lightheadedness
  • Experiencing daytime sleepiness 
  • Coughing up saliva or wax
  • The sensation of gas and discomfort in the abdomen
  • Discomfort and acid reflux
  • Issues with paying attention or remembering
  • Challenging dreams or tremors

Always check with your doctor about potential side effects and how they might impact you.

The Dangers Of Sleeping Aid Dependency

However, the convenience of sleeping aids often masks the risks associated with their prolonged use. One of the primary concerns is the potential for sleeping aid dependency. Dependency on sleeping aids can develop when individuals begin to rely on these substances regularly to achieve sleep. This dependency can manifest in several ways:

1. Tolerance and Increased Dosage

As with many medications, the body can build tolerance to sleeping aids over time. This means that the same dose becomes less effective, leading individuals to increase their dosage to achieve the same results. This escalation can heighten the risk of side effects and complicate the process of discontinuing use.

2. Withdrawal Symptoms

When individuals who have developed a dependency attempt to stop using sleeping aids, they may experience withdrawal symptoms. These can include rebound insomnia (worsening of sleep issues), anxiety, agitation, and, in some cases, even physical symptoms like nausea and sweating. Withdrawal can make it difficult for individuals to sleep without the aid of medication, perpetuating the cycle of dependency.

3. Impact on Sleep Architecture

Sleeping aids can alter the natural sleep architecture, which includes the different stages of sleep such as REM (rapid eye movement) and deep sleep. Some medications may decrease the amount of time spent in these restorative stages, potentially leading to less effective sleep. Over time, this disruption can affect cognitive function, mood, and overall health.

4. Cognitive and Physical Effects

Long-term use of certain sleeping aids can impair cognitive and physical functions. For example, benzodiazepines, a common class of prescription sleep medications, are associated with risks such as memory problems, reduced alertness, and impaired coordination. These effects can impact daily activities and increase the risk of accidents, particularly when operating vehicles or machinery.

5. Interaction with Other Medications

Sleeping aids can interact with other medications, potentially leading to adverse effects. For example, combining sleeping aids with alcohol or other depressants can exacerbate drowsiness and impair cognitive function, increasing the risk of accidents. It’s crucial for individuals to discuss all medications and supplements they are taking with their healthcare provider to avoid harmful interactions.

If you become dependent on sleeping pills, breaking free from that habit can be challenging. But don’t worry—there are many sleeping pill addiction treatments available. We’ll go over those options a bit later.

Who Should Avoid Sleeping Pills?

Sleeping pills aren’t safe for everyone, and it’s crucial to check with your doctor before using them, even if they’re available over-the-counter.

  • Children: Sleeping pills aren’t recommended for kids. There are no FDA-approved options for those under 16, and these medications are only tested on adults, so safe dosages for children aren’t known.
  • Older Adults: If you’re 65 or older, it’s best to avoid all sleep aids, including OTC and newer options like Ambien and Lunesta. Older adults can experience longer-lasting drowsiness, confusion, and memory problems, which can lead to falls or accidents.
  • Pregnant or Breastfeeding: If you’re pregnant or breastfeeding, avoid OTC sleeping aids. If you have severe insomnia, your doctor might prescribe something for short-term use.
  • Others: If you have kidney disease, low blood pressure, irregular heart rhythms, or seizures, don’t use sleeping pills without your doctor’s advice. They might interact with other medications you’re taking, so make sure your doctor and pharmacist are aware of all the medications and supplements you use.

What Are Some Sleeping Pill Addiction Treatments? 

If you are dealing with sleeping pill addiction, there are several approaches to treatment that can help you recover and improve your sleep without relying on sleeping pill medication. Here are some common treatments:

1. Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is a structured program that helps individuals address the thoughts and behaviors that contribute to insomnia. It involves techniques such as sleep restriction, stimulus control, and relaxation training. Research has shown CBT-I to be highly effective in improving sleep quality without the risks associated with medication.

Techniques like acupuncture, yoga, or mindfulness meditation can complement other treatments and help manage stress and improve sleep.

2. Sleep Hygiene Practices

Maintaining good sleep hygiene can significantly improve sleep quality. This includes establishing a consistent sleep schedule, creating a comfortable sleep environment, and avoiding stimulants like caffeine and electronic screens before bedtime. Implementing these practices can enhance natural sleep patterns and reduce the need for external aids.

3. Lifestyle Modifications

Incorporating lifestyle changes such as regular physical activity, a balanced diet, and stress management techniques can positively impact sleep. Exercise, in particular, has been shown to promote better sleep and reduce symptoms of insomnia. However, it’s important to avoid vigorous exercise close to bedtime, as it can be counterproductive.

Moreover, joining a support group can provide encouragement and allow you to share your experiences with others who are also working to overcome addiction.

So, learning more about sleep disorders and addiction can empower individuals to take control of their health and make informed decisions about their treatment.

Also, you might come across sleeping pills online or at various pharmacies, sometimes even without a prescription. However, it’s safer to stick to buying prescription medications online to avoid the risk of dependency, which can be tough to manage later on.

So, What Are The Specific Alternatives You Have To Seek? 

Before you think about popping sleeping pills, there are a few things you might want to try to help you get a good night’s rest.

First off, it’s a good idea to steer clear of:

  • Alcohol, as it can lead to restless sleep and waking up frequently. Try not to drink any within three hours of bedtime.
  • Caffeine, which can stay in your system for hours. Avoid it for at least six hours before you plan to sleep.
  • Big meals right before bed, as they can cause indigestion.
  • Drinking too much water or other fluids close to bedtime might make you get up during the night.
  • Smoking, since nicotine is a stimulant.
  • Electronic devices like phones and computers at least half an hour before you hit the hay.
  • Exercising too close to bedtime.

Instead, consider:

  • Sipping on warm milk, chamomile tea, or tart cherry juice before bed.
  • Getting regular exercise, but try to do it earlier in the day.
  • Keeping your bedroom cool and dark.
  • Practicing meditation or listening to calming music before sleep.
  • Stick to a sleep routine so your body gets used to a consistent bedtime.

Key Takeaways

Sleeping aids might give temporary relief from sleep problems, but they can lead to dependency and other risks. It’s crucial to be cautious with them and consider alternative methods for better long-term sleep. Focusing on sleep hygiene, trying behavioral therapies, and making lifestyle changes can help you sleep better without the downsides of relying on sleeping aids. By tackling the root causes of sleep issues and adopting healthier habits, you can achieve more consistent and restorative rest.

Medically Reviewed By

Dr. Melissa J. Roybal
Dr. Melissa J. Roybal

Melissa has over 15 years of experience since graduating from Georgetown University, specializing in pediatrics, adult, and geriatric care. She is passionate about helping patients via telemedicine for various conditions.

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