Last month, all of a sudden, I had severe insomnia.

I wasn't sleeping very well, one because I was sleeping with a baby and the other because I was having a nervous breakdown, and before that I was at least able to get three or four hours of sleep at night, and when I woke up in the middle of the night I was barely able to fall back to sleep.

But I don't know why, suddenly can't sleep, can't sleep the whole night, tried to take a sleeping pill, direct drug resistance, useless. Three or four consecutive days, froze during the day not sleepy at night, until the fifth night finally fell asleep for three or four hours, woke up in the middle of the night can no longer fall asleep. Then the sixth day seventh day ...... and began to sleep, is that kind of, know that they are very sleepy very want to sleep is not able to sleep. During the day, the breathless dead air, the brain is also slow, casually move, the heart beat wildly, headache, close your eyes, but the spirit is very good, all kinds of want to think about the West can not control. Insomnia even led to my stomach pain, the most painful ever, triggered my transitional respiratory syndrome, and then did a gastroscopy, gastric ulcers gastric polyps nothing, is the bile reflux, the reason - vegetative nerve disorder. The doctor who did the gastroscopy heard me say that I recently had very bad insomnia and a chronic nervous breakdown, and she said, "Look, people are a whole, and some diseases are related.

Not being able to sleep was really painful and I couldn't get any energy out of my body, being only in my thirties and putting my body through this. I listened to my husband's advice, do aerobic exercise, not willing to leave home far away, I chose to jump rope. At first, I could only jump 30 to take a break, and my stomach hurt and my legs were sore. Jumping for three days, still can not sleep.

In order to treat insomnia, in the end is to see the neurology or psychiatry torn me half a day, given that before I took a sleeping pill is useless to me, I still want to try traditional Chinese medicine, chose the city's traditional Chinese medicine hospitals, looking for a relatively good online evaluation of the doctor hung up the sleep disorders outpatient clinic.

Comrades! The medical ...... consultation is just me a young man ah! Behind me and in front of me, there are grandparents.

I told the doctor about the symptoms, the doctor, in addition to prescribing me 7 days of Chinese medicine to drink, but also gave me other sleeping pills, and a box of anti-anxiety medication, said that it is imperative to fall asleep first, probably see that I am concerned about the Western medicine, the doctor added: can be withdrawn, these first take the first finish, and then will reduce the amount of, slowly withdrawn.

I really didn't feel much like taking western medicine and didn't want to rely on these things, but I half-heartedly took a sleeping pill that night. It worked, and I fell asleep not long after lying down. But the next day I got up and realized that my head hurt more easily, and my body was even more weak and didn't want to move, and my whole body was lifeless. Jumping rope I still insisted on, together with warm-up stretching, is an hour. I didn't take any more sleeping pills that night, I took half an anti-anxiety pill and stayed up all night, and on the third day my head ached even more and my body was even weaker. So I stopped taking all these western medicines. Just relied on drinking herbs and jumping rope.

The effect of Chinese medicine is still quite fast, the third night can be confused dreaming, although the sleep is very shallow, at least dreaming. Then the fourth and fifth day ...... can completely fall asleep, and in the middle of waking up can also fall asleep again. Then jump rope also from a time to jump 30 to 60 to 80 to 100 to now 110, every day at least 15 sets of jump. Now the spirit is obviously much better, the head does not hurt, the stomach is not very difficult, feel alive!

So I suggest that insomnia friends preferred reliable Chinese medicine, incidentally, physical conditioning, appropriate exercise. Western medicine can not eat as much as possible, follow the doctor's advice.

Sleeping pills are a very common medicine. Many people who can't sleep for various reasons choose to take sleeping pills without consulting a doctor in an attempt to get to sleep, unaware of the many side effects that await them when they wake up.

So what are all the side effects of sleeping pills?

1. Dependency

Taking sleeping pills for a long period of time may be a good way to sleep, but the aftermath is that you will have a hard time sleeping without them in the future. This is because sleeping pills can make people dependent.

2. Unresponsive

Taking sleeping pills for a long period of time can make people's memory deteriorate and their reaction become slow. The elderly in particular need to be especially careful, as long-term use of sleeping pills may lead to dementia.

3. Liver and kidney damage

Sleeping pills are broken down through the liver, and taking sleeping pills increases the burden on the liver and kidneys, which must be avoided by people with this condition.

4. Convulsions

If you sleep on sleeping pills for a long period of time, once you stop, you will experience convulsions or tremors, which is the body's dependence and habit, and is particularly bad for the body.

5. Sleep abnormalities

Sleeping pills can make people fall asleep quickly, but the quality of sleep is not high, and you may have nightmares, wake up early, and be drowsy during the day, which is not very good for your mental stamina.

6. Respiratory depression

In middle-aged and elderly people, taking sleeping pills may cause respiratory failure, and respiratory depression may be severe enough to cause death.

7. May cause death

All drugs are toxic, and sleeping pills are no exception; in large quantities they can lead directly to death.

Sleeping pills don't simply help you get to sleep; the complex chemical reactions can cause side effects of varying severity in addition to putting you to sleep. Therefore, it is important to take sleeping pills and follow the advice of a medical professional.

Occasionally a day or two of insomnia, do not resort to sleeping pills, oh, after a couple of days will soon be good. If it is long-term insomnia, before resorting to sleeping pills, try to sleep before the appropriate exercise, do not get up in the morning, do not stay in bed, less sleep during the day, and drink a cup of hot milk before going to sleep at night. Try to empty your head before going to bed, do not think of anything, keep the space quiet, you can play some appropriate light music to help you sleep.

For people who suffer from chronic insomnia, they always keep sleeping pills at their bedside. However, many people often have concerns about it. Take the medicine, worry about addiction, side effects: do not eat it, long night is really difficult to sleep, tossing and turning, but also affect the rest of the family. "Medicine is a poison", every drug will have side effects. Sleeping pill treatment often exists daytime drowsiness, rebound insomnia, cognitive impairment and other adverse reactions, the following table lists the side effects of some commonly used sleeping pills for reference, the name of the drug is the generic name of the drug, not the trade name, if you don't know the generic name, it is recommended to look at the oral sleeping pill box.

At present, the main means of treatment of insomnia or need to rely on drug therapy and psychotherapy, in the use of sleeping pills need to pay attention to some of the precautions, can reduce the occurrence of some side effects, precautions: (1) the way of administration: sedative hypnotic drugs every night before bedtime for 1 time, known as continuous treatment. If not every night to take, for example, every week to choose a number of nights to take medication rather than continuous nightly medication is called intermittent treatment, the recommended frequency of intermittent drug administration for 3 to 5 times a week. (2) If long-term medication is needed, non-benzodiazepines such as zolpidem, zopiclone, dexzopiclone, etc. are recommended from the safety point of view and drug compliance, but considering the potential addiction problem, short-term use is recommended, usually no more than 4 weeks, and patients are reminded that they need to find a doctor to prescribe sleeping pills according to their own situation, and should not use them on their own. (3) When patients feel able to self-control sleep, they can consider gradually stopping the medication, under the guidance of the doctor to stop the medication, such as insomnia associated with other diseases (such as depressive disorders, etc.) or life events, when the cause of insomnia is removed, you should consider stopping sedative hypnotic drugs. It is important to note that patients on long-term continuous drug therapy should avoid abrupt termination of medication, which may bring about a potential rebound of insomnia and severe psychiatric symptoms.

Sleeping pills as a prescription drug, if you find yourself with chronic insomnia, do not shy away from medical treatment, be sure to use sleeping pills under the guidance of a professional doctor. If you can correctly diagnose insomnia at an early stage, and take appropriate treatment measures in time, you can prevent short-term insomnia from turning into chronic insomnia!

[1] Neurology Section of the Chinese Medical Association, Chinese Guidelines for the Diagnosis and Treatment of Insomnia in Adults (2017 Edition).

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

As a clinician.Personally, I am very much not in favor of sleeping pills.

When you spend time in a clinical inpatient unit, you will encounter many hospitalized insomniacs, especially elderly patients who have been taking sleeping pills for a long time.

A few personal comments here as well!

Why am I personally very much against sleeping pills? Now that the state has formalized the management of sleeping pills, most sleeping pills require a regular doctor's prescription to be purchased, and they are prescribed in limited quantities each time and cannot be prescribed back in large quantities at one time.

In the old days when sleeping pills were not controlled many people went to the hospital to prescribe sleeping pills as soon as they had insomnia, and they strongly requested the doctor to prescribe sleeping pills, and they became addicted to eating them.

What are the biggest side effects of sleeping pills?1. Addiction 2. Long-term use leads to psychological dependence 3. Long-term use leads to tolerance i.e. dose dependence. The following is a general explanation.

1. Many patients, especially the elderly patients, take the first generation of sleeping pills when they take too much of them will lead to addiction, and they want to take them every night. Now that sleeping pills are controlled and restricted from being prescribed, they don't have a hospital to register at and beg doctors everywhere to prescribe sleeping pills, which is a very bad phenomenon.

2. The psychological dependence of sleeping pills: now there are second-generation and third-generation sleeping pills have been addictive side effects have been very small, but some of the more tense and anxious people if they eat for a long time will have a psychological dependence on the thought of eating sleeping pills to ease the inability to sleep, and will not be able to self-regulate at all.

3. Measurement of dependence: after long-term use of sleeping pills, originally a section can fall asleep, and now you need two or even eat three to sleep, I've seen the old man who is addicted to eating 4-5 sleeping pills every night to sleep.

In summary, I am not advocating prescribing sleeping pills as soon as you can't sleep. It is better to find the cause and treat it.

Who are the most prone to insomnia clinically? Most of the work pressure, irregular living habits are more nervous and anxious people. Most of this part of the people to regulate the work pressure mental psychological comfort sleep quality can be relieved. I do not advocate the prescription of sleeping pills once you can not sleep.

Clinically used sleeping pills are now divided into two categories, one is benzodiazepine drugs, the other is non-benzodiazepine drugs, according to the guidelines, although it is said that the new non-benzodiazepine drugs are relatively safe and less addictive, but if the long-term use of the drug will also lead to psychological dependence, not to eat, can not sleep, and can not sleep, think of eating sleeping pills to assist sleep.

Of course, I'm not saying that absolutely can not eat, take sleeping pills must be under the guidance of a doctor to use reasonably safe, of course, for long-term use of sleeping pills have been addicted to people, especially the elderly and its long-term suffering from insomnia, if you do not eat the line is worse than death, or need to be taken, the majority of people can regulate their lives through appropriate dietary adjustments or a small amount of intermittent use of sleeping pills to regulate sleep.

Finally, in passing a sentence about sleeping pills suicide, first of all, now that medical technology has been very developed, 90% of eating sleeping pills suicide in a timely manner to the doctor can be rescued, so it is still recommended not to eat sleeping pills to commit suicide, futile, and health insurance is not reimbursed.

Well, that's about it, so feel free to follow along and leave a comment to discuss.

Can I take sleeping pills for insomnia? Of course you can! You can take sleeping pills as long as you have sleep problems.

Should you take sleeping pills for insomnia or not?

It is a natural thing to take medicine when you are sick, but because of some well-known reasons, sleeping pills may appear drug dependence and drug resistance, so many people do not dare to take sleeping pills even if they have serious insomnia problems. Such a problem is definitely not a small probability of events, but a large part of the people, especially many elderly people, because of the fear of possible drug dependence, and long-term medication on the body, and insist on insomnia not to eat sleeping pills?

Do you think this is a scientific decision? Aren't drugs developed to help people get rid of diseases? Why would they hurt people?

In fact, not only sleeping pills, many drugs have drug resistance and other adverse reactions, long-term medication may indeed have a certain impact on the body, but this impact if you bring with the harm caused by insomnia comparison, simply negligible.

This Monday clinic encountered a 50-year-old insomnia field sister to the hospital, told me that has been insomnia for 30 years, tried to hear of all the non-pharmacological methods to regulate sleep, are ineffective, every night only about 2, 3 hours of sleep, when I was young can be tolerated, and now older and older think it is really intolerable, the whole day distracted and anxious, fidgety, and loss of energy, He was upset and anxious all day long, fidgety, losing energy, and in a trance. In fact, this patient is not only a sleep or anxiety problem, but also due to long-term insomnia caused by emotional reactions, has long reached the diagnostic criteria for depression.

Long-term insomnia will make people produce obvious sense of loss of energy, very easy to fatigue, inattention, memory loss, and will also aggravate the prevalence of a variety of chronic diseases, such as hypertension, coronary heart disease, diabetes, and even the prevalence of malignant tumors will be affected by long-term insomnia, in addition to long-term insomnia will also lead to the development of mental disorders, such as depression or anxiety disorders.

What are the dangers of sleeping pills?

We say that drug dependence generally refers to benzodiazepines continuously taking more than 8 weeks of drug dependence may occur as well as drug resistance, and even some elderly insomnia patients rumored that this ate sleeping pills is a lifelong thing, which in fact should be considered a rumor.

In fact, many third-generation sleeping pills - non-benzodiazepines are not drug-dependent, such as zopiclone, dexzopiclone, zolpidem tartrate and so on are non-benzodiazepine sleeping pills, because of the difference in the pharmacological effects, there is no drug dependence, but why do some old people say that they have dependence even after taking zopiclone? If you don't eat it, you can't sleep? One is because of their own insomnia problem, it is difficult to fall asleep without sleep aids; the other is because they are likely to have developed a mental dependence, similar to the desire and dependence on cigarettes of people who smoke.

Even if benzodiazepines do need to be taken continuously for a long period of time to develop dependence and then cause a withdrawal reaction when the drug needs to be discontinued, this can be minimized by slowly tapering the drug. The usual method of avoiding withdrawal reactions when taking benzodiazepines for a long period of time is to reduce the dose of the regular medication by 25% every two weeks until the minimum dose is taken and then stop the medication. So whether it's a withdrawal reaction or a withdrawal reaction, your doctor can help you.

summarize

It must be that insomnia is more harmful, more serious and more irreversible for insomniacs than sleeping pills. We all know that there are many non-drug ways and means to help sleep, but they are not always effective. If it is determined that non-pharmacological methods of treatment are not effective, you should choose to rationalize the use of sleeping medication treatment. Try to use them for no more than 8 weeks; if you must use them for a long period of time, consult your doctor when you stop using them, and use a slow tapering method to avoid withdrawal reactions.

If there are questions about the use of sleeping medications, or drug withdrawal, feel free to private message me with a message stating the question and I'll help you out. Hand typing is not easy, thanks for your attention!

Nowadays, due to the increase of life pressure, anxiety makes people's sleep quality seriously affected, insomnia is more and more people, especially in the middle-aged and elderly people are common, and there is no lack of youth. After a day of fatigue, if you can not get enough rest at night, it will affect the normal work of the next day. So a lot of people in order to be able to improve sleep thought of taking sleeping pills, then take sleeping pills have no side effects is our most concerned about the problem.

First of all, sleeping pills are also medicines, and I believe we all know the old saying that "medicines are three times poisonous". Sleeping pills promote sleep by blocking excitatory impulses to the cerebral cortex. Sleeping pills not only have an effect on the body, but also on the mind.

The more common side effect of sleeping pills is drug dependence and addiction. People who take sleeping pills orally on a regular basis will experience more severe insomnia once they stop taking the pills, not being able to fall asleep, and in severe cases, panic, shortness of breath, and symptoms caused by sympathetic excitation of anxiety. It is necessary to rely on sleeping pills for a long time to ensure better sleep.

People who have been taking oral sleeping pills to promote sleep for a long period of time will, over time, experience a decrease in the effects of taking the same dose of sleeping pills to promote sleep, resulting in the need to gradually increase the dose of the drug in order to achieve a better effect. This is drug resistance. This is related to the liver to produce the enzyme degradation of sleeping pills, due to long-term oral sleeping pills, resulting in an increase in the corresponding degradation of the enzyme, so the sleeping pills will be degraded more quickly, can not achieve a better sleeping effect.

Most of the drugs are degraded by the liver, reach the kidneys through blood circulation, and are excreted by the kidneys. Therefore, the degradation and excretion of drugs need the participation of liver and kidney function. When the liver and kidneys function abnormally, the sleeping pills taken will easily gather in the body, and the long-term accumulation of drugs will lead to the occurrence of drug poisoning.

The drug itself has the side effect of damaging liver and kidney function, so try not to take sleeping pills orally for a long period of time to prevent serious liver and kidney insufficiency. Long-term oral sleeping pills also have an effect on one's memory, which may be related to the fact that sleeping pills have the effect of blocking nerve conduction in the cerebral cortex.

People who take sleeping pills will be prone to sleep abnormalities. For example, they will experience sleepiness during the daytime due to the effects of sleeping pills, and they will have frequent nightmares during their sleep at night.

Respondent: Wenli Han, M.S., M.A.

Welcome to Life Calling for more useful health knowledge.

Dr. Clove is here to answer that question.

For most people, it is okay to take sleeping pills for insomnia, but there are some insomniacs for whom sleeping pills are not appropriate.

(1) Contraindicated in the first trimester of pregnancy and in lactating women in view of teratogenic effects;

(2) Ambien can cause muscle weakness, hypothermia, hypotension, and mild respiratory depression in newborns, so it is generally not used in newborns;

(3) Contraindicated in patients with glaucoma. Because sleeping pills can cause ciliary muscle relaxation, which can aggravate the impairment of atrial fluid circulation (for details, refer to the information on glaucoma);

(4) Contraindicated in patients with myasthenia gravis;

(5) Use with caution in the elderly and children; if use is necessary, follow medical advice;

(6) Synergistic effects with central depressant drugs are particularly likely to occur with ethanol. Therefore, people taking sleeping pills should not drink alcohol.

If you want to talk about harm.Since there is a decrease in the effectiveness of sleeping pills, some people may increase the dosage of the drugs on their own, which can lead to addiction and dependence if taken for a long time. In fact, as such drugs were overused in the past and awareness of the drugs was not as adequate as it is now, some people have been taking the drugs for many years and would face greater difficulties if they are asked to stop taking the drugs now.

Editor / Lee Bad

Nowadays, sleeping pills are still effective, short-term occasional side effects are small, and the newer sleeping pills are less addictive, so they are safer.

However, there are many precautions to be taken when taking sleeping pills:

First, you can start by trying to improve your sleep by not taking medication, but by improving some small habits

For example, light exercise two hours before bedtime, going to bed half an hour before bedtime to read or listen to soothing music, and taking a hot bath or hot feet before bedtime if you have the means to do so will help you fall asleep. Make sure your bedroom is dark enough when you go to bed, and don't have light or sound sources that disturb you from falling asleep.

Second, if the above methods do not help, consider short-term use of sleeping pills.

There are also rules for using sleeping pills, and different sleeping pills should be chosen for different sleep disorders

For example, if you have trouble falling asleep, you can choose eszopiclene, etc.

For example, those who wake up early or have difficulty falling asleep after waking up early can choose diazepam, etc.

For example, if it's a series of nightmares, you can choose alprazolam, etc.

Third, in your case, I'll focus on eszopiclone

Eszopiclone is a medication that I am more accustomed to using. There are few side effects and it works well with less dependence.

It works well for difficulties in falling asleep due to anxiety, nervousness, fear, and so on. Taken before bedtime, the effect usually lasts for 6-8 hours, which is just about a normal sleep time, so there is no too obvious tiredness, weakness or lack of energy after waking up the next day.

In addition, long-term use can produce some dependence, but it is very mild. Therefore, short-term use (within a week) is generally unlikely to produce dependence.

If you really have a hard time sleeping, which affects your work life, and you are anxious, forming a vicious cycle, you may want to try sleeping pills. However, sleeping pills must be used under the guidance of a professional doctor. The ordinary drugstore does not sell this kind of medicine.

Poor sleep is often caused by a variety of reasons, such as psychological factors, environmental factors, changes in sleep rhythms, daily life factors, and medication factors.

Sleep problems are usually characterized by difficulty falling asleep; waking up easily; waking up early (not being able to go back to sleep after waking up); and poor quality of sleep.

There are several types of sleeping pills, I'll list them below and you can compare them, I hope this helps you:.

1. Diazepam and zolazepam, such as diazepam, clonazepam, lorazepam, alprazolam, and eszopiclone. Side effects commonly include daytime sleepiness, dizziness, falls, and cognitive impairment. Addiction is severe; there is a withdrawal reaction when the drug is discontinued;

2. Zopiclone, dexzopiclone, zolpidem. For elderly patients.

3. Ramelteon, Agomelatine. Treatment of long-term insomnia, no withdrawal symptoms, no dependence.

For the above sleeping pills, it is recommended to use the medication rationally, using the lowest effective dose, 2-4 times per week for no more than 3-4 weeks of regular use, reducing the original medication by 25% per day, and gradually stopping the medication.

In terms of co-medication, melatonin is recommended for synchronized conditioning.

Of course, medication is not the goal, it is better to find the main cause of insomnia and save the medication, I hope it will help you.

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If you have any other questions or opinions, please feel free to discuss them in the comments section.

Many people deal with insomnia by taking sleeping pills, but in fact the use of sleeping pills can bring us a lot of harm.

Insomnia to eat sleeping pills this behavior is likely to be triggered by the occurrence of drug dependence, although it is said that once in a while to eat sleeping pills will not cause particularly serious damage to us, but if we take sleeping pills to improve the condition of insomnia through a long-term way, then it is very likely to not take sleeping pills will not be able to fall asleep, resulting in drug dependence of the condition of the occurrence. In addition, the use of sleeping pills may also have a certain impact on our nervous system and damage, because the side effects of sleeping pills are relatively large, the use of the drug will lead to our central nervous system to be inhibited, resulting in damage to the nerve cells in our body, which will lead to memory loss, concentration, dizziness and headache and other symptoms of discomfort.

I don't advocate taking sleeping pills as soon as you can't sleep, it's better to find the cause and treat it.

Of course I'm not saying that you should never take them, it's always safe to take sleeping pills and use them wisely under a doctor's supervision.