According to statistics, at present, the incidence of insomnia in China has reached 40%, often a mention of insomnia, we preferred to think of sleeping pills, in fact, the treatment of insomnia is not as simple as you think, the first choice, we have to find the cause of insomnia, insomnia, insomnia, there are a lot of reasons, such as depression, anxiety, chronic diseases, sleep apnea syndrome, medication, etc., to find the cause of the cause of the cause of the disease, according to the cause of the treatment. The second is cognitive behavioral therapy, which is to let patients correctly understand insomnia and correct some bad habits affecting sleep, such as don't overeat before going to bed, don't drink a lot of water, don't drink alcohol and caffeine-containing beverages, don't do strenuous exercise before going to bed, etc. The last one is sleep health education, such as regular work and rest time, comfortable sleep environment, avoiding excessive stimulation before going to bed, etc. If, after the above three kinds of treatments If after the above three treatments, the patient still can't achieve a satisfactory treatment effect, then it is necessary to give sleeping medication as appropriate.

Patients who have difficulty falling asleep alone can choose short-acting sleeping pills, such as zopiclone, dexzopiclone, zolpidem, zaleplon and other new non-benzodiazepine sleeping pills, either of which can be, these drugs have a fast onset of action and a short duration of action, and if waking up is still too early to get up, you can take another dose. Difficulty in falling asleep easy to wake up at night patients, you can choose the medium and long acting sleeping pills, such as alprazolam, clonazepam, lorazepam, diazepam and other traditional benzodiazepines sleeping pills, any of which can be, this type of drug has a long time, usually every night before bedtime can be used once.

The use of sleeping pills should be based on the individual's situation, starting with a small dose of medication, gradually increasing to the lowest effective dose, do not take medication every night, should be short-term, as needed, intermittent use. The course of treatment for sleeping pills is generally no more than 4 weeks, and continuous use for more than 4 weeks needs to be reassessed by a doctor. The medication should be tapered off gradually, avoiding abrupt termination of treatment, to minimize the rebound of insomnia, and the tapering process needs to last from a few weeks to a few months.

Common adverse reactions of sleeping pills include hangover (dizziness, fatigue, drowsiness, etc. on the next day), mental dependence, tolerance, memory loss, and sudden discontinuation of the drug will lead to insomnia rebound, etc. Compared with traditional benzodiazepine sleeping pills (alprazolam, clonazepam, lorazepam, diazepam, etc.), the newer non-benzodiazepine sleeping pills (zopiclone, dexrazopipramolone, zolpidem, zaleplon, etc.) Short duration of action, low drug residuals on the next day, can effectively reduce the occurrence of the above adverse reactions, is currently the first choice of drugs for the treatment of insomnia, when the treatment is ineffective or the patient can not comply with the replacement is considered.

The treatment of insomnia is a comprehensive treatment, the drug is only one of the aspects, only as a short-term relief of insomnia symptoms, is not the main means of treatment. Sleeping pills is a national special control of drugs, must be with a doctor's prescription to buy, if you have to take sleeping pills, need to be taken under the guidance of a doctor or pharmacist, do not buy sleeping pills without authorization to take on their own.

References:

Chinese Medical Association of Neurology, Chinese Medical Association of Neurology, Sleep Disorders Group. Chinese guidelines for the diagnosis and treatment of insomnia in adults (2017 edition). Chinese Journal of Neurology, 2018, 51(5):324-335.

China National Formulary (2010 edition)

First of all, first of all, to clarify whether it is insomnia, insomnia is a subjective experience that, despite having the right opportunity to sleep and sleep environment, still feel unsatisfied with the time and/or quality of sleep, and affect the daytime life. It is generally characterized by difficulty in falling asleep (more than 30 min), sleep maintenance disorders (waking up >2 times in the night), early waking, decreased sleep quality, and total sleep time reduced to less than 6.5h, accompanied by daytime life dysfunction. The duration of insomnia is categorized into short-term insomnia (<3 months) and chronic insomnia (≥3 months). Due to the differences between individuals, some people have shorter sleep duration, but there is no subjective decrease in the quality of sleep, and there is no daytime life, so it cannot be regarded as insomnia. Therefore, it is not advisable to judge whether you have insomnia on your own, and it is recommended that you seek a doctor's diagnosis first. There are many ways to treat insomnia, including psychotherapy, medication, physical therapy and Chinese medicine. Most insomnia is closely related to psychological factors, so the use of psycho-behavioral therapy can help to improve the quality of sleep, but it requires the involvement of a medical professional.

In terms of drug treatment, sleeping pills can exert good hypnotic efficacy and quickly eliminate insomnia symptoms. Based on the efficacy and safety, it is recommended that the preferred sleeping pills are non-benzodiazepine drugs such as zolpidem (trade name Snox), zopiclone (trade name Tsingelzi, etc.), dexzopiclone tablets and zaleplon. However, it should be reminded that when choosing a sleeping pill, you need to consider the relevance of the symptoms, previous drug reactions, the patient's general condition, interactions with current medications, adverse drug reactions, and other current illnesses. And it should be noted that the main indications in the instructions of some drugs are not applicable to the treatment of insomnia, such as certain antidepressants and sedative antipsychotics, but these drugs have the effect of treating insomnia, can also be used for the treatment of insomnia, such as a small dose of doxepin. Therefore, sleeping pills, as a prescription drug, must be taken under the guidance of a medical professional. The dosage of the drug needs to be individualized, given by the doctor a minimum effective dose, generally from the point of view of safety, advocating short-term (not more than 4 weeks), intermittent use of the drug, taken 5 ~ 10min before going to bed.

In life, most of the insomnia patients have bad sleeping habits, which disrupt the normal sleeping pattern, thus leading to insomnia, therefore, it is recommended to pay attention to the following points in life: (1) Avoid excitatory substances such as coffee, strong tea, or smoking within 4-6 h before going to bed; (2) Don't drink alcohol before going to bed, especially can't utilize the alcohol to help you fall asleep; (3) Arrange for moderate physical exercise on daily regular basis and 3-4 h before going to bed should be Avoid strenuous exercise; (4) should not overeat or eat indigestible food before going to bed; (5) 1 h before going to bed do not easily cause excitement of mental labor or watch easily cause excitement of books and film and television programs; (6) the bedroom environment should be quiet, comfortable, and maintain the appropriate light and temperature; (7) to maintain a regular work and rest time.

[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.

Thank you for the invitation and I hope my answer is helpful.

Sedative-hypnotics are all addictive, and if not used properly, they can lead to sedative-hypnotic addiction, which can be quite difficult to treat. How to use sedative hypnotics? How to use sedative hypnotics safely and effectively?

First of all, you need to do "short-term, small amount, intermittent, on-demand" to take, so that you can effectively avoid sedative-hypnotic drug addiction problems.

Secondly, according to your different insomnia manifestations, choose a sleep aid drug with appropriate characteristics.

First, difficult to fall asleep: for this type of insomnia can choose fast-acting sleep aid drugs for treatment. The shorter the half-life of the drug, often the faster the effect, can be very good to promote sleep. When I was rotating in the neurology department, a patient's family came to me, said that the sudden change of place, can not sleep asked me what a good way, I suggested that he take two days of dexzopiclone, do not make up sleep during the day, back to normal sleep, will be off the drug. On the fifth day, the family said that he had adapted to the environment, stopped taking the drug the day before and slept well last night. Drawing on this example, when it is difficult to fall asleep due to business trips or sudden changes in the sleep environment, you can try to take drugs with a short half-life, and these drugs do not have the side effect of muscle relaxation, do not affect the cognitive function the next day, and have low addictive properties. Representative drugs:Zopiclone, dexzopiclone, midazolam.

Second, sleep maintenance difficulties or early awakening:For this type of patients, you can choose the long acting time of the drug for treatment. The longer the half-life of the drug, the longer the duration of action, can better maintain sleep and reduce early awakening. I have been in contact with many elderly people who wake up at one or two o'clock in the second half of the night and can't go back to sleep after that, and they commonly take eszopiclone for a long time to prolong their sleep. Benzodiazepines significantly prolong sleep and are more effective in patients with insomnia with manifestations of anxiety. However, these drugs have the side effect of muscle relaxation, which can easily lead to leg weakness, weakness, beware of falling when using, long-term use of the drug is easy to form drug addiction. Representative drugs:Eszopiclone, alprazolam, diazepam, clonazepam and so on.

Third, for patients who are not satisfied with the quality of sleep, they can choose to increase deep sleep drugs for treatment. These drugs are not addictive and have a strong sedative-hypnotic effect, but side effects are prevalent. Common side effects include excessive sedation, dizziness, constipation and weight gain. Monday discharged a patient with anxiety disorder, used to take mirtazapine, the patient reported that she was willing to eat after taking mirtazapine, but the dizziness was so bad that she stopped taking it. Her experience with the drug is a good illustration of the side effects of Mirtazapine. Representative drugs:Mirtazapine, trazodone, doxepin and so on.

There is also a part of the patient, always feel that they did not fall asleep or no deep sleep, feel that sleep does not wake up to relieve the tiredness, while the objective polysomnography results show that the quality of sleep is very good. These patients belong to the category of "subjective insomnia", and can be treated with low-dose olanzapine, risperidone, quetiapine, etc.

Finally, if you can improve your sleep with behavioral therapy, it is better not to use sleep aids. I will introduce behavioral therapy for insomnia step by step in my future answers. It's not easy to write, welcome to comment and praise. If there is a need you can private message me, I will be patient for you to answer. @HeadlineHealthAlliance @Headline

Can I take sleeping pills for insomnia? Of course you can take it, not accustomed to occasional insomnia or chronic insomnia, you can take sleeping pills to help restore healthy sleep. As for what precautions to take, let's talk about it slowly.

Adverse effects of sleeping pills that people are concerned about and what to expect

When it comes to sleeping pills, I think the vast majority of people who have and haven't eaten them are worried about one thing, what about drug dependence on sleeping pills? In fact, not all sleeping pills have drug dependence, it can be said that only benzodiazepine sleeping pills in the case of continuous use of more than 8 weeks may appear drug dependence.

Of course, benzodiazepines are the most widely used sleeping medications we have at present, and a few of the most commonly used medications include: alprazolam, eszopiclam, clonazepam, lorazepam, oxazepam, and so on. In we encounter insomnia problems to the hospital when the doctor will be based on the specifics of your insomnia (difficulty falling asleep or waking up early or waking up after not being able to fall asleep or dreaming, etc.), choose the right benzodiazepine drugs for you, the general use of the drug to sleep regulation to return to normal stopping the drug does not affect the appropriate. Generally will not exceed 8 weeks of use, this can be noted. Of course, if the condition really need to take more than 8 weeks do not worry, drug dependence is not everyone will appear, even if it occurs can be through scientific methods to reduce or avoid the ensuing withdrawal reaction.

In fact, we can choose non-benzodiazepine sleeping pills to avoid drug dependence, such as zopiclone, dexzopiclone, zolpidem tartrate and so on in the third-generation sleeping pills, because of the different mechanism of action with benzodiazepines, so there is no drug dependence characteristic of benzodiazepines.

In addition, sleeping pills are divided into long-acting and short-acting points, the general difficulty in falling asleep will choose a short-acting drug to take, can guide the sleep to fall asleep quickly, and the drug has a short duration of action, the next day after waking up there will be no dizziness, headache, and other hangover, such as eszopiclone, for example, zolpidem tartrate, zopiclone belong to the short-acting sleeping pills, which will not affect the next day after waking up.

Some long-acting sleep medications tend to be more sedating and have a long duration of action. Clonazepam tablets, for example, are taken because they are within the drug's range of action all night, so when you get up at night you usually feel like you're stepping on cotton wool and need to hold onto the wall to avoid falling.

Tell me if you should take sleeping pills or not.

We can think differently and compare which is worse, the dangers of insomnia or the adverse effects of sleeping pills, and make the most favorable choice.

My point is: compared to sleeping pills, it must be insomnia that is more harmful to people, more serious and more irreversible. At least the incidence of hypertension, diabetes, coronary heart disease and even malignant tumors are all related to long-term insomnia.

We all know that there are many non-pharmacologic ways and means to help sleep, but they are not always effective. If it is determined that non-pharmacological treatments are not effective, then a rational use of sleeping medications should be chosen. Try to use them continuously for no more than 8 weeks; if you must use them for a long period of time, consult with your doctor when you stop using them, and use a slow tapering method to avoid withdrawal reactions.

I hope my answer is helpful to you, right, about sleeping pills and questions can be private message message, I will be the first time to help you answer, thank you for reading, hand typing is not easy, welcome to attention.

New type of Valium: Jiazan, is a new type of key nervous system drug, because of the drug in the benzodiazepine ring added a triazole ring, so its role is 25-30 times that of Valium, the hypnotic effect is 2,5-11 times that of Valium, and has a 'tricyclic' antidepressant effect. It has small dosage, fast action, few side effects, and the effective rate of treating insomnia is 99.23%.

My mother has severe insomnia, maybe it's hereditary, I also have insomnia and have been taking sleeping pills for years.

I went to the drugstore to buy sleeping pills, and the store owner discreetly told me, "If you take too many sleeping pills, you will be prone to dementia in old age."

I just thought, my mother has been taking sleeping pills since she was young, and now in her 80s, she still takes them every day, and not only does she not have dementia, she has no other problems except high blood pressure. But the side effects of sleeping pills are still very obvious. For example, after taking the pills at night, she is groggy and weak the next morning and wants to lie down very much, which affects her daily work.

I've had a couple of occasions where, after taking my medication, I've gone out on my bike the next morning, disoriented and weak, and walking, and suddenly fell to the ground. Once, after falling, a young man on an electric bike said, "I didn't touch you, you fell on your own, didn't you?" It was embarrassing and dangerous. Then there's the emotional impact of taking sleeping pills, being depressed and irritable. Insomnia can be tolerated, try not to eat, or take less sleeping pills.

In fact, there are many alternatives to sleeping pills on the market nowadays, and even though their efficacy is not ideal, they are more or less able to stabilize your mind at night, and you won't be affected by too many side effects the next day.

Nowadays, the reason why so many people suffer from chronic insomnia and are miserable is that medications are not efficacious and work at best for a while, or even just for a few hours. Cure, almost impossible.

Personally, I think that insomnia is mainly a problem with the mind. For example, thinking too much. Related to their own, unrelated things to consider over, consider the past, in fact, not a little effect. Knowing that they are good to consider things, it is best not to contact with the outside world before going to bed at night, do not chat with others too much, sensitive topics do not touch. Otherwise, lying in bed certainly think about eight, affecting sleep.

In fact, to say a thousand words, it is very important for people to learn to let go, for physical and mental health. DYNAMIC

It is possible to take sleeping pills for insomnia. Sleeping pills have some adverse effects, but if you do not sleep well for a long period of time, the harm to your body is definitely greater than the side effects of sleeping pills. But because of its more side effects, sleeping pills try not to take for a long time.

Commonly used sleeping pills, like most tranquilizers, belong to the benzodiazepine class of drugs. Short-acting ones such as Xanax, chemically known as midazolam, have a short duration of action. Snortex, chemically known as zolpidem, is fast-acting and is indicated for short-acting treatments (usually no more than 4 weeks). Medium-acting sleeping pills include Xylazine and Gagetin. Long-acting ones such as Valium and lorazepam.

Some of the more common side effects of sleeping pills include

1. Almost all sleeping pills have the phenomenon of "hangover", many insomnia patients can sleep peacefully after taking the pills, but wake up drowsy, dizzy and unable to concentrate.2. Taking sleeping pills can reduce cognitive ability, memory and intelligence, especially in the elderly.3. Long-term oral sleeping pills will have dependence and addiction. Dependence and addiction, once formed can not leave the drug, suddenly stopping the drug will appear withdrawal symptoms, insomnia, anxiety, headache, nausea and other symptoms.4. Elderly people who have liver and kidney insufficiency or poor lung function, long-term oral sleeping pills may have respiratory depression.5. Prolonged oral sleeping pills will appear sleeplessness, headache, depression, daytime lethargy, dry mouth, panic and chest tightness, false sweat and other undesirable symptoms.6. Long-term use of sleeping pills can lead to drug resistance, which makes the regular dose of the drug unable to play any role. 6.

Insomnia is usually caused by mental stress, anxiety and fatigue, and long-term irregular work and rest time. Psychological stress, staying up late, drinking strong tea and coffee are all triggering factors for insomnia. For insomnia is first of all the use of non-pharmacological treatment, such as do not do strenuous exercise before going to bed, do not watch TV and movies, do not drink coffee before going to bed, otherwise it will make the brain in the state of excitement is difficult to sleep. Before going to sleep, you can listen to soft music, drink a cup of hot milk, do yoga, hot water feet and so on are conducive to improving sleep. If you feel particularly awake without sleep, then simply get up, do not always toss and turn in bed, aggravating the psychological burden. Usually do not stay up late, regular rest and do not give yourself too much mental stress.

Insomniacs should not always think of using sleeping pills to improve their sleep. Occasional or short-term consumption of sleeping pills is OK, with little side effects, but actually cannot solve the fundamental problem. So we should first find out the source of insomnia, to correct, if still can not be resolved, you can first oral proprietary medicines, such as wuling capsule, clear brain rejuvenation liquid, tranquilize the spirit of the brain liquid, etc., these medicines are relatively safer. Alcohol can inhibit the central nervous system and has a synergistic effect with sleeping pills, so you should not drink alcohol while taking sleeping pills.

Recently, I have been receiving many invitations to answer questions about how to solve problems such as insomnia, headache, toothache, post-surgical complications, and what to do about them, and even the selection of prescriptions and medications, which is a bit troubling.

Perhaps because of the enthusiasm and activity of many registered specialists on our platform has attracted the interest of some patients, hoping to use the public platform to collaborate to achieve the purpose of free consultation and search for medicine, perhaps some patients also hope to Wukong Q&A as a specialized specialist clinic it .......

To this end, it is proposed that doctors and patients communicate on the platform, a consensus should be formed: how to look at such as insomnia, headache and other "small problems", but in essence, because of the causes of insomnia and headache are not the same, the onset of time, symptoms and different physical conditions, and even individual tolerance differences, without formal hospital diagnosis and differential diagnosis, through the platform Q&A guide to take randomly It is irresponsible to take sleeping or painkilling drugs without proper hospital diagnosis and differential diagnosis, and it is also a violation of the license to practice medicine. Effective explanation and discouragement of questions and invitations should be given. Thank you for your invitation!

I also had insomnia for a long time and felt the pain caused by prolonged insomnia. Then once I went to the hospital, the doctor gave me sleeping pills to help me sleep. I took it for a week, and after taking it, I felt sleepy and fell asleep quickly in bed. But on the second night after I stopped taking the medicine, without the sleeping pills, I had trouble sleeping all night that night, and then I slowly got used to it. It wasn't a good night's sleep, but I was barely able to fall asleep. There are many reasons for insomnia, and it's important to find out why and go to the root cause. Sleeping pills are just an aid, you still have to solve the problem from the root by yourself. May we all have a good night's sleep.

Insomnia is a headache, as long as it is an adult more or less experienced at night when you can not sleep, slow long night so hard to get through, five heart irritability, thinking about the daytime still have to study and work, more difficult to fall asleep.

If you are often anxious about sleep problems at night, it means that there is a sleep block, and occasional poor sleep is normal, so don't have any baggage.

If insomnia for a long time, we should pay attention to, must be we are through the sleep, the brain to get rest, the five organs to get rest, function is restored, we can know how important is a good night's sleep.

If not actively treated, it will lead to cerebral cortex phytoneurological dysfunction, endocrine disorders and neurasthenia, and so on, and the body's resistance and immunity will also be reduced. Daytime trance, poor memory and low work effect.

Insomnia is caused by thought processes and physical fitness. People with poor physical fitness, insufficient qi and blood, the heart does not nourish the heart, it is difficult to supply to the brain, resulting in restless nights. Not yet dinner eaten too much, stomach bloating, also can not sleep. Work stress during the day, the night thoughts have to be difficult to quiet down, will also be difficult to fall asleep, which are the original cause of insomnia.

Physical quality is not good, insufficient qi and blood, jujube, angelica, astragalus, and millet with porridge, put some honey, is very good nourishing food; before going to bed to make a cup of cinnamon tea, can play a very good role in calming the mind.

Natural sleep: grapes, bananas, passion fruit, really can not sleep, eat some of these fruits can enter the dreamland.

To help fall asleep quickly, press Baihui, Anmian point, Shenmen point, and Neiguan point before bedtime. Soak your feet at night to grow yang energy and move qi and blood upward.

I myself am an insomniac and know the pain of not sleeping well, when it is severe I will go for acupuncture for a long time, which is also a good treatment.

Now advocate four, seven, eight breathing method, inhale four times, hold your breath to breathe seven times, slowly exhale eight times, repeated three to five times, a month after the effect.

Sleeping pills are not recommended as they can be dependent and resistant and can have a depressing effect on the brain. Zopiclone nowadays has fewer side effects than the old Valium, but you will be tired and weak when you wake up in the morning. Things are not absolute, for example, if you have an exam tomorrow or a major event, the doctor's advice is that it is feasible to take one less sleeping pill, the

This refers to special cases.

May we each have good health and sweet dreams every night!