Prescription Treatment for Insomnia
Sleep medications are prescribed to over 95% of patients who visit their doctor regarding insomnia. Side-effects from prescription sleep aids can include fatigue, automotive accidents caused by sleep-driving, and falls. These prescriptions can be habit forming and may cause withdrawal symptoms if not discontinued under a doctor’s care. The four main categories of prescription medications for insomnia are Benzodiazepines, Non-benzodiazepines, Melatonin receptor agonists, and Tricyclic anti-depressants.
Benzodiazepines are long-acting tranquilizers developed in the 1960′s and run a high risk of dependency. Morning grogginess is a common side-effect of all long-acting sleep aids. Benzodiazepines are not for long term use as an addiction can be formed in a matter of weeks and the body tends to quickly build up a tolerance so that more and more of the drug is needed to achieve initial effectiveness.
Non-benzodiazepines are short-acting sedatives developed in the 1980′s as a safer alternative to benzodiazepines. Both drugs work basically in the same way, but non-benzodiazepines have less side-effects, and are less habit forming. Non-benzodiazepines are for generally for short term or intermittent use. Benzodiazepines and non-benzodiazepines are hypnotics and excellent when used to prevent jet lag.
The next category is melatonin receptor agonists, hypnotics approved in 2005. This drug affects the body in the same way as naturally produced melatonin. A brand name for this drug is Ramelteon which is taken 30 minutes before bedtime provided there is desired 7 to 8 hours of sleep. Ramelteon has not been found to be addictive or produce signs of withdrawal after discontinuing.
Tricyclics are not sedatives per say but anti-depressants. They do not sedate the brain or nervous system but assist with achieving mental balance by increasing certain substances naturally found in the brain.
When taking sleep medications always inform your doctor , alcohol use, and supplements as these can have an adverse or dangerous effects when combined with sleeping pills. Follow the instructions given to you by the doctor, do not self medicate. Keep a log as to when the medication was taken, effectiveness, and any side-effects including emotional side-effects.




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