ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Best insomnia meds (drugs)

Updated on August 27, 2017


Insomnia is defined as lack of subjective satisfaction in sleep. A person with insomnia may complain following symptoms.

1.Difficulty is falling asleep

2.Frequent nighttime awakening

3.Early morning wakening

4.Day time sleepiness

5.General loss of wellbeing


Drugs treatment for insomnia may fail in if following situations are not addressed properly.

1. People with underlying psychiatric disorders

2. Substance misuse and diet problems

3. Expectation of sleep: - Some people may want to sleep more that their body’s natural requirement. For an example elderly people need less sleep.

Common guidelines on taking hypnotics

1. Use of lowest effective dose

2. Use intermittent doses (every other day)

3. Take drugs for shorter duration

4. Discontinue them slowly

5. Stop taking alcohol and other stimulants

6. Inform your doctor when you have respiratory problems

Natural ways of inducing sleep is much better than drugs (Sleep hygiene)

They are

1. Increase daily exercises

2. Reduce day time napping/sleep

3. Reduce caffeine/alcohol intake

4. Use the bed only for sleep and sex

5. Develop a regular routine for sleep

Most commonly prescribed drugs for insomnia

Most widely prescribed drugs for insomnia are benzodiazepines (Valium, Xanax) and Z drugs (Ambien, Sonata).

But newer medications such as Melatonin (Natural sleep producing hormone) and Melatonin agonists such as Ramelteon seem to be producing more natural sleep. They show lack of withdrawal (Adverse symptoms that are occurring after abrupt discontinuation of the drug), dependence (inability to sleep without the drug), and tolerance (needing increasing amount of drug to produce same sleep effect). But melatonin drugs can induce fits or seizures.

Commonly prescribed medications for Insomnia

1. Lormetazepam (Loramet)

2. Oxazepam (Serax )

3. Zaleplon (Sonata )

4. Zopiclone (Imovane)

5. Melatonin

6. Ramelteon

But most of the above drugs cannot be prescribed for longer duration. It is because of their habit forming properties. But Z drugs such as Sonata and Imovane has minimal habit forming properties. First two drugs should be discontinued immediately after sleep problem is settled.

In addition, some doctors prefer to prescribe low dose antipsychotics to induce sleep.

They are

1. Quetiapine (Seroquel)

2. Olanzapine (Zyprexa)

3. Chlorpromazine (Largactil)

They usually cause no addiction but the effect will wane after some time. In addition, some of the above drugs could cause weight gain and lipid and blood sugar issues.

Drugs that are available over the counter for Insomnia

Promethazine (Phenergon), Piriton and Peritol can be taken to induce sleep. But their effect will wane after long term use. Therefore, it is recommended to meet a doctor if you get chronic insomnia. Peritol can increase appetite and it can cause obesity if used for sometime.

Promethazine (Phenerogon) 25mg one hour before bedtime can induce sleep. But drowsiness may go into next day. In addition, operating machinery or driving vehicles may be dangerous while on Phenergon. Piriton has the same effect but it is less sedating than Phenergon. Usual Piriton dose is 4mg one hour before sleep.

This article is about prescription drugs and you should not take them without a doctor’s prescription. Purpose of this article is to give objective evidence based information to empower patients. This article is not promoting any of the above drugs.

What is your opinion about taking medications for sleep

See results

Comments

    0 of 8192 characters used
    Post Comment

    • njmanura profile imageAUTHOR

      Dr Manura Nanayakkara 

      3 years ago from Sri Lanka

      Maudie it seems you are suffering from depression. You need to consult a mental health professional.

    • profile image

      Julz 

      3 years ago

      Thanks guys, I just about lost it lokinog for this.

    • profile image

      Maudie 

      3 years ago

      that's what it is] and that night i slept for 2 and a half hours. On wednesday i slept for apxrpoimately 3 hours. On thurday after school i fell asleep as soon as i got home and slept for 4 hours. Than i stayed up the whole night right till school started. At the beginning of recess i had another attack' and so i went to the sick bay. My head was throbbing like hell. I could almost feel everything inside of my head. I lay down on the bed and fell asleep for around two hours. My concentration spam is of about half an hour max than my brain feels like it's on overload. It's been like this before all these other problems happenedI'm fake. I fake my freindships with people. Apart from my immediate freinds' [like 2 girls at my school]. I smile i say stuff to people i don't mean. It just pisses me off so much when someone says they like' me or feel close' to me. I know you're lying so just stop. But instead i say it back and hug them. And inside it kills me, but because my school is so small and the kids are so bitchy you kind of have to. Or else you risk humiliating them and then in turn them getting revenge'. It has happened before and it never turns out good. Than again i'm an easy target for getting revenge' on so maybe it's just me and not the school.I feel withdrawn. I like hanging out on my own. But at the same time earlier this year i got attacked by a man when i was on my own. It was dark and he covered my mouth and pulled me into an alleyway. I ended up with bleeding hands and a couple scratches on my neck but otherwise i was fine. I got help from a couple lebonese guys. My brother thinks i may still be in shock from that but i doubt it. I feel fine. I almost never speak my mind. I can't stand open doors. I feel like the ugliest person in the world even though i know i'm not THAT ugly. What people say does effect me, even when i pretend it doesn't. I feel like i'm asking for attention. I just need advice on how to, ummm . fix my bad habbites. How do i stop the nightmares, anxiety attacks and my mind's wondering'.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)