
Sleep is an essential part of staying healthy, and getting enough sleep has positive effects on memory, blood pressure, and immune regulation. However, many people experience trouble falling asleep or staying asleep. Sleeping pills are one of the many options available to aid sleep, but they can have side effects and risks, including the possibility of becoming habit-forming. Over-the-counter sleeping pills are easily accessible, but they can cause a range of side effects, and there is a risk of developing a physical or psychological dependence on them. This article will explore the habit-forming potential of over-the-counter sleeping pills and discuss alternative options for improving sleep.
| Characteristics | Values |
|---|---|
| Availability | Over-the-counter, natural supplements, or by prescription |
| Age restriction | Anyone 18 and older can buy OTC sleep medications |
| Ingredients | Antihistamines, melatonin, valerian, diphenhydramine, doxylamine |
| Side effects | Constipation, muscle weakness, digestive problems, worsened snoring and sleep apnea, drowsiness, muddled thinking, dizziness, balance problems |
| Addiction risk | Yes, there is a risk of dependence and addiction |
| Tolerance | Yes, tolerance can build over time, reducing effectiveness |
| Withdrawal | Insomnia may return worse than before |
| Alternatives | Cognitive-behavioral therapy, natural remedies (e.g., tea, melatonin), good sleep habits |
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What You'll Learn

Sleeping pills and their side effects
Sleeping pills can have a range of side effects, and it is important to use caution when taking them. Over-the-counter (OTC) and prescription sleeping pills can cause constipation, diarrhoea, muscle weakness, digestive problems, and can worsen snoring and sleep apnea. Approximately 8 out of 10 people experience a hangover effect the day after taking sleep medicine, feeling drowsy and experiencing muddled thinking, dizziness, and balance problems. These daytime effects can negatively impact your ability to work, drive, and complete daily tasks.
Sleeping pills are available over the counter, as natural supplements, or by prescription. OTC sleep aids often contain an antihistamine, which treats allergies but can also cause drowsiness. Some natural remedies include melatonin or valerian supplements, which are generally considered safe and non-habit forming. Melatonin is a hormone naturally produced by the body that promotes sleep, while valerian is an herb that aids relaxation and sleep. However, even natural supplements can interfere with other medications or make health conditions worse, so it is important to check with a healthcare provider before taking them.
Prescription sleeping pills are stronger than OTC ones, and providers typically recommend against using them long-term due to the risk of dependence and addiction. They may be prescribed for short-term relief from insomnia. Examples include barbiturates, which depress the central nervous system, and Z-drugs such as zolpidem (Ambien) and eszopiclone (Lunesta). While newer medications like Ambien, Lunesta, and Sonata are less likely to be habit-forming, they can still cause physical dependence over time. Benzodiazepines, an older class of sleep medication, carry a higher risk of dependence and are classified as controlled substances.
To avoid developing a physical or emotional dependence on sleeping pills, it is important to follow a doctor's instructions and wean off the medication when recommended. Cognitive-behavioural therapy (CBT) is an alternative treatment for insomnia that is more effective than prescription sleep medication and does not carry the same risks or side effects.
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Natural sleep supplements
Over-the-counter sleeping pills can cause side effects such as constipation, muscle weakness, digestive problems, and worsened snoring and sleep apnea. They can also cause a "hangover effect", with users reporting feeling drowsy, having muddled thinking, and experiencing dizziness or balance problems the day after taking them. Due to these side effects, sleeping pills are not recommended for long-term use.
- Melatonin: Melatonin is a hormone that is naturally produced by the body in response to reduced light exposure, promoting sleepiness. Taking melatonin supplements is a popular natural sleep aid, with some studies reporting beneficial effects when participants are given 3 to 10 milligrams before bedtime. However, other studies have not found melatonin to have a positive effect on sleep. It is important to note that melatonin supplements are not regulated by the FDA, so dosages and ingredients may vary between manufacturers.
- Valerian: Valerian is an herb native to Asia and Europe, and its root is commonly used as a natural treatment for symptoms of anxiety, depression, menopause, and insomnia. While valerian has shown promise as a sleep-promoting herbal supplement, study results are inconsistent.
- CBD: Some studies have found that CBD may act as a natural sleep aid, particularly for people with anxiety or insomnia. However, more research is needed to establish its effectiveness and long-term safety, and it is not recommended for pregnant or nursing individuals.
- Passionflower: Passionflower has shown mixed results as a natural sleep aid, with some studies and anecdotal evidence suggesting it may be helpful.
- Warm milk, chamomile tea, and tart cherry juice: While there is little scientific proof that these drinks improve sleep, they are generally considered safe to consume and may be worth trying.
It is important to consult your healthcare provider before taking any sleep supplements, as they can interfere with other medications or health conditions. Additionally, even natural sleep aids are intended to be a short-term solution, and larger, well-designed clinical trials are needed to establish their efficacy and safety.
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Prescription sleeping pills
Sleeping pills are available over the counter (OTC) or by prescription. Prescription sleeping pills are stronger than over-the-counter ones. They are usually prescribed for short-term relief as they are not a cure for insomnia and can lead to dependence and addiction.
While prescription sleeping pills can be beneficial in the short term, it is crucial to follow the directions provided by a healthcare provider. These medications are typically not recommended for long-term use due to the risk of dependence and addiction, and they should be discontinued gradually to avoid rebound insomnia.
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Drug interactions and dependencies
Over-the-counter (OTC) sleeping pills can cause drug interactions and dependencies. It is important to exercise caution when taking them and to be aware of their potential side effects and risks.
Firstly, OTC sleep aids often contain antihistamines, which can interfere with other medications or worsen certain health conditions. For example, common medications such as antidepressants and antibiotics can cause dangerous interactions with both prescription and OTC sleeping pills. Additionally, herbal and dietary supplements, as well as non-prescription drugs like pain relievers and allergy medicines, may also interfere with sleeping pills. Therefore, it is crucial to consult a healthcare provider before taking OTC sleep aids to ensure they are safe for your specific circumstances.
Secondly, while OTC sleep aids are intended for occasional use, they can become habit-forming if taken regularly over an extended period. This is because the body can develop a physical or psychological dependence on the medication, making it challenging to fall asleep without it. As a result, insomnia may return or even worsen when the medication is discontinued. To avoid this, it is essential to follow the instructions provided with the medication and seek advice from a healthcare professional if needed.
Furthermore, it is worth noting that natural supplements, such as valerian and melatonin, are generally considered safer alternatives. Valerian is a herb that has been used to treat insomnia and anxiety since the second century AD, while melatonin is a naturally occurring hormone that aids sleep. However, it is important to remember that the FDA does not regulate dietary supplements for safety or effectiveness, so consumers must exercise their discretion.
In summary, while OTC sleeping pills can be helpful for occasional sleeplessness, they should be used with caution due to their potential for drug interactions and habit-forming properties. It is always advisable to consult a healthcare provider and explore other options, such as improving sleep habits or trying natural remedies, before turning to OTC sleep aids.
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Alternative treatments for insomnia
Over-the-counter sleeping pills can cause side effects such as constipation, muscle weakness, digestive problems, and worsened snoring and sleep apnea. They can also cause a "hangover effect" the next day, with people feeling drowsy, dizzy, and experiencing muddled thinking. Therefore, it is important to explore alternative treatments for insomnia.
Relaxation and Meditation
Increased muscle tension and intrusive thoughts can interfere with sleep. Techniques aimed at relaxing muscles (progressive muscle relaxation and biofeedback) and quieting the mind (meditation) have been found to be effective treatments for insomnia. Regular meditation practice, either alone or as part of yoga, results in higher blood levels of melatonin, aiding sleep.
Exercise
Regular exercise deepens sleep in young adults with or without sleep disorders and can also improve sleep in older adults.
Regulate Light and Temperature
The light from smartphones and other electronic devices interferes with sleep. Keeping the room cool and dark can help with insomnia.
Natural Sleep Aids
- Warm milk: Believed to be associated with chemicals that simulate the effects of tryptophan on the brain, which is involved in the sleep-wake transition.
- Chamomile tea: Believed to have flavonoids that may interact with benzodiazepine receptors in the brain, which are involved with the sleep-wake transition.
- Tart cherry juice: While there is little scientific proof that these drinks improve sleep, there are no harmful side effects.
- Valerian root: May help people fall asleep or stay asleep, but it can interfere with some medications and is not safe for children or during pregnancy.
- Kava: May improve sleep quality, but there are concerns about its effect on the liver, so it is not recommended.
- Melatonin: A hormone naturally released in the brain four hours before we feel sleepy. Melatonin supplements can be purchased over the counter, but it is important to buy the same brand consistently as dosages may differ between manufacturers.
- Acupuncture: Recent studies have shown that acupuncture improves sleep quality in people with insomnia.
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Frequently asked questions
Yes, most over-the-counter sleeping pills are habit-forming. However, Rozerem and Silenor are non-habit-forming alternatives.
Over-the-counter sleeping pills can cause constipation, muscle weakness, digestive problems, and can worsen snoring and sleep apnea. Approximately 8 out of 10 people experience a hangover effect the day after taking sleep medicine, feeling drowsy, dizzy, and muddled.
There are many alternatives to over-the-counter sleeping pills, including natural supplements such as melatonin and valerian, improving your sleep habits, and cognitive-behavioural therapy (CBT).


































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