
Sleep driving, or sleepwalk driving, is a rare phenomenon where a person drives a motor vehicle while sleepwalking. Sleepwalking occurs during arousals from deep sleep and is usually common in young children. Sleep-driving can also be caused by certain sleep medications, such as zolpidem and eszopiclone, which can cause sleepwalking as a side effect. Sleep-deprived driving, or drowsy driving, is also a major contributor to motor vehicle collisions, with sleep deprivation leading to mental impairment similar to drunkenness.
| Characteristics | Values |
|---|---|
| What is sleep driving? | Sleep driving, or sleepwalk driving, is a rare phenomenon in which a person drives a motor vehicle while sleepwalking. |
| Who is at risk? | People who take certain sleep medications, such as zolpidem and eszopiclone, may be at risk of sleep driving. Sleep driving can also occur in people who don't normally sleepwalk due to the side effects of these medications. Additionally, people with sleep disorders, such as sleep apnea, may be at risk. |
| What are the dangers? | Sleep driving can lead to injuries and even fatalities. Sleep drivers may injure themselves or others and may not remember the event afterward. Drowsy driving, which includes driving while sleep-deprived, is a major contributor to motor vehicle collisions. |
| How to prevent it? | If you are taking sleep medication, discuss alternative treatments with your doctor if you are concerned about side effects. If you feel tired while driving, pull over and rest until you feel alert again. |
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What You'll Learn
- Sleep-driving is a form of sleepwalking
- Sleep-driving can be caused by certain medications
- Sleep deprivation can cause mental impairment, increasing the risk of sleep-driving
- Sleep-driving can lead to serious injuries and driving fatalities
- Steps to prevent sleep-driving: staying hydrated, listening to upbeat music, etc

Sleep-driving is a form of sleepwalking
Sleep-driving, or sleepwalk-driving, is a rare phenomenon where a person drives a vehicle while sleepwalking. Sleepwalking occurs during arousals from deep sleep, and the person may appear awake with their eyes open but exhibit minimal cognition. Sleep-driving can be induced by certain sleep medications, such as zolpidem and eszopiclone, which can cause sleepwalking as an unwanted side effect. It can also be triggered by sleep deprivation, stress, or sleep disorders.
Sleep-driving is a dangerous behaviour that can lead to injuries or even fatalities. Sleep walkers can injure themselves or others while sleep-driving and may not remember the event afterward. This phenomenon is considered a form of sleepwalking, as the person is not fully conscious or aware of their actions. They may be able to execute complex behaviours, such as driving a car, without realising they are sleepwalking.
Sleep-driving is often associated with disorders of arousal, which include night terrors, sleepwalking, and confusional arousals or "sleep drunkenness". During confusional arousals, people may engage in abnormal sexual activity while asleep, with no recollection of the event afterward. Similarly, sleep-driving can occur without the person's knowledge, and they may only realise what has happened once they are stopped by the police or reach their destination.
The frontal cortex, responsible for higher judgment and planning, may be asleep during sleep-driving, while the motor centres controlling behaviour remain active. This dissociation can result in complex behaviours, such as driving, being performed without conscious awareness. Sleep-driving is a frightening possibility, and it is important for individuals to be aware of the risks associated with sleep deprivation, certain medications, and sleep disorders, which can increase the likelihood of sleep-driving incidents.
While sleep-driving is a lesser-known phenomenon, it highlights the dangers of drowsy driving, which is a major contributor to motor vehicle collisions. Drowsy driving can be caused by various factors, including sleep deprivation, alcohol consumption, and certain medications. It is important for individuals to take steps to remain alert while driving and to prioritise getting adequate sleep to reduce the risk of sleep-related incidents on the road.
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Sleep-driving can be caused by certain medications
Sleep-driving, or sleepwalk-driving, is a rare phenomenon where a person drives a motor vehicle while sleepwalking. Sleep-driving can occur to people who do not normally sleepwalk, as certain medications can induce sleepwalking as an unwanted side effect. The FDA has issued warnings about three sleep medications due to reports of injuries related to their use. These medications can cause sleep behaviours that may be dangerous, such as sleep-driving.
The medications that have been linked to sleep-driving include eszopiclone, zaleplon, and zolpidem. These medications have been associated with complex sleep behaviours, including sleepwalking and engaging in activities while not fully awake. In some cases, patients who have taken these medications have reported serious injuries or death due to sleep-driving. It is important to note that these behaviours are rare, but patients should be aware of the risks and discontinue the medication if they experience any complex sleep behaviours.
Zolpidem is the most commonly prescribed sleeping pill in the United States and has been implicated in several cases of sleep-driving. In one case, a 42-year-old defendant tested positive for zolpidem after being involved in a hit-and-run accident. The individual had no memory of the event and was found to be not in control of their behaviour due to the influence of the medication. Another case involved a woman who was found guilty of misdemeanor DUI after ingesting alcohol and taking zolpidem, resulting in an accident.
Eszopiclone has also been associated with sleep-driving and other complex sleep behaviours. A review of the FAERS database identified 62 cases of serious injuries or death related to the use of eszopiclone, zaleplon, or zolpidem between 1992 and 2018. These cases included motor vehicle collisions and falls, resulting in intracranial hemorrhages, vertebral fractures, and hip fractures. It is important for patients taking these medications to be aware of the potential risks and to discontinue use if any unusual sleep behaviours occur.
In addition to the medications mentioned above, certain antidepressants, antianxiety, and antipsychotic medications have also been linked to parasomnias, which are abnormal behaviours that occur during sleep. These behaviours can include sleep-related eating disorders, abnormal sexual activity, and sleepwalking. Patients taking these medications should be aware of the potential side effects and consult their physician if any unusual sleep behaviours occur.
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Sleep deprivation can cause mental impairment, increasing the risk of sleep-driving
Sleepwalking is a well-known but still mysterious disorder that occurs during arousals from deep sleep. Sleepwalking is most common in young children, who get far more deep sleep than adults. Sleepwalking may be induced in young children by trying to wake them up during the night. If they begin to sleepwalk, they can be directed back to bed without ever waking up and will not remember the event the next day.
Sleep-driving, or sleepwalk-driving, is a rare phenomenon where a person drives a motor vehicle while sleepwalking. Sleep-driving can occur to people who do not normally experience sleepwalking, as some medications can cause sleepwalking as an unwanted side effect. Sleep-driving is a frightening possibility, as sleepwalkers can be injured or injure themselves and others while driving. Sleep drivers have been able to travel significant distances without ever waking up.
Drowsy driving is a major contributor to motor vehicle collisions. In 2017, drowsy driving led to at least 91,000 crashes, resulting in roughly 50,000 injuries and 800 deaths. Multiple factors can contribute to drowsy driving, including sleep deprivation, sleep disorders, alcohol consumption, and medications. It is important for drivers to be aware of the risks of drowsy driving and to take steps to remain alert or stop and rest when feeling tired.
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Sleep-driving can lead to serious injuries and driving fatalities
Sleep-driving, also known as sleepwalk-driving, is a rare phenomenon in which a person drives a motor vehicle while sleepwalking. Sleep-driving can occur to people who do not normally experience sleepwalking, as certain medications can cause sleepwalking as an unwanted side effect. Sleep-driving is a frightening possibility, as sleepwalkers can be injured and can most certainly injure others while sleep-driving. Sleep-driving can lead to serious injuries and driving fatalities.
Sleep-driving is a dangerous consequence of sleepwalking, a disorder characterised by minimal cognition and eyes that appear awake and glassy. Sleepwalkers have no recollection of their actions and may engage in complex behaviours without awareness. This lack of conscious control during sleep-driving can result in injuries and fatalities, as individuals are unable to make judgement calls or react to dangers on the road. The impairment caused by sleep-driving is similar to drunkenness, with slowed reaction times and increased distractibility, posing a significant risk to both the driver and other road users.
Certain medications have been linked to sleepwalking and sleep-driving behaviours. The FDA has issued warnings about three sleep medications associated with injuries and dangerous side effects, including next-day drowsiness. Common sleep medications, antidepressants, antianxiety, and antipsychotic drugs have also been implicated in parasomnias, highlighting the role of medication side effects in sleep-driving incidents. Additionally, sleep deprivation, stress, and underlying sleep disorders can trigger sleepwalking episodes and increase the risk of sleep-driving.
To prevent sleep-driving and mitigate the risk of injuries and fatalities, it is crucial to address the underlying causes and risk factors. Individuals should be cautious when taking medications that may impact sleep and always consult a physician if unusual sleep behaviours occur. Additionally, maintaining healthy sleep habits and managing stress can reduce the likelihood of sleepwalking and sleep-driving. It is also important for drivers to remain alert by taking breaks, staying hydrated, and avoiding medications that cause drowsiness. By addressing these factors, the risk of sleep-driving-related injuries and fatalities can be significantly reduced.
Sleep-driving is a concerning issue that can have devastating consequences. By raising awareness, addressing sleep disorders and medication side effects, and promoting safe driving practices, we can help prevent sleep-driving and keep ourselves and others safe on the road.
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Steps to prevent sleep-driving: staying hydrated, listening to upbeat music, etc
Sleep driving, or sleepwalk driving, is a rare phenomenon where a person drives a vehicle while sleepwalking. Sleep-driving can be caused by sleep deprivation, stress, sleep disorders, and sleep medications. Certain medications, such as zolpidem and eszopiclone, can cause sleepwalking as an unwanted side effect. Sleep-driving is extremely dangerous and can lead to accidents and injuries.
- Stay hydrated: Drink plenty of water and caffeine to improve alertness and keep yourself awake.
- Listen to upbeat music: Music can enhance alertness and prevent drowsiness. Choose songs with a faster tempo and upbeat rhythms to help you stay awake while driving.
- Take naps: If you feel drowsy, pull over to a safe location and take a short power nap. A quick nap can help improve your alertness and reduce sleepiness.
- Drive with a partner: Consider having someone accompany you on long drives. Switch drivers every few hours, allowing each other to rest and take breaks.
- Avoid high-risk times: Try to avoid driving between midnight and 6 am, when the risk of drowsy driving accidents is highest. These hours coincide with natural energy dips and can make it harder to stay awake.
- Get enough sleep: Ensure you get adequate sleep each night. Most adults need at least seven hours of sleep, while teenagers require eight to ten hours. Lack of sleep increases the risk of drowsy driving.
- Be vigilant: Watch for warning signs of drowsiness, such as drifting across lanes or feeling extremely tired. If you notice these signs, pull over and take a break.
By following these steps, you can help prevent sleep-driving and stay alert while on the road, ensuring the safety of yourself and others.
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Frequently asked questions
Sleep driving, also known as sleepwalk driving, is a rare phenomenon where a person drives a motor vehicle while sleepwalking. Sleep-driving can occur to people who don't normally sleepwalk, as some medications can cause sleepwalking as a side effect.
Sleep driving occurs when a person is in a state of sleep-wake dissociation, where the frontal cortex, responsible for higher judgment and planning, is asleep, while the motor centers responsible for behavior are active. This can be triggered by sleep deprivation, stress, or sleep disorders.
Sleep driving is extremely dangerous, as sleepwalkers can be injured or injure others while sleep driving. Sleep deprivation can lead to mental impairment, making a person less attentive to their surroundings and slower to react, increasing the risk of accidents.








































