
Sleeping pills are medications that can help people sleep. They are typically recommended for short-term use, as they can have side effects and may become less effective over time. Sleeping pills can cause drowsiness, dizziness, and balance issues the next day, and may affect a person's ability to drive or operate machinery. They can also cause a metallic taste in the mouth, as seen with Lunesta, where nearly a third of clinical trial participants reported this side effect. The bitter taste of some sleeping pills, such as zopiclone and eszopiclone, can be masked by consuming certain beverages like orange juice, which contains citric acid. Sleeping pills are generally not recommended for older adults or as a first-line treatment for sleep issues, as there are often safer alternatives such as cognitive behavioral therapy or over-the-counter sleep aids.
| Characteristics | Values |
|---|---|
| Taste | Some sleeping pills have a bad taste, described as metallic. |
| Taste suppression | Citric acid has been shown to suppress the bitter taste of sleeping pills. |
| Side effects | Sleeping pills can cause constipation, muscle weakness, drowsiness, muddled thinking, dizziness, and balance problems. |
| Age | People 65 and older should try non-drug treatments first. |
| Long-term use | Sleeping pills are not recommended for long-term use as they can make insomnia worse and cause withdrawal symptoms. |
| Driving | Sleeping pills can affect a person's ability to drive and operate machinery. |
| Types | Sleeping pills include prescription medications like benzodiazepines and Z-drugs (e.g., zopiclone, zaleplon, zolpidem), and over-the-counter options like melatonin, valerian root, and antihistamines. |
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What You'll Learn

Sleeping pills can have a metallic taste
Sleeping pills can sometimes have an unpleasant taste, which can vary from bitter to metallic. While not all sleeping pills will have a taste, it is a known side effect of certain medications.
Zopiclone, a non-benzodiazepine sedative, is one such drug that has been found to have a bitter taste. A 2019 study investigated the bitterness-masking effects of different beverages on zopiclone and eszopiclone tablets. The study found that sports beverages, lactic acid drinks, and orange juice significantly reduced the bitterness intensity of these drugs compared to water. This effect is attributed to the presence of citric acid in these beverages, which interacts with the amine group in zopiclone.
Another sleeping pill, Lunesta, has also been associated with a metallic taste in the mouth. Nearly a third of people in clinical trials reported an unpleasant taste as a side effect of the drug.
It is important to note that sleeping pills are generally recommended for short-term use and can cause side effects such as drowsiness, constipation, and muscle weakness. They may also affect a person's ability to drive or operate machinery the next day. Therefore, it is always advisable to consult a healthcare professional before taking any sleeping medication.
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Citric acid can suppress the bitter taste of sleeping pills
Many medications, including sleep aids, have a bitter aftertaste. Sleeping pills, for example, are known to leave a bad taste in the mouth. Zopiclone, a sedative hypnotic drug used to treat insomnia, is one such example. It is a non-benzodiazepine, cyclopyrrolone drug that increases the transmission of the neurotransmitter gamma-aminobutyric acid (GABA) in the central nervous system, resulting in sedative and CNS depressant effects.
While zopiclone can be effective for treating insomnia, it has also been associated with a risk of abuse and non-medical use. Its use is recommended at the lowest effective dose for a short duration, as long-term use can lead to tolerance, dependence, and addiction.
To counteract the bitter taste of sleeping pills like zopiclone, citric acid has been found to be effective. Studies have shown that citric acid suppresses the bitterness of drugs. Specifically, citric acid interacts with the amine group on zopiclone, resulting in a reduced bitterness intensity. This bitterness suppression is achieved through a direct electrostatic interaction between citric acid and the drug.
Citrus drinks, such as orange juice, contain citric acid and can be used to mask the bitter taste of medications. However, it is important to note that grapefruit juice, which also contains citric acid, may not be a suitable option due to its potential interaction with certain medications. Therefore, it is advisable to consult with a healthcare professional before consuming grapefruit juice with medications.
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Sleeping pills can cause side effects like drowsiness and dizziness
Sleeping pills are prescription medications that contain tranquilizers to help treat insomnia, restless sleep, or difficulty falling asleep. They are designed for short-term use, usually a few weeks or less, and should not be used continuously over an extended period to avoid adverse side effects.
Sleeping pills can cause a range of side effects, including drowsiness and dizziness. Approximately 8 out of 10 people experience a "hangover" effect the day after taking sleep medication. They may feel drowsy, have muddled thinking, and experience dizziness or balance problems. These daytime effects can negatively impact your ability to drive or perform daily tasks, so caution is advised when taking sleeping pills.
Other common side effects of sleeping pills include constipation, diarrhea, muscle weakness, digestive problems, and worsened snoring or sleep apnea. Sleeping pills can also lead to dependency, with rebound insomnia occurring when an individual stops using them. This can result in vivid dreams, nightmares, and increased anxiety. Additionally, long-term use of sleeping pills can affect brain function, leading to poor memory, brain degeneration, and an increased risk of Alzheimer's disease and depression.
It is important to consult a doctor if you experience any severe side effects, such as sleepwalking, allergic reactions, or dependency on the medication. Non-drug therapies, such as cognitive behavioral therapy (CBT), may be recommended to improve sleep without the potential risks associated with sleeping pills.
Regarding taste, some sleeping pills like Lunesta have been reported to cause an unpleasant, metallic taste in the mouth that can last for a couple of days after taking the medication. This side effect was observed in nearly a third of the people in clinical trials of Lunesta, and currently, there is no known way to counteract this reaction.
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Sleeping pills are not recommended for long-term use
Sleeping pills can leave a bad taste in the mouth. For instance, nearly a third of the people in clinical trials of Lunesta reported an unpleasant, metallic taste as a side effect.
Sleeping pills are medications that can help you get some sleep. However, they are not recommended for long-term use due to their potential side effects and the risk of developing a dependency. Prescription sleeping pills, for instance, are typically not recommended for long-term use because they are not a cure for insomnia, and there is a risk of dependence and addiction.
Providers usually prescribe them for short-term relief, and it is recommended to try other methods to improve sleep before resorting to sleeping pills. This is because the long-term risks often outweigh the benefits of taking sleep aids. For example, one study found that taking hypnotics or anxiolytics (anti-anxiety medications) consistently for three years increased mortality in a dose-dependent manner. Another study found that those taking sleeping pills over two years, especially benzodiazepines, also had increased mortality.
Additionally, sleeping pills can cause excessive drowsiness, which can increase the risk of injuries. Combining sleeping pills with alcohol can lead to excessive drowsiness, memory issues, and even death, as both slow down breathing. Furthermore, sleeping pills can cause disturbances in sleep architecture upon withdrawal, similar to benzodiazepine withdrawal symptoms.
Z-drugs, a type of prescription sleeping pill, were initially thought to be less addictive than benzodiazepines. However, this view has shifted as cases of addiction and habituation have been presented. Z-drugs are recommended to be taken at the lowest effective dose for a short duration of 2–3 weeks, as long-term use is not recommended due to the risk of tolerance, dependence, and addiction.
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Natural sleep aids like melatonin and valerian root can be effective alternatives
Sleeping pills can sometimes leave a bad or metallic taste in the mouth. Natural sleep aids like melatonin and valerian root can be effective alternatives. Melatonin is a naturally occurring hormone that helps regulate the body's circadian rhythms, which are biological patterns that operate on a 24-hour clock. It plays a vital role in the sleep-wake cycle. Melatonin supplements may help some people fall asleep more easily and are generally safe for adults to take nightly for one to two months. However, it is not recommended for pregnant or breastfeeding people or those with certain medical conditions.
Valerian root is another popular natural sleep aid that is considered a safer alternative to prescription sleep aids. It is typically dried and made into tea, tinctures, capsules, or tablets, which are available without a prescription. However, some studies have found that valerian root has no significant effect on sleep, and the American Academy of Sleep Medicine (AASM) advises against using it to treat chronic insomnia due to limited evidence for its effectiveness and safety.
When considering natural sleep aids, it is important to speak with a healthcare professional to understand potential risks and side effects. While these alternatives may be effective for some individuals, they are not a cure-all for sleep difficulties, and it is essential to prioritize optimal sleep for overall health and well-being.
To promote healthy sleep, it is recommended to get exposure to daylight during the morning and afternoon, maintain a relaxing bedtime routine, keep the bedroom cool and dark, and minimize exposure to blue and green light from electronic devices before bed, as they can interfere with melatonin production and sleep.
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Frequently asked questions
Sleeping pills can have a bitter taste. Zopiclone and eszopiclone, for example, are known to have a bitter taste, which can be suppressed by consuming citric-acid-containing beverages such as sports drinks, lactic acid drinks, and orange juice.
There are several over-the-counter alternatives to sleeping pills, such as melatonin and valerian root supplements. Melatonin is a hormone that promotes sleep, while valerian root has a natural calming effect on the nervous system. Other alternatives include Benadryl Allergy®, Advil PM®, or Tylenol PM®.
Sleeping pills can cause various side effects, including constipation, muscle weakness, drowsiness, muddled thinking, dizziness, and balance problems. They can also cause confusion and memory issues, especially in older adults. Additionally, they may affect a person's ability to drive and operate machinery the next day.
Sleeping pills can be addictive, especially when used long-term. Z-drugs, such as zopiclone, zaleplon, and zolpidem, were initially thought to be less addictive than benzodiazepines, but cases of addiction and habituation have been reported. It is recommended that these drugs be taken at the lowest effective dose for a short duration, typically 2-3 weeks, as tolerance, dependence, and addiction can develop with prolonged use.










































