
Sleep is essential for growing children and teenagers, but an increasing number of young people are getting less sleep than ever before. While sleeping pills are an option for adults, they can have side effects and are not recommended for long-term use. So, do you have to be 18 to buy them?
| Characteristics | Values |
|---|---|
| Age restriction for buying over-the-counter sleeping pills | 18 years or older |
| Prescription sleeping pills | Require a prescription from a healthcare provider |
| Side effects | Confusion, daytime drowsiness, dizziness, headaches, uncontrollable shaking, difficulty keeping balance, risk of dependence and addiction |
| Alternative treatments | Cognitive behavioral therapy, relaxation techniques, meditation, reduced use of technology at night, valerian supplements |
| Prevalence of insomnia | Approximately 1 in 7 people in the U.S. have long-term insomnia |
| Prevalence of sleep issues in adolescents | 27% of school-age children and 45% of adolescents don't sleep enough |
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What You'll Learn

Over-the-counter (OTC) sleeping pills
OTC sleep aids are intended for short-term use and are not recommended for long-term sleep problems. They are generally considered safer than prescription sleeping pills, as they are less likely to cause dependence or addiction. However, it is important to exercise caution when taking any sleep medication, as they can lead to side effects such as constipation, muscle weakness, digestive issues, and a "hangover" effect the next day. This effect can include drowsiness, impaired thinking, dizziness, and balance problems, impacting an individual's ability to perform daily tasks.
In addition to OTC and prescription sleeping pills, natural supplements such as melatonin and valerian are also available. Melatonin is a hormone naturally produced by the body that promotes sleep. Valerian is an herb that is believed to aid relaxation and sleep. While these supplements are generally considered safe, it is still advisable to consult a healthcare professional before taking them, especially for individuals with existing health conditions or those taking other medications.
Sleeping pills, whether OTC or prescription, should not be the first line of treatment for sleep problems. Healthcare providers often recommend addressing sleep issues through sleep hygiene practices and therapies. This includes maintaining a consistent sleep schedule, keeping the bedroom dark and cool, and avoiding eating or drinking before bed. Other recommended therapies include ultraviolet (UV) light therapy, orofacial therapy for sleep apnea, and cognitive behavioural therapy (CBT) to improve sleep habits and relaxation.
While OTC sleeping pills can be convenient and easily accessible, it is important to remember that they are not a cure for sleep disorders and should be used cautiously and in conjunction with other sleep improvement strategies. It is always advisable to consult a healthcare provider to determine the most appropriate treatment plan for addressing sleep difficulties.
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Prescription sleeping pills
While there is no explicit age restriction mentioned, prescription sleeping pills are generally not recommended for children. Child psychiatrists sometimes prescribe sleeping pills due to the effects that a lack of sleep can have on young, growing bodies. However, there are no FDA-approved sleep medications for children, and young patients may experience side effects such as weakness, uncontrollable shaking, and difficulty keeping balance.
There are several types of prescription sleeping pills, including antidepressants, barbiturates, benzodiazepines, and Z-drugs like zolpidem (Ambien) and eszopiclone (Lunesta). Benzodiazepines stimulate a chemical in the brain called GABA, leading to sedation, muscle relaxation, and reduced anxiety. Z-drugs work by slowing brain activity.
Sleeping pills can cause various side effects, including constipation, diarrhoea, and muscle weakness. Many people experience a hangover effect the day after taking them, feeling drowsy and dizzy. These effects can impact daily tasks such as driving and working, so caution is advised when taking sleep medicine.
It is important to consult a healthcare provider before taking any sleeping pills, especially when mixing with other medications. Additionally, those who have used sleep aids for a prolonged period should seek professional advice on how to stop safely, as it may take months to discontinue their use without experiencing withdrawal symptoms.
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Side effects of sleeping pills
While sleeping pills can be effective in helping with short-term sleeplessness, they can also have several side effects. Firstly, they can cause constipation, diarrhoea, muscle weakness, and digestive problems such as gas, heartburn, and nausea. Sleeping pills can also worsen snoring and sleep apnea, and prolonged use can lead to rebound insomnia when trying to stop. Additionally, there is a risk of overdose if combined with alcohol or other medications, which can be deadly.
Sleeping pills can cause a "hangover effect" the day after, with people feeling drowsy, dizzy, and experiencing muddled thinking and
Some prescription sleeping pills have been linked to a burning or tingling sensation in the hands, arms, feet, or legs. They can also interfere with normal breathing and be dangerous for people with certain lung problems, such as asthma or emphysema. It is important to note that sleeping pills can be habit-forming, and their prolonged use can lead to dependence.
Natural sleep aids, such as melatonin and valerian, are also associated with side effects. Melatonin can cause daytime drowsiness, dizziness, and headaches, while studies on the effectiveness of valerian are inconclusive. Overall, it is crucial to use sleeping pills as directed and for short periods, and to explore alternative methods to improve sleep, such as cognitive behavioural therapy, relaxation techniques, and meditation.
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Natural sleep remedies
In most places, you do not need to be 18 to buy sleeping pills. However, it is highly recommended that children and adolescents struggling with insomnia or other sleep issues consult a doctor before taking any kind of sleep medication. Child psychiatrists often recommend cognitive behavioural therapy, relaxation techniques, and meditation as alternative methods to help aid sleep.
If you are looking for natural sleep remedies, there are several options that may help improve your sleep:
Melatonin: Melatonin is a hormone that is naturally released in the brain four hours before we feel sleepy. It is triggered by the body's response to reduced light exposure, which should occur naturally at night. However, exposure to artificial light from devices and screens can prevent the release of melatonin, making it difficult to fall asleep. Melatonin is available as an over-the-counter supplement, but it is important to note that it is unregulated and untested for long-term use. Some people experience grogginess and depression when taking melatonin supplements.
Valerian Root: Valerian is an herbal extract that is commonly used to manage anxiety and insomnia. It is believed to induce relaxation without hindering memory or motor function. However, research findings have been conflicting, and there is insufficient proof to conclude that it effectively treats insomnia.
Chamomile: Chamomile is a popular herbal sleep remedy with a long history of use. German chamomile is typically consumed as a tea, while Roman chamomile can be taken as a tincture due to its bitter taste. Both types are said to have a calming effect, helping people feel relaxed and more prepared for sleep. However, similar to valerian, there is limited evidence to support its effectiveness in treating insomnia.
Magnesium: Magnesium is a natural mineral that has been linked to improved sleep. While it is available as a supplement, you can also increase your magnesium intake through dietary sources.
Lavender: Lavender is a natural sleep aid that has been studied for its effects on sleep. However, more research is needed to draw strong conclusions about its effectiveness.
Passionflower: Passionflower, or Passiflora incarnata, is a popular herbal remedy for insomnia, particularly the species native to North America. Animal studies have shown sleep-promoting effects, but more research is needed to confirm its impact on humans.
It is important to remember that even natural sleep aids should not replace good sleeping habits. Establishing healthy sleep practices and habits is crucial for maintaining overall health and well-being.
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Sleeping pills for adolescents
In the US, you must be 18 or older to buy over-the-counter (OTC) sleeping pills. These are available without a prescription from a healthcare provider. However, prescription sleeping pills are also available, which are typically stronger and require a prescription. Providers generally recommend against long-term use of prescription sleeping pills due to the risk of dependence and addiction.
Sleeping pills are a common solution for adults struggling with sleep issues. However, the use of sleeping pills for adolescents and children is a more complex issue. National polls in the US have shown that 27% of school-aged children and 45% of adolescents do not get enough sleep. This is often due to increased demands from schoolwork and extracurricular activities. In addition, a significant number of children suffer from diagnosed forms of insomnia.
Child psychiatrists often prescribe sleeping pills due to the negative impact of sleep deprivation on young bodies during the day. Childhood insomnia has been linked to various medical and psychological problems, including aggressive behaviour, poor concentration, and anxiety. However, there are currently no FDA-approved sleep medications for children. As a result, young people are often prescribed powerful adult medications that carry a risk of side effects, including weakness, uncontrollable shaking, and balance issues. These medications are typically intended for short-term use only.
Some psychiatrists have recommended "all-natural" sleeping aids like melatonin for adolescents. Melatonin is a hormone naturally produced by the body to promote sleep. However, even these natural alternatives can have side effects, including daytime drowsiness, dizziness, and headaches. Shelby Harris, a sleep psychologist, recommends cognitive behavioural therapy, relaxation techniques, and meditation as safer alternatives to aid with sleep. She also highlights the negative impact of technology overuse at night, as the blue light from device screens can interfere with the body's natural melatonin production. Overall, while sleeping pills may be a quick fix for adolescent sleep issues, they are not without risks, and alternative solutions should be explored first.
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Frequently asked questions
Yes, you must be 18 or older to buy over-the-counter (OTC) sleeping pills. Prescription sleeping pills can only be obtained with a prescription from a healthcare provider.
Child psychiatrists may recommend "all-natural" sleeping aids like melatonin for adolescents with insomnia. However, melatonin can cause side effects such as daytime drowsiness, dizziness, and headaches. Cognitive behavioural therapy, relaxation techniques, and meditation are also recommended as alternative methods to aid sleep.
Sleeping pills can cause side effects such as confusion, daytime drowsiness, and parasomnia (sleepwalking or eating in one's sleep). They are not meant to be used long-term due to the risk of dependence and addiction.
Yes, there is a risk of dependence and addiction with prescription sleeping pills, which is why they are typically not recommended for long-term use.
Over-the-counter sleeping pills often contain antihistamines, which treat allergies but can also cause drowsiness. Prescription sleeping pills include antidepressants, barbiturates, benzodiazepines (benzos), and Z-drugs like zolpidem (Ambien) and eszopiclone (Lunesta).



















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