
Sleep deprivation is a common issue, with 50-70 million Americans suffering from sleep disorders or deprivation. While sleeping pills can be an effective short-term solution for many, they are not recommended for long-term use due to associated health risks and the potential for dependency. Despite this, the use of sleep medication has been increasing, with 8.4% of adults taking sleep medication in 2020, up from 4% in 2005-2010. This rise may be attributed to various factors, including stress, family life, and financial worries. Women are more likely than men to take sleep medication, and usage increases with age, with older adults being more likely to experience negative side effects.
| Characteristics | Values |
|---|---|
| Percentage of adults aged 20 and over who took prescription sleep aids in the past 30 days | 4% |
| Percentage of adults aged 18 and over who took sleep medication in the past 30 days | 8.4% |
| Percentage of adults who took sleep medication every day in the past 30 days | 6.3% |
| Percentage of adults who took sleep medication most days in the past 30 days | 2.1% |
| Percentage of adults who took sleep medication on some days in the past 30 days | 10.0% |
| Percentage of adults who never took sleep medication in the past 30 days | 81.6% |
| Percentage of women who took sleep medication in the past 30 days | 10.2% |
| Percentage of men who took sleep medication in the past 30 days | 6.6% |
| Percentage of non-Hispanic White adults who took sleep medication every day or most days in the past 30 days | 10.4% |
| Percentage of non-Hispanic Black adults who took sleep medication every day or most days in the past 30 days | 6.1% |
| Percentage of people aged 18-44 who took sleep medication in the past 30 days | 5.6% |
| Percentage of people aged 45-64 who took sleep medication in the past 30 days | 10.1% |
| Percentage of people aged 65 and over who took sleep medication in the past 30 days | 11.9% |
| Percentage of women who took sleep medication regularly | 10% |
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What You'll Learn

Sleeping pill usage among women
Sleep deprivation and disorders affect 50-70 million Americans, with approximately 4% of adults aged 20 and over reporting the use of prescription sleep aids in any given month. Women are more likely than men to take sleep medication, with 10.2% of women reporting use in 2020 compared to 6.6% of men. This trend continues across all age groups, with 5% of women aged 20 and over taking prescription sleep aids in the past 30 days compared to 3.1% of men in the same age group.
Several factors contribute to the higher usage of sleep aids among women. Firstly, women are 1.3 times more likely to experience insomnia-related sleep problems than men and typically get about 6.5 hours of sleep per night. This discrepancy in sleep quality is believed to be a significant factor in the increased use of prescription sleep aids by women. Additionally, women with children often report poorer sleep quality and more frequent interruptions during the night compared to their male partners.
Hormonal influences on the circadian rhythm during the luteal phase of the menstrual cycle can also cause sleep disturbances, particularly in those with premenstrual syndrome. Furthermore, women may metabolize sleep medication slower than men. A study by the Yale School of Medicine in 2016 found that women had significantly higher blood levels of zolpidem (Ambien) eight hours after taking the same dosage as men. As a result, the FDA halved the recommended dosage of Ambien for women in 2013 due to concerns about morning drowsiness and the risk of car accidents caused by drowsy driving.
Misuse of sleeping pills is also prevalent among women. A study of medical students found that 24.9% of female participants reported misusing sleeping pills, compared to 18.4% of male participants. Women were also found to misuse sleeping pills by taking larger dosages or self-prescribing more frequently than men. The reasons for this are not yet fully understood, but it is believed that the effects of hormones on the circadian rhythm during the menstrual cycle may play a role.
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Older adults and sleeping pills
Sleep is an essential part of our lives, and getting a good night's rest can be challenging for many. Sleeping pills, also known as sleep aids or sleep medicines, are often used to help people fall asleep or stay asleep. While these pills can be beneficial for some, it's important to recognize the potential risks associated with their use, especially for older adults.
According to estimates, approximately 50-70 million Americans suffer from sleep disorders or deprivation. Sleep aids are one of the treatment options for those struggling to fall asleep or maintain sleep. However, it's worth noting that long-term use of prescription sleep aids has been linked to adverse health outcomes. During 2005-2010, about 4% of US adults aged 20 and over reported using prescription sleep aids in the past month. In 2020, this figure increased to 6.3% of adults taking sleep medication every day in the last 30 days, with 8.4% taking medication either every day or most days.
While sleep difficulties can affect people of all ages, they do become more common as we grow older. It is estimated that one in three people aged 65 and older take some form of sleep medicine. Sleeping pills are easily accessible, available over the counter (OTC) or by prescription, and can be purchased by anyone aged 18 and above without a doctor's prescription. However, it is recommended that older adults first explore non-drug treatments as there may be safer ways to improve sleep.
Sleeping pills can pose special risks for older adults due to the unique changes their bodies undergo with age. Older adults may experience more pronounced side effects from sleeping pills, including confusion, memory issues, and balance problems, which can increase the risk of falls and fractures. Additionally, the drugs can remain in their system for longer, further exacerbating these risks. Observational evidence also suggests an association between hypnotics use and an increased risk of dementia, fractures, and major injuries in older adults.
It is important for older adults experiencing sleep difficulties to consult with a healthcare provider. Doctors can help identify the root cause of sleep problems and recommend alternative treatments or lifestyle changes to improve sleep hygiene without relying on sleeping pills. While sleeping pills may offer temporary relief, addressing the underlying causes of sleep issues is crucial for older adults to achieve better sleep quality and maintain their overall health and well-being.
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Side effects of sleeping pills
While sleeping pills can help with short-term sleep problems, they can cause a range of side effects and are potentially addictive. Sleeping pills can cause constipation, diarrhoea, muscle weakness, digestive problems, and worsen snoring and sleep apnea. They can also cause a hangover effect, with people feeling drowsy, experiencing muddled thinking, and having balance issues the next day. This can negatively impact daily tasks such as driving and working.
Sleeping pills can also cause more serious issues, such as confusion, memory problems, and an increased risk of falls and hip fractures, especially in older adults. They can also interfere with normal breathing and be dangerous for people with certain chronic lung problems, such as asthma or emphysema. In 2021, there were around 12,500 drug overdose deaths involving benzodiazepines in the United States.
Sleeping pills can also cause rebound insomnia, where insomnia returns worse than before when someone stops taking the medication. This can lead to a cycle of dependence on sleeping pills. It is important to talk to a healthcare provider before taking sleeping pills and to explore other treatments for sleep issues, such as non-drug therapies.
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Natural alternatives to sleeping pills
In the US, approximately 4% of adults aged 20 and over reported using a prescription sleep aid in the past month, with use increasing with age and being more common among women. Another report states that 8.4% of adults took sleep medication in 2020, with women (10.2%) being more likely than men (6.6%) to take medication for sleep.
Sleeping pills and sleep aids are most effective when used sparingly for short-term situations, such as travel or recovering from a medical procedure. Long-term use of sleep aids has been linked to adverse health outcomes. They can also be addictive, and stopping their use may result in withdrawal symptoms such as nausea, sweating, and shaking.
There are natural alternatives to sleeping pills that can help induce sleepiness. Here are some options:
- Melatonin is a natural hormone that regulates the body's circadian rhythm, or sleep-wake cycle. It is triggered by the body's response to reduced light exposure. However, exposure to unnatural light from phones, laptops, or TVs can prevent its release. Melatonin supplements are available over the counter and can help reduce the time it takes to fall asleep and increase sleep duration.
- Valerian is a herbal extract that is one of the leading natural supplements for managing anxiety and insomnia. While there is limited evidence of its effectiveness, some findings suggest that it may improve sleep quality and reduce the time needed to fall asleep.
- Kava, also known as kava kava, is an herbal remedy used for stress and anxiety relief and insomnia. It may induce relaxation without hindering memory or motor function. However, it is now considered unsafe due to potential liver toxicity.
- Warm milk, chamomile tea, and tart cherry juice are also recommended for patients with sleep trouble, although there is little scientific proof that they improve sleep.
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When to consult a healthcare provider
While sleeping pills can help people fall asleep and improve their quality of life, they should not be used as a long-term solution. Sleeping pills can have side effects, and long-term use has been linked to adverse health outcomes.
If you are considering taking sleeping pills, it is important to consult a healthcare provider first. They will need to know about your medical history, including any health conditions and medications you are currently taking. This is because sleeping pills can interfere with other medications or make health conditions worse. For example, people with high blood pressure or liver problems should consult a healthcare provider before taking sleeping pills. Additionally, older adults are more likely to experience cognitive issues, psychomotor problems, and daytime fatigue when taking sleeping pills.
If you are experiencing difficulty falling and staying asleep, your healthcare provider may first recommend evaluating your sleep hygiene practices. Good sleep habits include avoiding electronics before bedtime, sticking to a sleep-wake routine, avoiding caffeine in the late afternoon, and limiting naps. These practices can improve your quality of sleep without the need for medication.
If you are still having trouble sleeping despite trying these practices, your healthcare provider may recommend or prescribe sleeping pills. They might suggest starting with a lower dose and trying the medication in the short term to monitor its effects. Sleeping pills are typically recommended for short-term relief and should not be used every night due to the risk of dependence and addiction.
In summary, while sleeping pills can be helpful for some people, it is important to consult a healthcare provider before taking them. They can help determine if sleeping pills are appropriate for your situation and provide guidance on dosage and duration.
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Frequently asked questions
It is unclear how many people use sleep pills when they don't need them, but studies show that sleep pill addiction and misuse affect millions of people across all age groups.
Sleep pills can cause various issues, including cognitive problems, psychomotor problems, daytime fatigue, hallucinations, and depression. They can also lead to dependence, with one source stating that "taking the drug for too many nights in a row can lead to a dependency where the person may not be able to fall asleep at all without taking a sleeping pill". Additionally, sleep pills have been linked to higher risks of premature death and cancer.
If you think someone might be addicted to sleep pills, look out for signs such as taking higher doses than prescribed, taking someone else's prescription, or experiencing withdrawal symptoms when they try to stop.
Treatment for sleep pill addiction varies depending on the type of drug and severity of the addiction. Options include detox, counselling, and ongoing support. It is important to consult a healthcare professional for guidance on the best course of treatment.
There are many ways to improve your sleep hygiene and quality without resorting to sleep pills. These include avoiding electronics before bedtime, sticking to a sleep-wake routine, avoiding caffeine in the late afternoon, and limiting naps.

























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