Evie Summers
Sleeping pills in Singapore are typically prescribed by a doctor or GP, and can be purchased at a pharmacy. Sleeping pills are usually recommended for short-term treatment of insomnia and can have side effects such as increased sweating, increased heart rate, and tremors. Melatonin, a hormone that signals to the body that it is time to sleep, is available over the counter and through prescription. Circadin®, a melatonin-based medication, has been clinically proven to improve sleep quality and has been shown to have no tolerance, rebound, or withdrawal effects.
| Characteristics | Values |
|---|---|
| Prescription sleeping pills | Zolpidem (Ambien), Zopiclone (Imovane), Fluoxetine (Prozac), Escitalopram (Lexapro), Alprazolam (Xanax), Lorazepam (Ativan) |
| Over-the-counter sleeping pills | Circadin (Melatonin), Piriton |
| Prescription process | Visit a doctor or a GP to get a prescription |
| Prescription sleeping pills usage | Short-term treatment of insomnia (generally less than 2-4 weeks) at low doses |
| Over-the-counter sleeping pills usage | Take 1 pill after food, 1-2 hours before bedtime |
| Precautions | Avoid drinking alcohol, do not stop taking prescription sleeping pills abruptly, do not crush or chew Circadin |
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What You'll Learn
Prescription sleeping pills
To buy prescription sleeping pills in Singapore, you will first need to consult a doctor. You can visit a general practitioner (GP) or a polyclinic to get a prescription. During your appointment, be sure to discuss your medical history, symptoms, and any other medications or supplements you are currently taking, as this may affect how the sleeping pills interact with your body.
Sleeping pills are typically recommended for short-term use only, often for less than 2-4 weeks, due to the risk of tolerance, dependence, and addiction. One commonly prescribed sleeping pill is Zolpidem (Ambien), which helps you fall asleep faster and sleep through the night. It is important to follow your doctor's instructions when taking this medication and to obtain it from the same doctor or clinic whenever possible. Zolpidem should be taken on an empty stomach just before bedtime and should not be crushed or chewed. If you miss a dose, skip it and take the next dose as usual; do not take two doses at once. Additionally, avoid drinking alcohol while taking Zolpidem, as it can cause excessive sleepiness.
If you are pregnant, planning to become pregnant, or breastfeeding, your doctor will discuss the potential benefits and risks of taking sleeping pills. It is important to be cautious and consult your doctor if you have any concerns or experience any side effects.
Another option for treating insomnia is Circadin®, a melatonin-based medication that has been clinically proven to improve sleep quality and daytime functioning without the risk of rebound insomnia, dependence, or withdrawal effects. Melatonin is a naturally occurring hormone that signals to your body that it is time to sleep. Circadin® mimics the body's natural melatonin secretion pattern by gradually releasing melatonin over 8-10 hours. This medication is taken orally with water or other liquids 1-2 hours before bedtime. Unlike other sleeping pills, Circadin® is not a sedative-hypnotic, and it does not make you fall asleep immediately. Instead, it reduces your alertness and increases your propensity for sleep.
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Over-the-counter melatonin
Melatonin is available over the counter in Singapore. It is used for the short-term treatment of insomnia and other sleep difficulties. It is available in 5mg tablets, which can be purchased from pharmacies such as Watsons. It is recommended that you follow the instructions on the medication label and take the medication as prescribed by your doctor. Melatonin should be taken with or after food, shortly (1-2 hours) before going to bed. The prolonged-release tablet must be swallowed whole with water or other liquids; do not crush or chew the tablet.
If you forget to take a dose of Melatonin, it is recommended that you skip the missed dose and take the next dose at your usual timing. Melatonin may also interact with other medications, supplements, traditional medications, or herbal remedies. It is important to check with your healthcare professional if you are taking any other substances or have any drug allergies. Additionally, smoking may decrease the amount of Melatonin that stays in your body, and drinking alcohol while taking Melatonin can cause excessive sleepiness.
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Side effects of sleeping pills
Sleeping pills can be habit-forming and have various side effects. They 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, having muddled thinking, and experiencing dizziness or balance problems the next day. This can negatively impact daily life, including driving and working.
Sleeping pills can also lead to dependence, with rebound insomnia occurring when stopping the medication. This can cause a return of insomnia that is worse than before. Additionally, mixing sleep aids with other sedatives or alcohol can lead to an overdose, which can be deadly.
For older adults, sleeping pills can have more severe consequences, including confusion, memory issues, and balance problems, increasing the risk of falls and hip fractures. They can also interfere with normal breathing and be dangerous for people with certain chronic lung problems, such as asthma or COPD.
It is important to consult a doctor before taking sleeping pills, especially for those who are pregnant, breastfeeding, or have other health conditions. Doctors can help determine the safest treatment option and provide guidance on proper usage and potential side effects.
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Online doctor consultations
Finding a Reputable Online Service
Start by searching for online doctor consultation services that are registered and licensed to operate in Singapore. Ensure that the service you choose employs licensed medical professionals who are qualified to make prescriptions. Reading reviews and verifying the credentials of the doctors can be a good practice.
Registration and Initial Consultation
Once you've found a suitable online service, register by creating an account and providing your personal details, such as name, contact information, and payment details. After registration, you will typically be asked to fill out a medical questionnaire. This will cover your symptoms, sleep habits, medical history, current medications, and allergies. Be as detailed and honest as possible when answering these questions, as this information will help the doctor make an accurate assessment.
Video Consultation with a Doctor
After reviewing your questionnaire, a licensed doctor will schedule a video call with you. During this consultation, the doctor will discuss your sleep issues, ask further questions, and may recommend specific sleeping pills or alternative treatments. Ensure you understand the benefits, risks, and potential side effects of any medication recommended.
Prescription and Delivery
If the doctor determines that sleeping pills are appropriate for your condition, they will send an electronic prescription to a pharmacy of your choice. Some online services may also offer the option to deliver the medication directly to your home.
Follow-up Consultations
Depending on your condition and the medication prescribed, the doctor may schedule follow-up consultations to monitor your progress and adjust the treatment plan as needed. These follow-up consultations can be crucial for assessing the effectiveness of the medication and ensuring your safety.
It is important to note that sleeping pills should only be taken under medical supervision, and you should always follow the instructions provided by your doctor and the medication label. Additionally, be cautious of potential side effects, and do not hesitate to contact your doctor or healthcare provider if you have any concerns or experience any adverse reactions.
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Natural sleep remedies
While sleeping pills may be effective, they can come with side effects and safety concerns. Natural sleep remedies, on the other hand, offer a gentler approach to improving your sleep. These remedies are generally safe and can be easily incorporated into your bedtime routine. Here are some natural sleep aids that can help you achieve a good night's rest:
Melatonin
Melatonin is a hormone naturally produced in the brain by the pineal gland. It regulates the body's circadian rhythms, including the sleep-wake cycle. Taking melatonin supplements can decrease the time it takes to fall asleep, increase feelings of sleepiness, and potentially lengthen your sleep duration. Melatonin is available over the counter at your local pharmacy. However, it is essential to note that melatonin supplements are unregulated, and dosages and ingredients may vary between manufacturers. Experts recommend buying the same brand consistently and opting for fast-release formulas, which may be more effective than slow-release ones.
Valerian
Valerian is an herbal extract that has gained popularity as a natural supplement for managing anxiety and insomnia. While there is limited evidence of its effectiveness in treating insomnia, some findings suggest that it may reduce the time needed to fall asleep and enhance sleep quality.
Chamomile
Chamomile is a well-known herbal sleep remedy with a long history of use. German chamomile is commonly consumed as a tea, while Roman chamomile can be taken as a tincture due to its bitter taste. Both varieties are believed to have a calming effect, promoting relaxation and preparing the body for sleep.
Magnesium
Magnesium is a mineral that plays a crucial role in various bodily functions, including sleep regulation. While you can find magnesium supplements, you can also boost your intake by incorporating magnesium-rich foods into your diet, such as dark leafy greens, nuts, seeds, and fish.
Lavender
The scent of lavender is often associated with relaxation and calmness. While lavender supplements have not been extensively studied for their effects on sleep, lavender essential oil or lavender-infused products can create a soothing atmosphere in your bedroom, potentially enhancing your sleep quality.
Passionflower
Passionflower, or Passiflora incarnata, is a popular herbal remedy for insomnia, particularly in North America. Animal studies have demonstrated its sleep-promoting effects, and while more human research is needed, an older study showed improved sleep quality in participants who drank passionflower tea before bed.
Lifestyle and Environmental Adjustments
In addition to these natural supplements and remedies, improving your sleep may also involve making adjustments to your sleeping habits and environment:
- Avoid electronic devices before bed, as the light from smartphones and laptops can interfere with sleep.
- If you need to use the bathroom at night, avoid turning on bright lights. Instead, use a flashlight to minimise visual disruption.
- Sleep in layers to easily adjust your bedtime temperature.
- Avoid working out within two hours of your bedtime, as it can raise your core body temperature and make it challenging to fall asleep.
- Avoid alcohol, as it can disrupt your sleep. Instead, opt for warm milk, chamomile tea, or tart cherry juice before bed.
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Frequently asked questions
Sleeping pills are prescription medication in Singapore. You can get a prescription from your general practitioner (GP) or a doctor at a polyclinic.
Prescription sleeping pills typically fall into the category of sedative-hypnotics. Some examples include:
- Antidepressants: Fluoxetine (Prozac) and Escitalopram (Lexapro)
- Benzodiazepines: Alprazolam (Xanax) and Lorazepam (Ativan)
- Z-drugs: Zolpidem (Ambien) and Zopiclone (Imovane)
Sleeping pills like Zolpidem may cause side effects such as complex sleep behaviours (sleepwalking, sleep driving, etc.), withdrawal symptoms if stopped abruptly, and excessive sleepiness when combined with alcohol. Always follow the instructions provided by your doctor and on the medication label.
