
Sleeping pills are available over the counter (OTC) and by prescription. Over-the-counter sleep aids often contain antihistamines, which can make you drowsy. Natural sleep aids, such as melatonin, valerian, blackberry, lavender, and herbal blends, are also available. Prescription sleeping pills are stronger than over-the-counter ones and require a prescription from a healthcare provider. Providers generally do not recommend using prescription sleeping pills long-term due to the risk of dependence and addiction. It is important to consider the potential side effects and risks associated with sleeping pills and to consult a healthcare professional before taking any sleep aids.
| Characteristics | Values |
|---|---|
| Availability | Over the counter (OTC), as natural supplements or by prescription |
| Age Limit | Anyone age 18 and older can buy OTC sleep medications |
| Side Effects | Excessive drowsiness, confusion, sleepwalking, sleep-eating, memory issues, problems with concentration, and allergic reactions |
| Addiction | Prescription sleeping pills can be addictive |
| Dosage | Prescription sleeping pills are stronger than OTC ones |
| Natural Alternatives | Melatonin, valerian, blackberry, lavender, specialized herbal blends, passionflower, lemon balm, Vitamin B6 |
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What You'll Learn

Sleeping pill side effects
Sleeping pills are available over the counter (OTC) and by prescription. While they can help treat insomnia and other sleep disorders, they can also have several side effects. It is important to note that sleeping pills are not recommended for long-term use due to the risk of dependence and addiction.
Some common side effects of sleeping pills include drowsiness, dizziness, confusion, and memory problems, especially in older adults. This can impact your ability to drive, operate machinery, or perform tasks requiring full attention. There is also the risk of parasomnias, which are complex sleep behaviours where individuals may sleepwalk, eat, make phone calls, or even drive while asleep.
Sleeping pills can cause digestive issues such as constipation, diarrhea, gas, heartburn, and nausea. They may also worsen snoring and sleep apnea. Additionally, they can interfere with normal breathing and be dangerous for individuals with asthma, emphysema, or chronic obstructive pulmonary disease (COPD).
Some sleeping pills, particularly benzodiazepines, can cause muscle weakness and problems with memory and attention. There is also the potential for drug interactions, as sleeping pills may affect the effectiveness of other medications. It is always advisable to consult a healthcare provider before taking sleeping pills to ensure they are safe for your specific health conditions and medication regimen.
Furthermore, it is important to be cautious when taking prescription sleeping pills, as they can lead to dependence and rebound insomnia if used for extended periods. In some cases, individuals may experience a hangover effect the day after taking sleeping pills, with lingering drowsiness and muddled thinking. Natural sleep aids, such as melatonin and valerian, are also available, but even these can cause side effects, and it is recommended to consult a healthcare provider before taking them.
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OTC vs prescription pills
Sleeping pills are available over the counter (OTC) or by prescription. Anyone over the age of 18 can buy OTC sleep medications at drugstores or other retail outlets without a prescription. OTC sleep aids often contain an antihistamine, which can make you drowsy. Melatonin and valerian are also available as natural supplements to promote sleep. Although OTC sleep aids are easily accessible, it is recommended that you check with a healthcare provider before taking them as they can interfere with other medications or aggravate health conditions.
Prescription sleeping pills are stronger than OTC pills and are usually only recommended for short-term relief. They are often recommended for extreme insomnia. Before getting prescription sleeping pills, you will need to be evaluated and diagnosed with a sleep disorder. Sleeping pills may not be suitable for everyone, and a healthcare provider may recommend alternative treatments for insomnia. Prescription sleeping pills can be obtained online after an online assessment with a psychiatric provider.
OTC sleeping pills are widely available and do not require a prescription. They are typically antihistamines, which cause drowsiness by blocking histamines, the substances that cause alertness. Common ingredients in OTC sleeping pills include diphenhydramine and doxylamine. However, it is important to consult a healthcare provider before taking OTC sleeping pills, especially when pregnant or breastfeeding, as they can pass to the fetus or baby. Additionally, OTC sleeping pills are not recommended for children, as there is a risk of overdose.
Prescription sleeping pills are a more potent class of drugs known as sedative-hypnotics. They work in different ways, such as stimulating the chemical GABA in the brain, leading to sedation, muscle relaxation, and reduced anxiety. Common prescription sleeping pills include benzodiazepines, zolpidem (Ambien), and eszopiclone (Lunesta). While prescription sleeping pills can be effective for short-term relief, they carry a risk of dependence and addiction, and they are not recommended for long-term use.
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Natural sleep aids
If you're struggling to sleep, there are several natural remedies that may help you sleep better. However, it's important to remember that even natural sleep aids can cause side effects and interfere with your medication. It's always best to consult a doctor before taking any new supplements.
Melatonin
Melatonin is a hormone that is naturally released in the brain when it's dark, signalling to your body that it's time to sleep. However, unnatural light from phones, laptops, or TVs can prevent the release of melatonin, making it hard to fall asleep. Melatonin supplements have become a popular sleep aid, available over the counter at your local pharmacy. Studies have found that melatonin supplements can reduce the time it takes to fall asleep, increase feelings of sleepiness, and improve overall sleep quality. It is recommended to take 1-3 milligrams 2 hours before bed. However, melatonin may reduce the effectiveness of some medications and can cause side effects such as headaches, dizziness, and nausea. It is also not recommended for people with certain medical conditions, such as depression or a seizure disorder.
Valerian
Valerian is a perennial plant that has been used as a sleep aid for hundreds of years. It is thought to boost relaxation by raising levels of GABA and is generally considered safe for short-term use. It can be taken as a supplement or brewed as a tea. However, some people may experience headaches or stomachaches as side effects.
CBD
CBD, or cannabidiol, is a compound found in marijuana and hemp plants that has been found to relieve anxiety and act as a natural sleep aid. Studies have shown that CBD can enhance sleep quality and reduce anxiety. However, experts are still determining the optimal dosage, and it is not recommended for pregnant or nursing people. It's also important to note that CBD is classified as a controlled substance in some states, so its legality may vary.
Magnesium
Magnesium is a natural sleep aid that can help promote better sleep. However, more research is needed to understand its effectiveness and potential side effects.
Lavender
Lavender is another natural remedy that may help induce sleepiness and improve sleep quality.
In addition to these supplements, there are some behavioural adjustments you can make to improve your sleep:
- Avoid working out within two hours of bedtime, as it can raise your core body temperature and make it harder to fall asleep.
- Avoid looking at your phone or other screens before bed, as the light can interfere with your sleep.
- If you need to get up during the night, use a flashlight instead of turning on the lights.
- Sleep in layers so you can adjust your bedtime temperature as needed.
- Avoid alcohol before bed, as it can interfere with your sleep.
- Try drinking warm milk, chamomile tea, or tart cherry juice before bed. While there isn't much scientific proof, these drinks are believed to have sleep-promoting properties and won't cause any harm.
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Sleeping pill safety
Sleeping pills are available over the counter (OTC), as natural supplements, or by prescription. Over-the-counter sleep aids often contain antihistamines, which can cause drowsiness. Natural supplements such as melatonin and valerian are also available. Although these do not require a prescription, you should still check with your healthcare provider before taking them, as they can interfere with other medications.
Prescription sleeping pills are stronger than over-the-counter pills and are not usually recommended for long-term use due to the risk of dependence and addiction. They are typically only prescribed for short-term relief. Prescription sleeping pills include antidepressants, barbiturates, benzodiazepines (benzos), and Z-drugs such as zolpidem (Ambien) and eszopiclone (Lunesta).
Sleeping pills can have side effects, and it is important to be aware of these before taking them. Common side effects include confusion, sleepiness during the day, and parasomnia, where people may walk or eat in their sleep. Sleeping pills can also interfere with normal breathing and can be dangerous for people with certain chronic lung problems, such as asthma or emphysema.
It is important to speak with your doctor before taking any sleeping pills to ensure they are safe for you and do not interact with other medications. Sleeping pills are not recommended for children, and older adults are advised to avoid them due to an increased risk of health problems.
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Sleeping pill alternatives
Sleeping pills are available over the counter, as natural supplements, or by prescription. While they can be effective, they often come with side effects and risks, including drug dependencies. It is important to consult a healthcare professional before taking any medication, including over-the-counter sleep aids, to understand the options, benefits, and risks.
If you are looking for alternatives to sleeping pills, there are several options to consider. Firstly, good sleep habits and over-the-counter remedies can help improve sleep. This includes maintaining a consistent sleep schedule, creating a relaxing bedtime routine, and ensuring your bedroom is comfortable and conducive to sleep. Over-the-counter remedies may contain antihistamines, which can cause drowsiness as a side effect. However, it is important to note that even these remedies can have side effects such as dry mouth, dizziness, and constipation.
Natural supplements like melatonin and valerian are also available as alternatives to sleeping pills. Melatonin is a hormone naturally produced by the body to promote sleep. It helps with occasional insomnia and jet lag and comes in short-acting and long-acting forms. Valerian is an herb that is believed to aid relaxation and sleep. While these supplements are easily accessible, it is recommended to consult a healthcare provider before taking them as they can interfere with other medications or health conditions.
Additionally, nondrug therapies like cognitive-behavioral therapy (CBT) can be effective in improving sleep. This type of therapy combines cognitive and behavioral techniques to address the thoughts and behaviors that impact sleep. It is often recommended to be used in conjunction with medication for better results.
Finally, certain antidepressants can cause drowsiness as a side effect and may be prescribed off-label to treat insomnia. However, this is not a common practice due to the potential side effects of these medications. It is important to discuss all options with a healthcare professional to determine the most suitable treatment for your specific needs.
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Frequently asked questions
Sleeping pills are available over the counter (OTC) at drugstores and retail locations, or online at places like CVS Pharmacy. You can also get a prescription for sleeping pills from a healthcare provider.
Sleeping pills can cause excessive drowsiness, problems with concentration, and sometimes allergic reactions. They can also lead to dependence and addiction, especially with long-term use. It is recommended to limit use to two nights in a row and consult a doctor if you are still having trouble sleeping.
There are natural sleep aids that use ingredients such as melatonin, blackberry, lavender, valerian, and specialized herbal blends. These can come in the form of teas, tablets, or liquid formulas. Other non-drug therapies like cognitive behavioral therapy (CBT) may also be effective in improving sleep.




























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