Sleeping Pills: Air Travel's Secret Weapon

what drugs to take to sleep on a plane

Sleeping on a plane can be challenging due to various factors such as aircraft noise, limited legroom, and dry cabin air. While some people opt for alcohol or sleeping pills, it's important to consider potential side effects and safety concerns. Prescription sleeping pills like Ambien (zolpidem) are potent sedatives that require caution due to possible addiction and disruptive side effects. Over-the-counter options such as diphenhydramine (Benadryl, ZzzQuil) and doxylamine (Unisom) are antihistamines that can aid sleep but may have varying effects and should be used sparingly. Melatonin, a natural hormone regulating sleep, is effective in reducing jet lag and adjusting the body clock with minimal side effects. CBD products and herbal supplements like valerian root may also promote calmness and sleep. It's advisable to test any sleep aid before flying, consult a doctor, and prioritize good sleep hygiene practices.

Characteristics Values
Drugs to help you sleep on a plane Zolpidem (Ambien), Lunesta, Sonata, Rozerem, Diphenhydramine (Benadryl, ZzzQuil, Aleve PM, Tylenol PM), Doxylamine (Unisom, NyQuil), Xanax, Hydroxyzine, Melatonin, CBD
Side effects Sleepwalking, addiction, impaired mental processes and reaction times, drowsiness, higher tolerance over time
Other recommendations Test the drug before your flight, avoid mixing with alcohol, use noise-cancelling headphones, wear comfortable clothing and sleep socks, use a sleep mask, avoid screens, caffeine and alcohol

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Prescription vs. over-the-counter

When it comes to taking sleep aids on a plane, there are a variety of prescription and over-the-counter options available. It is important to remember that all sleep aids, both prescription and over-the-counter, can cause impairment of mental processes and reaction times, even when the individual feels awake. Thus, it is always recommended to consult a healthcare provider before taking any sleep aid, especially when mixing it with other sedatives or alcohol, as there is a possibility of overdosing.

Over-the-counter sleep aids are easily accessible without a prescription and are typically available at drugstores or other retail locations. They often contain antihistamines, which treat allergies but can also cause drowsiness. Diphenhydramine, found in common medications like Benadryl, ZzzQuil, Aleve PM, and Tylenol PM, is a popular choice for over-the-counter sleep aids. Doxylamine, another antihistamine, is found in stronger sleep aids like Unisom sleep tablets and NyQuil cold medicine. Melatonin, a natural hormone that promotes sleep, is also available over the counter and can be effective in reducing jet lag. However, it is important to note that over-the-counter sleep aids can interfere with other medications or health conditions, and they may not be suitable for long-term use due to the risk of dependence.

Prescription sleep aids, on the other hand, are stronger than over-the-counter options and require a prescription from a healthcare provider. They are typically not intended for long-term use due to the risk of dependence and addiction. Zolpidem (Ambien), eszopiclone (Lunesta), and Rozerem are examples of prescription sleep aids. These drugs can be effective in treating short-term sleep disturbances but should be carefully evaluated with a doctor to assess their efficacy and potential side effects. It is important to note that prescription sleep aids may also cause parasomnia, a disruptive sleep disorder where individuals may engage in dangerous behaviors while still asleep.

While both prescription and over-the-counter sleep aids can be effective in promoting sleep on a plane, it is crucial to prioritize safety and always consult a healthcare provider to understand the options, benefits, and risks associated with each type of medication.

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Melatonin

A 2002 review from UK researchers found melatonin decreases jet lag if you take it close to your target bedtime at your destination, especially if you’re travelling across five or more time zones. The researchers found that doses of 0.5 and 5 mg were equally effective at preventing jet lag, though the larger dose will help you fall asleep faster and sleep better.

It is important to note that melatonin does not work for everyone and is not recommended for those who are pregnant, lactating, have epilepsy or migraines, are taking warfarin, or have a personal or family history of psychiatric disorders. Additionally, athletes subject to anti-doping rules should be cautious as melatonin may be sold as a dietary supplement and may risk contamination with prohibited substances. It is always a good idea to try melatonin at home or in a safe environment before using it for the first time on a plane.

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Antihistamines

Diphenhydramine is the active ingredient in common sleep and allergy medicines like ZzzQuil, Benadryl, Aleve PM, and Tylenol PM. It is generally safe to use but should not be overused, especially if you need it for allergy relief. Overuse can lead to a higher tolerance, requiring you to take higher doses for the same effect. It's important to note that diphenhydramine can have adverse effects on mental functioning, and the FAA recommends that pilots refrain from flying for at least 60 hours after taking it.

Another antihistamine, doxylamine, is found in stronger sleep aids like Unisom sleep tablets and NyQuil cold medicine. NyQuil also has the added benefits of pain and fever relief and can help suppress coughs.

If you are looking for non-sedating antihistamines, loratidine (Claritin), desloratidine (Clarinex), and fexofenadine (Allegra) are available over the counter and may be used while flying if they are well-tolerated and do not cause adverse side effects. However, just because a medication is prescribed by a doctor does not mean it is considered safe for flying by the FAA. Always check the regulations and waiting periods before flying after taking any medication.

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Side effects

When it comes to taking drugs to sleep on a plane, there are several side effects to be aware of. The side effects can vary depending on the specific drug and individual factors, but here are some common ones to consider:

Diphenhydramine: Diphenhydramine is a common antihistamine found in over-the-counter medications like Benadryl, ZzzQuil, Aleve PM, and Tylenol PM. While it can effectively induce sleepiness, it may have side effects such as drowsiness upon landing. Additionally, overuse of diphenhydramine can lead to a higher tolerance, requiring higher doses over time.

Melatonin: Melatonin is a natural hormone produced by the brain to trigger sleepiness. It is available in pill form and can help reduce jet lag, especially when taken close to your target bedtime at your destination. While melatonin has minimal side effects, long-term use of any sleeping pill, including melatonin, may have negative consequences.

Prescription Sleep Aids: Prescription drugs like Ambien (Zolpidem), Lunesta, and Sonata are sedative-hypnotic medications that can effectively induce sleep. However, they may cause side effects such as sleepwalking, retroactive amnesia, and lingering dizziness, fatigue, or grogginess upon awakening. These drugs have the potential for abuse and addiction, so caution is advised.

Other Antihistamines: Doxylamine, another antihistamine, is found in stronger sleeping pills like Unisom sleep tablets and NyQuil cold medicine. While these can provide a more potent effect, they are generally recommended for those who are not allergy-prone and do not regularly use antihistamines. NyQuil also offers additional benefits like pain relief, fever reduction, and cough suppression.

CBD/Melatonin Combinations: Natural alternatives like CBD/Melatonin combinations, including tinctures and gummies, can promote calmness and ensure a restful sleep. However, some formulas may contain coconut oil, so individuals with a coconut allergy should carefully review the ingredients.

It is important to consult a healthcare professional before taking any sleep aids, especially when considering prescription medications. Additionally, standard sleep hygiene practices, such as abstaining from screens, caffeine, and alcohol, can also contribute to better sleep during flights.

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Safety considerations

When considering taking medication to help you sleep on a plane, there are several safety precautions to keep in mind. Firstly, it is important to consult your doctor or a medical professional before taking any sleep medication, especially if you have an underlying medical condition that affects your sleep. Examples of such conditions include primary sleep disorders like insomnia or sleep apnea, or psychological disorders like anxiety or depression. The primary focus should be on addressing and treating the underlying condition rather than solely relying on sleep aids.

Additionally, it is crucial to be aware of the potential side effects and risks associated with sleep medications. All sleep aids, both prescription and over-the-counter, can cause impairment of mental processes and reaction times, even when an individual feels fully awake. This impairment can pose a safety risk, especially if you need to react quickly in an emergency situation during the flight. Therefore, it is recommended to give any sleep medication a test run at home to understand how your body tolerates it before taking it on a plane. This is also important to ensure that you don't experience any unexpected or adverse side effects while in the air.

Timing your dose appropriately is another key consideration. It is advised to time your dose so that you have a few waking hours at the end of the flight. This allows you to recover from any grogginess or other after-effects before disembarking. It is also important to avoid combining sleep medication with alcohol, as this can increase the risk of side effects and impair your sleep quality.

Furthermore, it is essential to prioritize good sleep hygiene practices in conjunction with any sleep medication. This includes creating a comfortable sleeping environment, using noise-canceling headphones or earplugs to block out engine noise, wearing a sleep mask, and dressing in comfortable, loose-fitting layers to accommodate temperature fluctuations. Staying hydrated is also crucial, as airplane cabins tend to have dry air, and dehydration can further disrupt your sleep.

Lastly, it is important to be cautious about the potential for addiction or abuse with certain sleep medications. While occasional use is generally considered safe, some drugs can lead to dependence or tolerance issues if overused. Therefore, it is essential to follow the recommended dosage instructions and not to rely on sleep aids for extended periods without addressing any underlying sleep issues with a medical professional.

Frequently asked questions

Diphenhydramine, the same antihistamine found in Benadryl, Tylenol PM, Aleve PM, and ZzzQuil, will likely help you sleep. Doxylamine, the active ingredient in Unisom sleep tablets, is another option. Melatonin, a naturally occurring hormone, can also help induce sleep.

Ambien (also known as zolpidem) is a popular option, but it should not be taken without a prescription and should not be combined with alcohol. Other prescription sleep aids include Lunesta and Sonata.

All sleep aids, both prescription and over-the-counter, can cause impairment of mental processes and reaction times. Additionally, some medications can have a hangover effect, making you feel groggy upon awakening. It is important to test any medication before your flight to understand how it affects you.

Standard sleep hygiene practices include abstaining from screens, caffeine, and alcohol. Dressing in comfortable, loose-fitting layers, using noise-canceling headphones, and wearing a sleep mask can also improve your chances of sleeping on a plane.

It is recommended to take sleep medication several hours before landing to allow time for the drug to metabolize and for any grogginess to wear off. It is also important to consider the duration of your flight, as taking sleep medication on a short flight may not be advisable.

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