
Sleeping pills can be extremely dangerous if misused or abused. Overdosing on sleeping pills can lead to death, and the symptoms of an overdose include lethargy, abdominal pain, breathing trouble, clumsiness, drunk-like behaviour, and a slowing of brain function. If you suspect that someone has overdosed on sleeping pills, it is important to call 911 immediately and try to keep them awake and talking until help arrives. If the person is unconscious, place them in the recovery position and wait for help. Treatment for sleeping pill addiction is available and often focuses on psychotherapy, medication, and lifestyle modifications.
| Characteristics | Values |
|---|---|
| What to do if someone overdoses on sleeping pills | Call 911 immediately. Try to keep the person awake and talking until help arrives. If the person is unconscious, place them in the recovery position and wait for help to arrive. |
| Signs of overdose | Extreme lethargy, abdominal pain, breathing trouble, clumsiness, drunk-like behaviour, memory loss, strange behaviour, bluish tinge to the lips, fingers, and skin (cyanosis), and unanticipated behaviours or actions. |
| Treatment | Supportive care, activated charcoal, hemodialysis, whole bowel irrigation, and rarely, flumazenil. |
| Prevention | Do not mix sleeping pills with alcohol, grapefruit, opioids, or other drugs. Do not take sleeping pills if pregnant. |
| Addiction treatment | Medical detox, residential treatment, psychotherapy, cognitive behavioural therapy (CBT), motivational enhancement therapy (MET), group therapy, support groups, 12-step programs, and medication. |
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What You'll Learn
- Recognising an overdose: breathing issues, lethargy, drunk-like behaviour
- Call emergency services: keep the person awake and talking
- Recovery position: place them on their side if unconscious
- Treatment: supportive care, activated charcoal, hemodialysis, bowel irrigation
- Addiction: rehab, therapy, detox, support groups

Recognising an overdose: breathing issues, lethargy, drunk-like behaviour
If you suspect someone has overdosed on sleeping pills, it is important to act quickly. Call 911 immediately, especially if the person is exhibiting signs of breathing issues, lethargy, or drunk-like behaviour. While waiting for emergency services to arrive, there are several steps you can take to assist the person:
Recognising an overdose:
Breathing issues:
If the person is experiencing slow or dysfunctional breathing, this could indicate an overdose. Monitor their breathing closely and be prepared to administer CPR if necessary. If their breathing ceases and they lose consciousness, place them in the recovery position—on their side with one leg forward of the other—and continue to monitor their breathing until help arrives.
Lethargy:
Excessive lethargy is another sign of a potential overdose. If the person is extremely sleepy or tired, they may have difficulty staying awake and communicating. Keep them awake and talking if possible, as this can help prevent them from falling into a deeper state of unconsciousness.
Drunk-like behaviour:
Pay attention to any unanticipated or drunk-like behaviour. Clumsiness, slurred speech, or unusual actions could indicate that the person is experiencing the sedative effects of an overdose. Their behaviour may seem similar to alcohol intoxication, including slowed reflexes and impaired coordination.
It is important to remember that the effects of a sleeping pill overdose can vary depending on the person's individual response to the medication, the dosage taken, and any other substances involved. Always seek immediate medical assistance if you suspect an overdose, even if the person is exhibiting only mild symptoms.
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Call emergency services: keep the person awake and talking
If you suspect someone has overdosed on sleeping pills, call 911 immediately. While waiting for the emergency services to arrive, keep the person awake and talking. If they are unconscious, place them in the recovery position—on their side, with one leg forward of the other—and wait for help.
Sleeping pills can depress the central nervous system, slowing brain function and affecting involuntary functions such as breathing and heart rate. This can lead to unconsciousness, respiratory failure, and even death. Signs of a sleeping pill overdose include excessive lethargy, unanticipated behaviours or actions, and breathing irregularities. If the person appears to be gasping for air, or if breathing ceases and consciousness is lost, administer CPR.
It is important to note that any sleep medication, including over-the-counter drugs, can be dangerous in large amounts. Mixing sleeping pills with other substances, such as opioids or alcohol, can be particularly dangerous and even fatal. Older adults are at a greater risk of overdose from sleeping pills due to decreased drug metabolism rates.
If the person who has overdosed is conscious and able to talk, try to find out what they took, how much they took, and when. This information will be crucial for the emergency services and medical professionals treating the person.
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Recovery position: place them on their side if unconscious
If someone has swallowed sleeping pills and is unconscious, it is important to act quickly and calmly. Here is a step-by-step guide on how to place them in the recovery position:
- Kneel beside the person: Position yourself comfortably beside the casualty. If they are wearing glasses or have any bulky items in their pockets, gently remove them.
- Straighten their legs: Ensure that their legs are straight and not bent at the knees.
- Position their nearest arm: Place the arm that is closest to you at a right angle to their body. Their elbow should be bent, and their palm should face upwards.
- Cross their other arm: Bring their other arm across their chest and gently place the back of their hand against their nearest cheek. Hold it there gently but firmly.
- Roll them onto their side: With your other hand, gently pull their far knee up so that their foot is flat on the floor. Keep the back of the casualty’s hand pressed against their cheek, and slowly roll them towards you onto their side.
- Adjust their top leg: Once they are on their side, adjust their top leg so that it is bent at a right angle.
It is crucial to remember that, while placing an unconscious person in the recovery position is important, seeking immediate medical assistance is also vital. Call your local emergency number (e.g. 911 in the US or 999 in the UK) and monitor the person's breathing and response level while waiting for help to arrive. If they remain in the recovery position for an extended period (e.g., 30 minutes), roll them gently onto their other side.
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Treatment: supportive care, activated charcoal, hemodialysis, bowel irrigation
If someone has swallowed sleeping pills, it is important to first recognize the signs of an overdose. Physical signs of a sleeping pill overdose include extreme lethargy, abdominal pain, breathing trouble, and clumsiness. If an overdose is suspected, call 911 immediately.
Once the victim has been assessed by a medical professional, treatment can be administered. Sleeping pill overdoses are usually treated with supportive care, which involves monitoring the patient's breathing and cardiovascular system while the body works the drug out of its system. In some cases, additional treatments may be necessary, such as activated charcoal, hemodialysis, or whole bowel irrigation.
Activated charcoal is a black powder that is typically derived from plant sources such as coal, wood chips, coconut shells, moss, or tree bark. It is used to treat drug overdoses and poisonings because it can neutralize harmful substances in the body. Treatment with activated charcoal is most effective when administered within the first hour of ingestion and should only be given by a health professional.
Hemodialysis is a medical procedure that involves filtering the blood to remove toxins and waste products when the kidneys are unable to do so effectively. While there is a potential link between sleeping pill use and chronic kidney disease (CKD), requiring hemodialysis, this relationship is not yet fully understood.
Whole bowel irrigation (WBI) is a method used to treat toxic ingestions by irrigating the entire bowel to remove harmful substances. This procedure is typically considered for patients who have ingested sustained-release or enteric-coated drugs.
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Addiction: rehab, therapy, detox, support groups
If someone has swallowed sleeping pills, it is important to act quickly. Check for signs of an overdose, such as extreme lethargy, abdominal pain, breathing trouble, clumsiness, and a bluish tinge to the lips, fingers, and skin. If any of these symptoms are present, call 911 immediately and follow the instructions for helping someone who has overdosed until help arrives.
If you or someone you know is struggling with an addiction to sleeping pills, it is important to seek professional help. Addiction to sleeping pills can develop without the user ever being aware, and it can have serious side effects and health risks, including an increased risk of dementia with prolonged use. Treatment for sleeping pill addiction often involves a combination of rehab, therapy, detox, and support groups.
Rehab
Inpatient rehab is often recommended for those with an addiction to prescription sleeping pills. This involves staying at a treatment center where you will undergo detoxification and participate in individual and group counseling sessions. Inpatient rehab provides a safe, medically supervised environment to undergo detox and address the underlying issues of your addiction.
Therapy
Therapy is an important component of sleeping pill addiction treatment. Cognitive behavioral therapy (CBT) can be effective in treating sleeping pill addiction by helping individuals learn healthy sleep habits without the use of drugs. Other types of therapy that may be recommended include motivational enhancement therapy (MET) and group therapy. Family therapy can also be beneficial in the recovery process.
Detox
Detox from sleeping pills should be done gradually to avoid serious withdrawal symptoms. Medical detox is recommended to safely manage withdrawal symptoms, which may include vomiting, fever, chills, diarrhea, severe headaches, abdominal pain, and agitation. Anticonvulsant medications may be used during detox to prevent seizures, especially if the individual is dependent on benzodiazepines.
Support Groups
Support groups and 12-step programs can provide valuable encouragement and information during recovery. They offer a sense of community and allow individuals to connect with others who are going through similar experiences. Support groups can help individuals stay on track and cope with the challenges of adjusting to a new way of life.
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Frequently asked questions
Signs of a sleeping pill overdose include:
- Extreme lethargy
- Abdominal pain
- Breathing trouble
- Clumsiness
- Drunk-like behaviour
- Bluish tinge to the lips, fingers, and skin (cyanosis)
If you suspect someone has overdosed on sleeping pills, call 911 immediately. Keep the person awake and talking if possible until help arrives. If the person is unconscious, place them in the recovery position—on their side, with one leg forward of the other—and wait for help.
When someone overdoses, the drug may begin to affect involuntary functions such as heart rate and breathing. Sleeping pills work by depressing the central nervous system, so the overuse of the drugs can slow body functions to such a degree as to cause unconsciousness, respiratory failure, and death.
Sleeping pill overdoses are usually treated with supportive care, meaning that a doctor monitors the patient’s breathing and cardiovascular system while the body works the benzodiazepine out of the system. In some cases, activated charcoal, hemodialysis or whole bowel irrigation may play a role in helping to treat an overdose.











































