Colin Snow
Sleeping pills can be a helpful solution for travellers who struggle to sleep on planes, especially for long-haul flights that cross multiple time zones. While some people opt for over-the-counter sleep aids, others may prefer prescription medication. The decision to prescribe sleeping pills for flights is at the discretion of the GP, and they may consider factors such as the patient's medical history, the purpose of the medication, and the duration of the flight. It is worth noting that sleeping pills can have side effects and should be used with caution, especially when combined with alcohol. Additionally, the country of destination may have restrictions on certain medications, so travellers are advised to check with the relevant embassy before their trip.
| Characteristics | Values |
|---|---|
| Will a GP give sleeping pills? | It depends on the GP, the patient's medical history, and the length of the flight. |
| Recommended sleeping pills | Melatonin, Kirkland Signature Sleep Aid, Nature's Bounty Melatonin, Klaire Labs Melatonin Lozenge, Olly gummies, Dream Water, Xanax, Zopiclone, Diazepam, Ambien, Benadryl, Tylenol PM, Aleve PM, ZzzQuil, Lunesta |
| Side effects | Memory impairment, sleepwalking, amnesia, grogginess, dry mouth, overdose, addiction, dependence, nausea, dizziness, risk of overdose, death |
| Precautions | Test the medication before the flight, take the prescribed dose, skip alcohol, carry labelled packaging, take medication only after boarding, reserve medication for long-haul flights, sit by the window, carry sleep accessories |
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What You'll Learn
Prescription vs. over-the-counter sleeping pills
Sleep is an essential part of our lives, and when we struggle to sleep, it can impact our health and well-being. Sleeping pills are one option to help with sleep issues, and they come in two main types: prescription and over-the-counter (OTC).
Prescription Sleeping Pills
Prescription sleeping pills are stronger than OTC options and are regulated medications. They are typically prescribed for short-term relief of sleep issues, as long-term use can lead to dependence and addiction. Benzodiazepines, such as Ativan (lorazepam) and Restoril (temazepam), are commonly prescribed sedative hypnotics. However, they carry a risk of serious side effects, including a "hangover effect" the next day, with lingering sleepiness and dizziness. Z-drugs, such as zolpidem (Ambien) and eszopiclone (Lunesta), are another type of prescription sleeping pill that works by slowing brain activity. While they can be effective, they should be used cautiously due to the risk of side effects and the potential for misuse. Prescription melatonin receptor agonists, like ramelteon (Rozerem), are also an option for sleep problems. They are considered the first line of therapy for insomnia as they do not cause physical dependence or abuse.
Over-the-Counter Sleeping Pills
OTC sleeping pills are widely available and can be purchased without a prescription. They are typically not as strong as prescription options and are generally considered safe for short-term use. Melatonin supplements are a popular OTC choice, especially for regulating the sleep-wake cycle and combating jet lag. Diphenhydramine (Benadryl) and doxylamine (Unisom SleepTabs, etc.) are also common OTC antihistamines that can aid in sleep. While these options may be effective for some, it's important to consult a doctor or pharmacist before taking any sleep medications to ensure they are suitable for your individual needs and medical history.
Sleeping Pills for Flying
When it comes to taking sleeping pills for flying, both prescription and OTC options are considered. For long-haul flights or significant time zone changes, sleeping pills can help passengers log some much-needed shut-eye. OTC options like melatonin, diphenhydramine, and doxylamine are popular choices, with melatonin being especially recommended for combating jet lag. Prescription options like Ambien are also mentioned, but caution is advised due to potential side effects like amnesia and sleepwalking. It is always advisable to consult a healthcare professional before taking any sleeping pills, and to test them out before your flight to understand how your body reacts.
In summary, both prescription and OTC sleeping pills have their advantages and considerations. Prescription pills are stronger and more closely regulated but carry higher risks of side effects and dependence. OTC pills are more accessible and generally safer for short-term use but may not be as effective for severe or chronic insomnia. Consulting a healthcare professional is essential to determine the best treatment option for your specific circumstances.
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Side effects and risks
Sleeping pills can have side effects and risks, and they should not be used long-term. Before taking any sleeping pills, it is important to consult a healthcare provider, especially if you are pregnant or breastfeeding, as the medication can pass to the fetus or baby.
Some common side effects of sleeping pills include daytime drowsiness, confusion, and parasomnia, or sleepwalking. Certain prescription sleep medications, such as Ambien, may cause more severe side effects, including amnesia and sleepwalking. These side effects can be exacerbated when combined with alcohol. Additionally, there is a risk of dependency associated with prescription sleep medications, although this is considered unlikely for short-term use during vacations.
Over-the-counter (OTC) sleep aids often contain antihistamines, which can cause grogginess and a dry mouth upon waking. While generally safe, OTC sleep aids should not be overused, as this can lead to a higher tolerance, requiring higher doses over time. Melatonin, a natural sleep aid, is also available over the counter and is considered the lightest sleep aid option, with minimal side effects. However, it can have negative side effects if used long-term. Valerian root is another potent herbal supplement that can induce strong sedation and calm anxiety.
For older adults, sleeping pills carry special risks, and nondrug treatments are often recommended first. Similarly, children should not be given over-the-counter antihistamines as sleep aids, as there is a risk of overdose. Instead, changing a child's sleep behaviours is recommended as a safer way to improve their sleep.
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Natural sleep aids
While some people may opt for sleeping pills to help them sleep during a flight, it is important to consult a doctor before taking any new medication, especially when combined with travel. Sleeping pills can have side effects, and natural sleep aids are often preferred due to their reduced risk of negative reactions.
Other natural sleep aids include magnesium, valerian root, and lavender. Some studies have also found that CBD and THC, which are found in the cannabis plant, can help people fall asleep, stay asleep, and improve overall sleep quality. However, it is important to note that marijuana and THC products can be habit-forming, and their withdrawal can worsen sleep problems.
In addition to supplements, there are behavioural and environmental adjustments you can make to improve your sleep. For example, you can reduce your exposure to bright lights, especially from electronic devices, before bedtime. You can also try drinking warm milk, chamomile tea, or tart cherry juice, which are all associated with improved sleep, although there is limited scientific evidence to support this.
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When to take them
When to take flying sleeping pills depends on a few factors, including the specific medication prescribed, the duration of your flight, and your typical sleep schedule. Here are some guidelines to help you determine the appropriate time to take your sleeping pills for air travel:
Firstly, it is important to consult your GP or a medical professional for personalized advice. They will provide you with specific instructions based on your health condition, the type of medication prescribed, and its expected effects and duration of action. Follow their recommendations for the timing and dosage of the medication.
Generally, it is advisable to take sleeping pills shortly before you intend to sleep. This helps synchronize the effects of the medication with your desired sleep schedule. If you are taking a shorter-acting medication, you may choose to take it 30 minutes to an hour before your planned sleep time. This will allow the medication to start working as you prepare for sleep, helping you feel relaxed and drowsy when you want to rest.
For longer flights, consider taking a longer-acting medication that covers the duration of the flight. In this case, take the pill shortly after boarding the flight, allowing enough time for it to take effect before you intend to sleep. This will enable you to get adequate rest during the flight and arrive feeling more refreshed.
It's important to allow some flexibility in your schedule, as everyone responds differently to medication. Consider setting an alarm a few hours before your expected arrival time, especially if you've taken longer-acting medication. This will give you time to wake up gradually and ensure you feel alert for your arrival.
Additionally, consider your typical sleep schedule. Try to take the medication in alignment with your body's natural sleep patterns. If you're an evening person, for example, taking the pill a little later may align better with your natural rhythm, making it easier to fall asleep and resulting in more restful sleep during the flight.
Remember, always consult a medical professional for personalized advice, and follow their recommendations for the best results and a safe, restful journey.
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Alternatives to sleeping pills
While sleeping pills can be effective in helping you sleep during a flight, they may not be for everyone. Some people may prefer to try natural alternatives, while others may want to avoid the grogginess that can come with taking sleeping pills. Here are some alternatives to consider:
Natural Supplements
Herbal teas, tinctures, and natural supplements can help promote sleepiness and improve sleep quality. Melatonin, a natural hormone that regulates sleep, is available in various forms, including softgels, lozenges, gummies, and liquid shots. It is generally safe for healthy adults and can be effective in treating jet lag and sleep issues. However, it is important to note that melatonin is prescription-only in some countries, such as the UK. Other natural supplements, such as valerian, lavender, cannabidiol (CBD), and kava, may also aid in relaxation and sleep.
Over-the-Counter Sleep Aids
If you're looking for a budget-friendly option, over-the-counter sleep aids like Kirkland Signature Sleep Aid, containing doxylamine, can help you get some rest during a long flight. Diphenhydramine, found in common sleep aids like Benadryl, can also induce sleepiness. However, it may cause grogginess and dehydration, so it's important to test your tolerance before your trip.
Antidepressants
In recent years, there has been a trend of using low doses of certain antidepressants, such as trazodone, as an "off-label" sleep aid. However, it is important to note that this use of trazodone is not officially studied or approved.
Lifestyle Changes
Improving your sleep may not always require medication. Making changes to your daily routine, such as incorporating exercise and better nutrition, can positively impact your sleep quality. Additionally, creating a relaxing sleep environment, such as using essential oils or a comfortable sleep setup, can enhance your sleep experience.
It is always recommended to consult with your doctor or a medical professional before taking any new medication or supplement to ensure it is safe and suitable for your individual needs.
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Frequently asked questions
It depends on the GP and how you present the issue. While some GPs may give you sleeping pills for a flight, others may not as flight anxiety does not come under the remit of General Medical Services. It is always best to consult a doctor about your unique health conditions and medical history.
Some over-the-counter options include Kirkland Signature Sleep Aid, Nature's Bounty Melatonin, and Klaire Labs Melatonin Lozenge. Other options include melatonin-based gummies, Olly gummies, and Dream Water.
Some prescription sleeping pills include Ambien, Lunesta, and Xanax. However, prescription sleeping pills are stronger than over-the-counter options and are typically only prescribed for short-term relief.
Yes, it is important to be aware of the side effects and risks associated with taking sleeping pills. Side effects may include feeling groggy, dry mouth, and memory impairment. There is also a risk of overdose if sleeping pills are combined with alcohol or other medications. Additionally, it is recommended to give the medication a test run at home before taking it on a flight.
Yes, there are several alternatives to taking sleeping pills on a flight. Some suggestions include sitting by the window, packing sleep accessories such as earplugs, an eye mask, and a blanket, and avoiding alcohol. It is also important to consider the duration of the flight, as short flights may not warrant the use of sleeping pills.
