Evie Summers
Sleep is an essential part of a healthy life, and insomnia is a common sleep disorder that affects one in three adults. It can be caused by a range of factors, from medical conditions to substance use, and can be both a symptom and a cause of mental health issues. While there is no universal cure for insomnia, it can be successfully treated with habit changes, addressing medical or mental health conditions, switching medications, or reducing stress. Sleeping pills are one such treatment option, but they are typically only prescribed for short-term relief due to the risk of dependence and addiction. They can also cause side effects and should not be used with other sedatives or alcohol due to the possibility of overdosing. Virtual healthcare services, or telemedicine, have become increasingly popular for treating sleep disorders, with online consultations available with licensed sleep doctors who can prescribe or refill sleep medications. However, it's important to note that virtual doctors may not prescribe controlled substances or certain types of sleeping pills.
| Characteristics | Values |
|---|---|
| Availability of virtual doctors | Yes, virtual doctors are available for insomnia treatment and sleep disorders |
| Prescription of sleeping pills | Virtual doctors may prescribe sleeping pills, but not controlled substances |
| Types of sleeping pills prescribed | Non-addictive, non-habit forming, non-controlled substances |
| Side effects | Potential side effects include drowsiness, burning/tingling, changes in appetite, constipation, balance problems, dry mouth, mental slowing, stomach pain, unusual dreams, parasomnia |
| Cost | Prescription sleep medications start at $16.66 per month with RedBox Rx |
| Appointment process | Online assessment, video consultation |
| Treatment options | Prescription medication, cognitive behavioral therapy, sleep therapy, relaxation techniques, antidepressants |
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What You'll Learn
Telemedicine for sleep disorders
Sleep is an essential part of our lives, and sleep disorders can have long-term consequences on our health. Telemedicine for sleep disorders is a method of providing remote diagnosis, treatment, and management of sleep-related conditions through virtual consultations with a physician. This allows patients to receive expert care from a sleep doctor without being physically present in the clinic. Telemedicine for sleep disorders utilizes telehealth technologies to remotely diagnose and treat sleep disorders like sleep apnea and insomnia.
Telemedicine appointments for sleep disorders typically involve virtual consultations with a sleep specialist via video conferencing. During these consultations, patients can discuss their symptoms and concerns, and review their medical history and any previous sleep studies or tests. Sleep technologists can also monitor vital signs such as airflow, breathing effort, and oxygen levels remotely. Based on this information, the sleep medicine doctor will provide personalized treatment recommendations, which may include prescription medication, lifestyle modifications, and advice on sleep hygiene.
One of the significant benefits of telemedicine for sleep disorders is its convenience. Patients can receive care from the comfort of their homes, eliminating the need for travel and commuting. This also increases access to care, making sleep medicine services available to individuals in remote locations or those who may have difficulty attending in-person appointments. Telemedicine can also be more cost-effective, saving expenses associated with transportation and time spent away from work.
Additionally, telemedicine for sleep disorders offers improved treatment adherence. Online platforms facilitate communication, education, and medication management, promoting better adherence to treatment plans. Patients can easily schedule follow-up appointments and receive ongoing support from their care team. Telemedicine can also provide timely care, with flexible scheduling and shorter wait times compared to traditional in-person consultations.
While telemedicine for sleep disorders offers numerous advantages, it is important to note that certain conditions may require in-person evaluations and treatments. Sleep specialists will recommend in-clinic consultations if they feel it is necessary for the patient's safety and comprehensive care.
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Online prescriptions
Sleep is an essential part of a healthy life, and when it is disrupted, it can have a knock-on effect on many other aspects of our lives. Sleep disorders, such as insomnia, are common, and there are many over-the-counter (OTC) sleep aids available. However, these can interfere with other medications, and it is always best to consult a healthcare professional before taking them.
Prescription sleeping pills are stronger than OTC aids, and providers will usually only recommend them for short-term relief due to the risk of dependence and addiction. They can have side effects, and it is important to discuss these with a doctor before taking any medication.
There are now many online services offering virtual consultations with licensed doctors and sleep specialists who can prescribe sleep medication. These services are convenient and can save time, especially as you do not have to drive to appointments when you are tired. They also offer follow-up care and prescription refills. However, it is important to note that some online services will not prescribe controlled substances, and some sleep medications may require an in-person consultation.
Some common prescription sleep medications include:
- Antidepressants, such as amitriptyline, trazodone, and mirtazapine
- Sedative hypnotics
- Benzodiazepines, such as Xanax, Valium, and Klonopin
- Non-benzodiazepine hypnotics
- Melatonin receptor stimulators
- Anti-narcoleptics
- Orexin receptor antagonists
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Side effects and safety concerns
While sleeping pills can help treat insomnia by making you feel drowsy and relaxed, they can also have several side effects and safety concerns. Firstly, they are not meant to be used long-term as they can be habit-forming and addictive, especially benzodiazepines. Providers typically recommend against using prescription sleeping pills long-term as they are not a cure for insomnia and there is a risk of dependence and addiction.
Sleeping pills can cause a range of side effects, including constipation, diarrhea, muscle weakness, digestive problems, and impaired focus or memory. Approximately 8 out of 10 people experience a "hangover effect" the day after taking sleep medication, feeling drowsy and confused, with muddled thinking and experiencing dizziness or balance problems. These daytime effects can negatively impact your ability to drive, work, study, and complete daily tasks.
Some prescription sleep medicines may also bring on parasomnia, a disruptive sleep disorder where people may sleepwalk, eat, take medications, talk, or even drive while mostly still asleep. People may appear awake, but their brain is not fully alert, and they usually do not remember these incidents. Sedatives can also worsen snoring and sleep apnea, a potentially life-threatening condition.
It is important to consult a doctor if you develop severe side effects, such as sleepwalking, allergic reactions, or dependence on the medication. You should also not mix sleep aids with other sedatives or alcohol due to the risk of overdosing. Additionally, over-the-counter sleep aids and supplements can interfere with other medications or worsen existing health conditions, so it is crucial to check with a healthcare provider before taking them.
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Non-prescription treatments
While sleeping pills can be effective in aiding sleep, they are not without their drawbacks. Prescription sleeping pills are stronger than over-the-counter ones, but they are not a cure for insomnia and can lead to dependence and addiction. They are usually only recommended for short-term relief. Sleeping pills can also cause a range of side effects, from constipation to muscle weakness, and can negatively impact your ability to perform daily tasks.
- Over-the-counter sleep aids and supplements: These are easily accessible but should be used cautiously and only after consultation with a healthcare provider. They can interfere with other medications or worsen existing health conditions.
- Non-drug treatments: These include behavioural changes, sleep hygiene, hypnosis, relaxation training, sleep restriction, and cognitive therapies.
- Sedating antihistamines: These are commonly used over-the-counter sleep medications. However, they can have side effects such as anticholinergic effects, daytime hangover, and the risk of overdose.
- Nonsedating antidepressants: These may be beneficial for individuals with chronic insomnia and depressive symptoms. However, they may not always improve sleep, and certain types, such as selective serotonin reuptake inhibitors (SSRIs), can induce insomnia.
It is important to note that the most effective treatment for insomnia often involves a combination of sleep strategies and behavioural changes, with prescription medication being added only when clinically appropriate and under the guidance of a healthcare professional.
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Prescription sleeping pills vs. OTC sleep aids
Sleeping pills are medications that can help with sleep. They are available over the counter (OTC) or by prescription. While prescription sleeping pills are stronger than over-the-counter ones, they also carry a higher risk of dependence and addiction. Providers typically recommend behavioural strategies and sleep strategies in combination with prescription medication for insomnia treatment. They may prescribe sleeping pills but usually only for short-term relief.
OTC sleep aids are easily accessible at drugstores and retail locations to anyone age 18 and older. They often contain antihistamines, which can cause drowsiness by blocking histamines that cause alertness. Common antihistamines include diphenhydramine and doxylamine. However, they can also cause side effects such as daytime sleepiness, dry mouth, blurred vision, constipation, and trouble urinating. Melatonin and valerian supplements are also available OTC. Melatonin is a synthetic version of a naturally occurring hormone that regulates the sleep-wake cycle, while valerian is an herb that purportedly aids relaxation and sleep.
Prescription sleeping pills include benzodiazepines, Z-drugs, antidepressants, and barbiturates. Benzodiazepines, such as Xanax, Ativan, Valium, and Klonopin, can be addictive and are therefore typically only prescribed for short-term use. Z-drugs like zolpidem (Ambien) and eszopiclone (Lunesta) are more commonly prescribed as they are less likely to cause dependence. However, they may cause parasomnia, a disruptive sleep disorder where individuals may sleepwalk, eat, or even drive without being fully awake.
In summary, OTC sleep aids are more readily available and generally safer, but they may not be as effective as prescription sleeping pills. Prescription sleeping pills are stronger but carry a higher risk of side effects and dependence, so they are typically only recommended for short-term use. It is important to consult a healthcare provider before taking any sleep aids to ensure safe and effective use.
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Frequently asked questions
Yes, a virtual doctor can prescribe sleeping pills. However, this is dependent on a detailed assessment of your symptoms and medical history.
Doctors cannot prescribe controlled substances, such as Xanax, Ambien, Lunesta, Belsomra, Valium, Klonopin, Ativan, and lorazepam. However, they can prescribe non-controlled substances, such as melatonin, ramelteon, and non-benzodiazepines.
First, you will need to complete an online assessment about your health history and symptoms. Then, you will have a video consultation with a licensed medical provider, who will recommend treatment options. If medication is prescribed, it will be shipped to your door.
Yes, there are several alternatives to sleeping pills, including over-the-counter medications such as Benadryl, Unisom, antihistamines, melatonin, chamomile, and valerian. There are also non-medication treatments, such as cognitive behavioural therapy, stimulus control, light therapy, sleep restriction, and relaxation techniques.
Yes, there is a small risk of an incorrect diagnosis or missing something medically relevant. If this is the case, you may be asked to see a doctor in person for a follow-up consultation.
