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| Meta Title | Safe use of sleeping pills | healthdirect |
| Meta Description | Sleeping pills are medicines designed to help you fall asleep or stay asleep, in the treatment of insomnia. Learn more about the associated risks. |
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| Boilerpipe Text | Key facts
Sleeping pills are used to help you fall asleep or stay asleep for longer.
They should only be used for a short time, to reduce your chance of becoming dependent on them.
Speak to your doctor or pharmacist if you are having trouble sleeping.
There are many ways to improve your sleep without using medicines.
On this page
What are sleeping pills used for?
What are the different types of sleeping pills?
Do some medicines have a side effect of sleepiness?
What are the risks of taking sleeping pills?
How do I use sleeping pills safely?
How can I sleep well without taking medicines?
Resources and support
Related information on Australian websites
What are sleeping pills used for?
Sleeping pills are medicines designed to help you fall asleep or stay asleep. They are sometimes used to help treat
insomnia
. Sleeping pills can have serious
side effects
. If you are having sleep problems, it's a good idea to talk to your doctor or pharmacist.
Sleeping pills can be helpful if you are going through a difficult time and temporarily finding it hard to sleep. Together with
sleep hygiene tips
, they can help you get your sleep back on track.
However, if you have longstanding insomnia, sleeping pills are usually not a good option. It's important to remember that sleeping pills might help you sleep, but they do not treat the cause of your insomnia.
What are the different types of sleeping pills?
There are several different types of medicines used for sleep. Some medicines are intended to be used for sleep. Others can make you feel sleepy as a side effect, although they are not sleeping pills. Some herbal medicines are used as sleeping pills, but their safety and effectiveness may not be scientifically proven.
Remember that not all medicines are safe for everyone. Check with your doctor or pharmacist before trying any medicines for sleep. This is especially important if you:
are over 65 years of age
have any other health conditions – especially
lung disease
, chronic kidney disease,
liver disease
or
obstructive sleep apnoea
drink alcohol on a regular basis
take other medicines
are pregnant or plan to become pregnant
are breastfeeding
Prescription medicines
Benzodiazepines, such as
temazepam
, are the most common type of prescription sleeping pills. They slow down your brain and body function, making you feel relaxed and helping you fall asleep and stay asleep. They are recommended only for short-term use, usually for less than 4 weeks.
Other common prescription sleeping pills include
zopiclone
and
zolpidem
. Their effect on your body is similar to benzodiazepines. They are also recommended only for short-term use.
Suvorexant
is a newer medicine that blocks chemicals in your brain that keep you awake. It can be useful if you wake up during the night and struggle to go back to sleep. Suvorexant can be used for longer periods of time than other prescription sleeping pills.
Over the counter medicines
Melatonin
is a natural hormone that helps control your sleep and waking pattern. Melatonin may improve your sleep quality and morning alertness. Pharmacists can provide it to people over 55 years of age with poor sleep.
Occasionally melatonin may be used for children who have long-term sleep problems. Talk to your doctor if you think your child may need melatonin.
Some
antihistamines
, such as
doxylamine
or
promethazine
, are sometimes taken without medical advice to help relieve insomnia. They are not sleeping pills – they are anti-allergy medicines which have a side effect of making you feel drowsy. They should not be used to help you sleep.
It's important to be aware that antihistamine medicines can cause serious harm to young children. They should never be given to children under 2 years of age. Some antihistamines should not be used in children under 6 years of age – follow the directions on the pack and talk to your doctor or pharmacist if you are not sure.
Herbal and traditional medicines
Herbal medicines are sometimes used to treat insomnia. Not all of these medicines have been proven to help you fall asleep. The most frequently studied medicines include:
chamomile
passionflower
St John's wort
valerian and hops combination
Chinese herbal medicine
may be effective for sleep. Talk to a Chinese medicine practitioner to find out what might help you. Chinese medicine practitioners are regulated in Australia by the Australian Health Practitioner Regulation Agency (AHPRA). You can check if your practitioner is registered on the AHPRA website.
Do some medicines have a side effect of sleepiness?
Some medicines, not specifically designed as sleeping pills, can make you feel drowsy – for example, some
antihistamines
. This is an unwanted side-effect and they are not intended to be used as sleeping tablets.
Some medicines prescribed for
mental health
conditions can make you feel drowsy as a side effect. If you take medicines for your mental health, such as
antidepressants
or
antipsychotic medicines
, ask your doctor or pharmacist if they are likely to make you feel drowsy. It's important to take your medicine as instructed by your doctor and not to use it for sleep.
What are the risks of taking sleeping pills?
One main risk of sleeping pills is that you can become
dependent
on them. This means they become less effective over time. You will need to use higher doses to fall asleep and you will find it harder to sleep well without them. You may also begin to feel unwell or experience worse insomnia when you
try to stop
.
Sleeping pills can also make you unsteady,
dizzy
and
forgetful
. They can make it hard for you to concentrate. You might feel groggy or tired the next day. These side effects may increase your risk of having
accidents
and
falls
, especially if you are older.
Some types of sleeping pills can cause you sleepwalk or even drive
while you are asleep
. This is more likely if you take other medicines or drink
alcohol
.
How do I use sleeping pills safely?
Speak to a doctor or pharmacist if you have trouble sleeping. Don't start taking pills or other substances to help with sleep before you speak with your doctor, as they may have other suggestions to help you manage your insomnia.
If your doctor has prescribed sleeping pills, here are some tips on how to use them safely:
Check with your doctor or pharmacist if you can take your sleeping pills with your other prescription and non-prescription medicines. This includes herbal and traditional medicines.
Take the sleeping pills as prescribed.
Ask your doctor how long you need to take them and how to stop safely.
Don't mix sleeping pills with
alcohol
.
Don't take someone else's sleeping pills or share yours with anybody.
Sleeping tablets generally start working within 20 to 30 minutes after you take them. It is important that you get into bed after taking any sleeping tablets. There is a risk of feeling unsteady once the tablets start working.
ASK YOUR DOCTOR
– Preparing for an appointment? Use the
Question Builder
for general tips on what to ask your GP or specialist.
How can I sleep well without taking medicines?
The first step to sleeping well is to practice good sleep hygiene. This means creating a good sleep environment, maintaining a consistent sleep schedule and controlling factors like noise and temperature. Good sleep hygiene also includes avoiding stimulating activities close to bedtime, limiting your caffeine and alcohol intake, and doing relaxing activities before going to bed.
You can also improve your sleep without medicines with the help of
cognitive behaviour therapy
(CBT), a type of psychological therapy. CBT is the recommended treatment for insomnia.
CBT can help if you have difficulty falling asleep or struggle to stay asleep for the whole night. It can help to change behaviours and thoughts that disrupt sleeping.
Therapy usually involves the following techniques:
Mindful breathing helps you to stay calm and be in the present moment, by focusing on your breathing rather than on your thoughts.
Visual imagery helps you to create pictures in your mind that make you feel calm.
Muscle relaxation makes you aware of any muscle tension.
Stress reduction techniques help you handle stress and make you feel less stressed over time.
Sleep restriction means spending less time in bed overall, so that you are asleep for most of the time you spend in bed.
Stimulus control means you use your bed only for sleeping and get up if you can't fall asleep within 15 to 20 minutes. It also means you don't sleep anywhere else besides your bed. This is to train your brain to associate your bedroom with sleep.
Talk to your doctor to find out more about treatments for your insomnia that don't involve medicines. Your doctor can also recommend a therapist trained in CBT.
FIND A HEALTH SERVICE
– The
Service Finder
can help you find doctors, pharmacies, hospitals and other health services.
Resources and support
If you take benzodiazepines,
Reconnexion
supports you to better understand your medicine and helps you manage withdrawal, poor sleep and anxiety. Phone
1300 273 266
.
The Sleep Health Foundation has a range of
sleep factsheets
, including helpful tips for children, teenagers and older adults with sleep difficulties.
If you have questions about your medicines, or need general information about side effects, you can call
Medicines Line
on
1300 633 424
.
You can also call the healthdirect helpline on
1800 022 222
(known as NURSE-ON-CALL in Victoria). A registered nurse is available 24 hours a day, 7 days a week. |
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# Safe use of sleeping pills
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## Key facts
- Sleeping pills are used to help you fall asleep or stay asleep for longer.
- They should only be used for a short time, to reduce your chance of becoming dependent on them.
- Speak to your doctor or pharmacist if you are having trouble sleeping.
- There are many ways to improve your sleep without using medicines.
## On this page
- [What are sleeping pills used for?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#used-for)
- [What are the different types of sleeping pills?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#types)
- [Do some medicines have a side effect of sleepiness?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#side-effects)
- [What are the risks of taking sleeping pills?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#risks)
- [How do I use sleeping pills safely?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#safely)
- [How can I sleep well without taking medicines?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#sleep-without)
- [Resources and support](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#resources)
- [Related information on Australian websites](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#searchGeneralResults)
## What are sleeping pills used for?
Sleeping pills are medicines designed to help you fall asleep or stay asleep. They are sometimes used to help treat [insomnia](https://www.healthdirect.gov.au/insomnia). Sleeping pills can have serious [side effects](https://www.healthdirect.gov.au/medicine-and-side-effects). If you are having sleep problems, it's a good idea to talk to your doctor or pharmacist.
Sleeping pills can be helpful if you are going through a difficult time and temporarily finding it hard to sleep. Together with [sleep hygiene tips](https://assets-global.website-files.com/64b4b7e38dda973fdbb7faf2/65a08f52cafc76a5b710bed3_Sleep%20Hygiene%20Good%20Sleep%20Habits.pdf), they can help you get your sleep back on track.
However, if you have longstanding insomnia, sleeping pills are usually not a good option. It's important to remember that sleeping pills might help you sleep, but they do not treat the cause of your insomnia.
## What are the different types of sleeping pills?
**Do not give medicine to children without talking to your doctor or pharmacist first.**
There are several different types of medicines used for sleep. Some medicines are intended to be used for sleep. Others can make you feel sleepy as a side effect, although they are not sleeping pills. Some herbal medicines are used as sleeping pills, but their safety and effectiveness may not be scientifically proven.
Remember that not all medicines are safe for everyone. Check with your doctor or pharmacist before trying any medicines for sleep. This is especially important if you:
- are over 65 years of age
- have any other health conditions – especially [lung disease](https://www.healthdirect.gov.au/lung-conditions), chronic kidney disease, [liver disease](https://www.healthdirect.gov.au/liver-conditions-and-diseases) or [obstructive sleep apnoea](https://www.healthdirect.gov.au/obstructive-sleep-apnoea)
- drink alcohol on a regular basis
- take other medicines
- are pregnant or plan to become pregnant
- are breastfeeding
### Prescription medicines
Benzodiazepines, such as [temazepam](https://www.healthdirect.gov.au/temazepam), are the most common type of prescription sleeping pills. They slow down your brain and body function, making you feel relaxed and helping you fall asleep and stay asleep. They are recommended only for short-term use, usually for less than 4 weeks.
Other common prescription sleeping pills include [zopiclone](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,20176/zopiclone) and [zolpidem](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,20179/zolpidem). Their effect on your body is similar to benzodiazepines. They are also recommended only for short-term use.
[Suvorexant](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,24033/suvorexant) is a newer medicine that blocks chemicals in your brain that keep you awake. It can be useful if you wake up during the night and struggle to go back to sleep. Suvorexant can be used for longer periods of time than other prescription sleeping pills.
### Over the counter medicines
[Melatonin](https://www.healthdirect.gov.au/melatonin) is a natural hormone that helps control your sleep and waking pattern. Melatonin may improve your sleep quality and morning alertness. Pharmacists can provide it to people over 55 years of age with poor sleep.
Occasionally melatonin may be used for children who have long-term sleep problems. Talk to your doctor if you think your child may need melatonin.
Some [antihistamines](https://www.healthdirect.gov.au/antihistamines), such as [doxylamine](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,22422/doxylamine) or [promethazine](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,20808/promethazine), are sometimes taken without medical advice to help relieve insomnia. They are not sleeping pills – they are anti-allergy medicines which have a side effect of making you feel drowsy. They should not be used to help you sleep.
It's important to be aware that antihistamine medicines can cause serious harm to young children. They should never be given to children under 2 years of age. Some antihistamines should not be used in children under 6 years of age – follow the directions on the pack and talk to your doctor or pharmacist if you are not sure.
**Never give antihistamines to children under 2 years for any reason. Do not give antihistamines to children or teenagers to help with sleep. This can be harmful.**
### Herbal and traditional medicines
Herbal medicines are sometimes used to treat insomnia. Not all of these medicines have been proven to help you fall asleep. The most frequently studied medicines include:
- chamomile
- passionflower
- St John's wort
- valerian and hops combination
[Chinese herbal medicine](https://www.healthdirect.gov.au/chinese-traditional-medicine) may be effective for sleep. Talk to a Chinese medicine practitioner to find out what might help you. Chinese medicine practitioners are regulated in Australia by the Australian Health Practitioner Regulation Agency (AHPRA). You can check if your practitioner is registered on the AHPRA website.
## Do some medicines have a side effect of sleepiness?
Some medicines, not specifically designed as sleeping pills, can make you feel drowsy – for example, some [antihistamines](https://www.healthdirect.gov.au/antihistamines). This is an unwanted side-effect and they are not intended to be used as sleeping tablets.
Some medicines prescribed for [mental health](https://www.healthdirect.gov.au/mental-health-and-wellbeing) conditions can make you feel drowsy as a side effect. If you take medicines for your mental health, such as [antidepressants](https://www.healthdirect.gov.au/antidepressants) or [antipsychotic medicines](https://www.healthdirect.gov.au/antipsychotic-medicines), ask your doctor or pharmacist if they are likely to make you feel drowsy. It's important to take your medicine as instructed by your doctor and not to use it for sleep.
## What are the risks of taking sleeping pills?
One main risk of sleeping pills is that you can become [dependent](https://www.healthdirect.gov.au/medicines-and-addiction) on them. This means they become less effective over time. You will need to use higher doses to fall asleep and you will find it harder to sleep well without them. You may also begin to feel unwell or experience worse insomnia when you [try to stop](https://www.healthdirect.gov.au/addiction-withdrawal).
Sleeping pills can also make you unsteady, [dizzy](https://www.healthdirect.gov.au/dizziness) and [forgetful](https://www.healthdirect.gov.au/amnesia). They can make it hard for you to concentrate. You might feel groggy or tired the next day. These side effects may increase your risk of having [accidents](https://www.healthdirect.gov.au/accidents-and-injuries) and [falls](https://www.healthdirect.gov.au/falls), especially if you are older.
Some types of sleeping pills can cause you sleepwalk or even drive [while you are asleep](https://www.healthdirect.gov.au/sleepwalking-somnambulism). This is more likely if you take other medicines or drink [alcohol](https://www.healthdirect.gov.au/medicines-and-alcohol).
## How do I use sleeping pills safely?
Speak to a doctor or pharmacist if you have trouble sleeping. Don't start taking pills or other substances to help with sleep before you speak with your doctor, as they may have other suggestions to help you manage your insomnia.
If your doctor has prescribed sleeping pills, here are some tips on how to use them safely:
- Check with your doctor or pharmacist if you can take your sleeping pills with your other prescription and non-prescription medicines. This includes herbal and traditional medicines.
- Take the sleeping pills as prescribed.
- Ask your doctor how long you need to take them and how to stop safely.
- Don't mix sleeping pills with [alcohol](https://www.healthdirect.gov.au/medicines-and-alcohol).
- Don't take someone else's sleeping pills or share yours with anybody.
Sleeping tablets generally start working within 20 to 30 minutes after you take them. It is important that you get into bed after taking any sleeping tablets. There is a risk of feeling unsteady once the tablets start working.
[**ASK YOUR DOCTOR** – Preparing for an appointment? Use the **Question Builder** for general tips on what to ask your GP or specialist.](https://www.healthdirect.gov.au/question-builder)
## How can I sleep well without taking medicines?
The first step to sleeping well is to practice good sleep hygiene. This means creating a good sleep environment, maintaining a consistent sleep schedule and controlling factors like noise and temperature. Good sleep hygiene also includes avoiding stimulating activities close to bedtime, limiting your caffeine and alcohol intake, and doing relaxing activities before going to bed.
You can also improve your sleep without medicines with the help of [cognitive behaviour therapy](https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt) (CBT), a type of psychological therapy. CBT is the recommended treatment for insomnia.
CBT can help if you have difficulty falling asleep or struggle to stay asleep for the whole night. It can help to change behaviours and thoughts that disrupt sleeping.
Therapy usually involves the following techniques:
- Mindful breathing helps you to stay calm and be in the present moment, by focusing on your breathing rather than on your thoughts.
- Visual imagery helps you to create pictures in your mind that make you feel calm.
- Muscle relaxation makes you aware of any muscle tension.
- Stress reduction techniques help you handle stress and make you feel less stressed over time.
- Sleep restriction means spending less time in bed overall, so that you are asleep for most of the time you spend in bed.
- Stimulus control means you use your bed only for sleeping and get up if you can't fall asleep within 15 to 20 minutes. It also means you don't sleep anywhere else besides your bed. This is to train your brain to associate your bedroom with sleep.
Talk to your doctor to find out more about treatments for your insomnia that don't involve medicines. Your doctor can also recommend a therapist trained in CBT.
[**FIND A HEALTH SERVICE** – The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services)
## Resources and support
- If you take benzodiazepines, [Reconnexion](https://www.reconnexion.org.au/services/benzodiazepine-treatment) supports you to better understand your medicine and helps you manage withdrawal, poor sleep and anxiety. Phone [1300 273 266](tel:+1300273266).
- The Sleep Health Foundation has a range of [sleep factsheets](https://www.sleephealthfoundation.org.au/all-healthy-sleep), including helpful tips for children, teenagers and older adults with sleep difficulties.
- If you have questions about your medicines, or need general information about side effects, you can call [Medicines Line](https://www.health.gov.au/contacts/medicines-line) on [1300 633 424](tel:+1300633424).
You can also call the healthdirect helpline on [1800 022 222](tel:+1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available 24 hours a day, 7 days a week.
#### Sources:
Sleep Health Foundation *[(Herbal Remedies and sleep)](https://www.sleephealthfoundation.org.au/sleep-topics/herbal-remedies-and-sleep "Herbal Remedies and sleep")*, Sleep Health Foundation *[(Sleeping tablets)](https://www.sleephealthfoundation.org.au/sleep-disorders/sleeping-tablets "Sleeping tablets")*, Australian Government Department of Health *[(Benzodiazepines)](https://www.sydney.edu.au/content/dam/corporate/documents/matilda-centre/resources/fact-sheets/benzodiazepines.pdf "Benzodiazepines")*, NPS MedicineWise *[(Sleeping pills and older people: the risks)](https://www.nps.org.au/news/sleeping-pills-and-older-people-the-risks "Sleeping pills and older people: the risks")*, NPS MedicineWise *[(Belsomra)](https://www.nps.org.au/medicine-finder/belsomra-tablets "Belsomra")*, NPS MedicineWise *[(Circadin Prolonged Release Tablet)](https://www.nps.org.au/medicine-finder/circadin-tablets "Circadin Prolonged Release Tablet")*, NPS MedicineWise *[(Restavit)](https://www.nps.org.au/medicine-finder/restavit-tablets "Restavit")*, Beyond Blue *[(Treatments for anxiety)](https://www.beyondblue.org.au/mental-health/anxiety/treatments-for-anxiety "Treatments for anxiety")*, Sleep Health Foundation *[(Cognitive Behavioural Therapy for Insomnia (CBT-I))](https://www.sleephealthfoundation.org.au/sleep-disorders/cognitive-behavioural-therapy-for-insomnia-cbt-i "Cognitive Behavioural Therapy for Insomnia (CBT-I)")*, Australian Government - Department of Health and Aged Care *[(First-generation antihistamines – winter warning)](https://www.tga.gov.au/news/safety-alerts/first-generation-antihistamines-winter-warning "First-generation antihistamines – winter warning")*, Australian Journal of General Practice *[(Insomnia management)](https://www1.racgp.org.au/ajgp/2019/april/insomnia-management "Insomnia management")*, Australasian Sleep Association *[(Chronic insomnia/insomnia disorder - Pharmacological therapy)](https://www.sleepprimarycareresources.org.au/insomnia/pharmacological-therapy "Chronic insomnia/insomnia disorder - Pharmacological therapy")*, The Royal Australian College of General Practitioners *[(The Royal Australian College of General Practitioners)](https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/drugs-of-dependence/part-b/evidence-based-guidance-for-benzodiazepines "The Royal Australian College of General Practitioners")*, Royal Women's Hospital *[(Benzos)](https://www.thewomens.org.au/images/uploads/fact-sheets/YAYB-Benzos-250818.pdf "Benzos")*, Royal Children's Hospital *[(Bedtime problems)](https://www.rch.org.au/kidsinfo/fact_sheets/Bedtime_problems/ "Bedtime problems")*, Sleep Medicine Reviews *[(Medication induced sleepwalking: A systematic review)](https://pubmed.ncbi.nlm.nih.gov/28363449/ "Medication induced sleepwalking: A systematic review")*
Learn more here about the [development and quality assurance of healthdirect content](https://www.healthdirect.gov.au/about-our-content).
Last reviewed: April 2024
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[Sleeping Tablets \| Sleep Health Foundation This is a fact sheet about Sleeping Tablets. There are many kinds of sleeping pills that can help with getting to and staying asleep, however they can only deal with sleep problems in the short term. *Read more on Sleep Health Foundation website* ](https://www.sleephealthfoundation.org.au/sleep-disorders/sleeping-tablets)
[Benzodiazepines - Alcohol and Drug Foundation Understand benzodiazepines, their effects, risks, and usage. Learn about types, potential dangers, withdrawal symptoms, and safer alternatives. *Read more on Alcohol and Drug Foundation website* ](https://adf.org.au/drug-facts/benzodiazepines/)
[Benzodiazepines (Xanax) Effects, Addiction and Withdrawal \| Your Room Benzodiazepines (eg. Xanax) are often referred to as Benzos. Learn about their side effects as well as symptoms of addiction and withdrawal. *Read more on NSW Health website* ](https://yourroom.health.nsw.gov.au/a-z-of-drugs/Pages/benzodiazepines.aspx)
[Weaning sedation and strong pain medicines - My Life After ICU Children in PICU often need strong pain and sedation medications to keep them comfortable. If these medications are needed for more than a few days the doses are reduced slowly. This is because withdrawal symptoms can happen. Withdrawing too quickly from these medications may make children sweaty, vomit or have loose stools. It may also \[…\] *Read more on ANZICS website* ](https://www.mylifeaftericu.com/children-in-picu/sedation-and-pain-medicine-weaning-plans/)
[How to reduce your risk of benzodiazepine dependence Information to help you understand the possible harms from long-term use of benzodiazepines and how to lower risk of dependence. *Read more on NPS MedicineWise website* ](https://www.nps.org.au/benzodiazepine-dependence-consumer)
[Sleeping pills and older people: the risks - NPS MedicineWise Difficulty getting to sleep, staying asleep, or getting sleep that is not refreshing tends to occur more as people age. Find out more. *Read more on NPS MedicineWise website* ](https://www.nps.org.au/news/sleeping-pills-and-older-people-the-risks)
[Benzodiazepines \| Better Health Channel Benzodiazepines (tranquillisers) are highly addictive and should only be used for certain conditions in a short-term or emergency situation. *Read more on Better Health Channel website* ](https://www.betterhealth.vic.gov.au/health/healthyliving/benzodiazepines)
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| Readable Markdown | ## Key facts
- Sleeping pills are used to help you fall asleep or stay asleep for longer.
- They should only be used for a short time, to reduce your chance of becoming dependent on them.
- Speak to your doctor or pharmacist if you are having trouble sleeping.
- There are many ways to improve your sleep without using medicines.
## On this page
- [What are sleeping pills used for?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#used-for)
- [What are the different types of sleeping pills?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#types)
- [Do some medicines have a side effect of sleepiness?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#side-effects)
- [What are the risks of taking sleeping pills?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#risks)
- [How do I use sleeping pills safely?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#safely)
- [How can I sleep well without taking medicines?](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#sleep-without)
- [Resources and support](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#resources)
- [Related information on Australian websites](https://www.healthdirect.gov.au/safe-use-of-sleeping-pills#searchGeneralResults)
## What are sleeping pills used for?
Sleeping pills are medicines designed to help you fall asleep or stay asleep. They are sometimes used to help treat [insomnia](https://www.healthdirect.gov.au/insomnia). Sleeping pills can have serious [side effects](https://www.healthdirect.gov.au/medicine-and-side-effects). If you are having sleep problems, it's a good idea to talk to your doctor or pharmacist.
Sleeping pills can be helpful if you are going through a difficult time and temporarily finding it hard to sleep. Together with [sleep hygiene tips](https://assets-global.website-files.com/64b4b7e38dda973fdbb7faf2/65a08f52cafc76a5b710bed3_Sleep%20Hygiene%20Good%20Sleep%20Habits.pdf), they can help you get your sleep back on track.
However, if you have longstanding insomnia, sleeping pills are usually not a good option. It's important to remember that sleeping pills might help you sleep, but they do not treat the cause of your insomnia.
## What are the different types of sleeping pills?
There are several different types of medicines used for sleep. Some medicines are intended to be used for sleep. Others can make you feel sleepy as a side effect, although they are not sleeping pills. Some herbal medicines are used as sleeping pills, but their safety and effectiveness may not be scientifically proven.
Remember that not all medicines are safe for everyone. Check with your doctor or pharmacist before trying any medicines for sleep. This is especially important if you:
- are over 65 years of age
- have any other health conditions – especially [lung disease](https://www.healthdirect.gov.au/lung-conditions), chronic kidney disease, [liver disease](https://www.healthdirect.gov.au/liver-conditions-and-diseases) or [obstructive sleep apnoea](https://www.healthdirect.gov.au/obstructive-sleep-apnoea)
- drink alcohol on a regular basis
- take other medicines
- are pregnant or plan to become pregnant
- are breastfeeding
### Prescription medicines
Benzodiazepines, such as [temazepam](https://www.healthdirect.gov.au/temazepam), are the most common type of prescription sleeping pills. They slow down your brain and body function, making you feel relaxed and helping you fall asleep and stay asleep. They are recommended only for short-term use, usually for less than 4 weeks.
Other common prescription sleeping pills include [zopiclone](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,20176/zopiclone) and [zolpidem](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,20179/zolpidem). Their effect on your body is similar to benzodiazepines. They are also recommended only for short-term use.
[Suvorexant](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,24033/suvorexant) is a newer medicine that blocks chemicals in your brain that keep you awake. It can be useful if you wake up during the night and struggle to go back to sleep. Suvorexant can be used for longer periods of time than other prescription sleeping pills.
### Over the counter medicines
[Melatonin](https://www.healthdirect.gov.au/melatonin) is a natural hormone that helps control your sleep and waking pattern. Melatonin may improve your sleep quality and morning alertness. Pharmacists can provide it to people over 55 years of age with poor sleep.
Occasionally melatonin may be used for children who have long-term sleep problems. Talk to your doctor if you think your child may need melatonin.
Some [antihistamines](https://www.healthdirect.gov.au/antihistamines), such as [doxylamine](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,22422/doxylamine) or [promethazine](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,20808/promethazine), are sometimes taken without medical advice to help relieve insomnia. They are not sleeping pills – they are anti-allergy medicines which have a side effect of making you feel drowsy. They should not be used to help you sleep.
It's important to be aware that antihistamine medicines can cause serious harm to young children. They should never be given to children under 2 years of age. Some antihistamines should not be used in children under 6 years of age – follow the directions on the pack and talk to your doctor or pharmacist if you are not sure.
### Herbal and traditional medicines
Herbal medicines are sometimes used to treat insomnia. Not all of these medicines have been proven to help you fall asleep. The most frequently studied medicines include:
- chamomile
- passionflower
- St John's wort
- valerian and hops combination
[Chinese herbal medicine](https://www.healthdirect.gov.au/chinese-traditional-medicine) may be effective for sleep. Talk to a Chinese medicine practitioner to find out what might help you. Chinese medicine practitioners are regulated in Australia by the Australian Health Practitioner Regulation Agency (AHPRA). You can check if your practitioner is registered on the AHPRA website.
## Do some medicines have a side effect of sleepiness?
Some medicines, not specifically designed as sleeping pills, can make you feel drowsy – for example, some [antihistamines](https://www.healthdirect.gov.au/antihistamines). This is an unwanted side-effect and they are not intended to be used as sleeping tablets.
Some medicines prescribed for [mental health](https://www.healthdirect.gov.au/mental-health-and-wellbeing) conditions can make you feel drowsy as a side effect. If you take medicines for your mental health, such as [antidepressants](https://www.healthdirect.gov.au/antidepressants) or [antipsychotic medicines](https://www.healthdirect.gov.au/antipsychotic-medicines), ask your doctor or pharmacist if they are likely to make you feel drowsy. It's important to take your medicine as instructed by your doctor and not to use it for sleep.
## What are the risks of taking sleeping pills?
One main risk of sleeping pills is that you can become [dependent](https://www.healthdirect.gov.au/medicines-and-addiction) on them. This means they become less effective over time. You will need to use higher doses to fall asleep and you will find it harder to sleep well without them. You may also begin to feel unwell or experience worse insomnia when you [try to stop](https://www.healthdirect.gov.au/addiction-withdrawal).
Sleeping pills can also make you unsteady, [dizzy](https://www.healthdirect.gov.au/dizziness) and [forgetful](https://www.healthdirect.gov.au/amnesia). They can make it hard for you to concentrate. You might feel groggy or tired the next day. These side effects may increase your risk of having [accidents](https://www.healthdirect.gov.au/accidents-and-injuries) and [falls](https://www.healthdirect.gov.au/falls), especially if you are older.
Some types of sleeping pills can cause you sleepwalk or even drive [while you are asleep](https://www.healthdirect.gov.au/sleepwalking-somnambulism). This is more likely if you take other medicines or drink [alcohol](https://www.healthdirect.gov.au/medicines-and-alcohol).
## How do I use sleeping pills safely?
Speak to a doctor or pharmacist if you have trouble sleeping. Don't start taking pills or other substances to help with sleep before you speak with your doctor, as they may have other suggestions to help you manage your insomnia.
If your doctor has prescribed sleeping pills, here are some tips on how to use them safely:
- Check with your doctor or pharmacist if you can take your sleeping pills with your other prescription and non-prescription medicines. This includes herbal and traditional medicines.
- Take the sleeping pills as prescribed.
- Ask your doctor how long you need to take them and how to stop safely.
- Don't mix sleeping pills with [alcohol](https://www.healthdirect.gov.au/medicines-and-alcohol).
- Don't take someone else's sleeping pills or share yours with anybody.
Sleeping tablets generally start working within 20 to 30 minutes after you take them. It is important that you get into bed after taking any sleeping tablets. There is a risk of feeling unsteady once the tablets start working.
[**ASK YOUR DOCTOR** – Preparing for an appointment? Use the **Question Builder** for general tips on what to ask your GP or specialist.](https://www.healthdirect.gov.au/question-builder)
## How can I sleep well without taking medicines?
The first step to sleeping well is to practice good sleep hygiene. This means creating a good sleep environment, maintaining a consistent sleep schedule and controlling factors like noise and temperature. Good sleep hygiene also includes avoiding stimulating activities close to bedtime, limiting your caffeine and alcohol intake, and doing relaxing activities before going to bed.
You can also improve your sleep without medicines with the help of [cognitive behaviour therapy](https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt) (CBT), a type of psychological therapy. CBT is the recommended treatment for insomnia.
CBT can help if you have difficulty falling asleep or struggle to stay asleep for the whole night. It can help to change behaviours and thoughts that disrupt sleeping.
Therapy usually involves the following techniques:
- Mindful breathing helps you to stay calm and be in the present moment, by focusing on your breathing rather than on your thoughts.
- Visual imagery helps you to create pictures in your mind that make you feel calm.
- Muscle relaxation makes you aware of any muscle tension.
- Stress reduction techniques help you handle stress and make you feel less stressed over time.
- Sleep restriction means spending less time in bed overall, so that you are asleep for most of the time you spend in bed.
- Stimulus control means you use your bed only for sleeping and get up if you can't fall asleep within 15 to 20 minutes. It also means you don't sleep anywhere else besides your bed. This is to train your brain to associate your bedroom with sleep.
Talk to your doctor to find out more about treatments for your insomnia that don't involve medicines. Your doctor can also recommend a therapist trained in CBT.
[**FIND A HEALTH SERVICE** – The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services)
## Resources and support
- If you take benzodiazepines, [Reconnexion](https://www.reconnexion.org.au/services/benzodiazepine-treatment) supports you to better understand your medicine and helps you manage withdrawal, poor sleep and anxiety. Phone [1300 273 266](tel:+1300273266).
- The Sleep Health Foundation has a range of [sleep factsheets](https://www.sleephealthfoundation.org.au/all-healthy-sleep), including helpful tips for children, teenagers and older adults with sleep difficulties.
- If you have questions about your medicines, or need general information about side effects, you can call [Medicines Line](https://www.health.gov.au/contacts/medicines-line) on [1300 633 424](tel:+1300633424).
You can also call the healthdirect helpline on [1800 022 222](tel:+1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available 24 hours a day, 7 days a week. |
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