Benzodiazepines are the oldest class of sleep medications still commonly in use. Benzodiazepines as a group are thought to have a higher risk of dependence than other insomnia sedative hypnotics and are classified as controlled substances. Primarily used to treat anxiety disorders, benzodiazepines that have been approved to treat insomnia include estazolam (brand name ProSom), flurazepam (Dalmane), quazepam (Doral), temazepam (Restoril), and triazolam (Halcion).
“This is number one—most of us have this reflex where our cellphone has to be within arm's length, even when we go to bed," says Raj Dasgupta, MD, sleep expert and assistant professor of clinical medicine at Keck School of Medicine of University of Southern California. "We need to break that habit.” Studies have shown that the blue light generated by electronic devices can delay the onset of sleep. (Here's how spending just one extra minute on your phone before bed can rob you of 60 minutes of sleep.) Turn your phone on silent and keep it on a dresser or far end of the bedside table so you’re not tempted to text, check one last email, or get lost in social media.
Generally, non-benzodiazepines have fewer drawbacks than benzodiazepines, but that doesn’t make them suitable for everyone. Some may find this type of sleep medication ineffective at helping them sleep, while the long-term effects remain unknown. The U.S. Food and Drug Administration (FDA) recently directed the manufacturers of Ambien and similar sleeping pills to lower the standard dosage due to the serious risk of morning grogginess while driving, especially in women patients. Other side effects include:
It’s the middle of the night, and you’re staring at the ceiling, thinking about work, or bills, or the kids. Sleep just won’t come, so you reach for a sleeping pill. But did you know that sleep medications are rarely meant for more than short-term use? They can cause dependence and tolerance, and the benefits don’t always outweigh the risks. Learn what you need to know about the side effects and safety concerns of common sleep medications—as well as effective insomnia treatments that don’t come in pill form.
Eat Magnesium-Rich Foods: The mineral magnesium is a natural sedative. Deficiency of magnesium can result in difficulty sleeping, constipation, muscle tremors or cramps, anxiety, irritability, and pain. Foods rich in magnesium are legumes and seeds, dark leafy green vegetables, wheat bran, almonds, cashews, blackstrap molasses, brewer's yeast, and whole grains. In addition to including these whole foods in your diet, you can also try juicing dark leafy green vegetables.
But then something changed starting at around the ninth night. And honestly, I can’t be sure if it was due to the technique itself or the sheer boredom caused by trying to calm my body into a lump-like state. I relaxed my muscles and visualized swinging in a velvety hammock. And the next thing I knew, it was around 3 a.m., and I woke up, awkwardly splayed over my bed, with my feet still touching the floor and the bedside light still on. I was deeply tired and only woke enough to swing my legs into bed and turn off the lamp.
Light therapy is used as part of sleep treatment plans. If you have trouble falling asleep at night or have delayed sleep-phase syndrome, you may need more light in the morning. Light exposure plays a key role in telling the body when to go to sleep (by increasing melatonin production) and when to wake up. A walk outdoors first thing in the morning or light therapy for 30 minutes may help.
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Though I’m not promising or claiming (nor does Weil) that practicing this breathing technique can fight disease or provide clinical benefits, I can tell you one thing: If it affects you like it did me, it will help you fall asleep way faster. Not only is it free, it also works for a number of different instances. In addition to using it to fall asleep in a pinch, you can practice it if you wake up in the middle of the night and find yourself thinking about something you have to do the next day, in order to fall back asleep; if you are nervous before an event (like a wedding, or giving a speech); if you are angry about something and want to calm down. My friend (the bride-to-be who slept like a baby the week before her wedding), who gets nervous to fly, uses it before flights and during if the plane encounters turbulence.
While the required amount of sleep ranges for adults between 5 to 10 hours, you shouldn’t assume you are at one end of the spectrum unless you have paid close attention to your body. If you are drowsy during the day, even during boring periods, you haven’t had enough sleep the previous night. Most people experience a dip in early afternoon – siesta time. But if you fall asleep in the afternoons consistently, it means you haven’t had enough sleep at night.
“By far the most common thing I recommend to patients is to take melatonin,” says Barone. The hormone, which is produced by the brain in preparation for sleep, is also available in pill and liquid form, which you can get at any health food store or pharmacy—good news because some modern behaviors can interfere with its natural production. “When we’re exposed to TVs, computers and phones with backlit displays, that tricks the brain into thinking it’s light out and it doesn’t make as much melatonin as it should.”
Researchers from Louisiana State University had seven older adults with insomnia drink eight ounces of Montmorency tart cherry juice twice a day for two weeks, followed by two weeks of no juice, and then two more weeks of drinking a placebo beverage. Compared to the placebo, drinking the cherry juice resulted in an average of 84 more minutes of sleep time each night.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
As a psychiatrist with an integrative focus, Ellen believes mental well-being is powerfully influenced by sleep, exercise, thought patterns, relationships, nutrition, spirituality and creative outlets. She incorporates a variety of modalities into her psychiatry practice, including acupuncture, yoga philosophy, breathing, and relaxation techniques in conjunction with conventional treatments such as cognitive-behavioral therapy, psychotherapy, and psycho-pharmacology. Ellen believes mental health is fundamental to primary care and treats a range of health issues, from panic disorders to bipolar illness and ADHD to fibromyalgia. After graduating from Yale University, Ellen earned her MD at Columbia University and stayed on to complete an internship at Columbia University Medical Center. She began her postgraduate training at Saint Vincent's Catholic Medical Center and completed her residency in psychiatry at Mount Sinai Hospital. She is a member of the American Psychiatric Association and the American Academy of Medical Acupuncture, and is a board-certified psychiatrist, licensed medical acupuncturist, and certified yoga instructor.
Rather than counting sheep, visualize an environment that makes you feel calm and happy. The key to success is thinking of a scene that’s engaging enough to distract you from your thoughts and worries for a while. In an Oxford University study published in the journal Behavior Research and Therapy, insomniacs who were instructed to imagine a relaxing scene, such as a beach or a waterfall, fell asleep 20 minutes faster than insomniacs who were told to count sheep or do nothing special at all.
If you try just one sleep hack, make it this one. Junk light — the blue light that emits from your smartphone, laptop, and tablet screens — is wrecking your sleep. Too much blue light messes with your brain’s production of melatonin — the hormone that tells your body when it’s time to snooze. Blue light wakes you up and tells your brain that it’s daytime. Screens aren’t the only source of junk light — street lamps and LED lightbulbs are also to blame.
Getting in sync with your body’s natural sleep-wake cycle, or circadian rhythm, is one of the most important strategies for sleeping better. If you keep a regular sleep-wake schedule, you’ll feel much more refreshed and energized than if you sleep the same number of hours at different times, even if you only alter your sleep schedule by an hour or two.
The exception to this rule is new parents who are sleep deprived over a long period of time while also not getting high-quality rest (studies show parents lose about 350 hours of sleep during their baby’s first year). In this case, any sleep you get will become more effective; you’ll be able to fall asleep more quickly and more soundly, and any amount of sleep, from 20 minutes to a couple of hours, will improve your functioning. In fact, your sleep schedule may change to one that is more productive for your current lifestyle, such as segmented sleep or polyphasic sleep as discussed below.
If you’re anxious or distressed at bedtime, the best medicine may be a face full of ice-cold water. When you’re in a full-on state, your nervous system desperately needs to be reset to help you calm down. Submerging your face in a bowl of cold water triggers an involuntary phenomenon called the Mammalian Dive Reflex, which lowers your heart rate and blood pressure. Then it’s off to bed with a soothed system.
Science says, we’re supposed to get sleepy when the sun sets, but since we spend most of our nights indoors basking in the glow of our cell phones and tablets, our brains still think it’s daytime and refuse to shut down. So, here’s what you do: Put the gadgets away and watch the sunset. It being winter and all, that can be difficult. Philips’ Wake-Up Light ($180 at Amazon) offers the ability to fake it. Simply, set it to sunset simulation mode; it will gradually decrease light and sound (on your timeline) to help prepare your body for rest.
Sleep is an important part of your daily routine—you spend about one-third of your time doing it. Quality sleep – and getting enough of it at the right times -- is as essential to survival as food and water. Without sleep you can’t form or maintain the pathways in your brain that let you learn and create new memories, and it’s harder to concentrate and respond quickly.
Stay out of your head. Hard as it may be, try not to stress over your inability to fall asleep again, because that stress only encourages your body to stay awake. To stay out of your head, focus on the feelings in your body or practice breathing exercises. Take a breath in, then breathe out slowly while saying or thinking the word, “Ahhh.” Take another breath and repeat.
Similarly, if you’re having sleep troubles, limit your cell phone use around bedtime. One study found that people who spent more time on smartphones, especially close to bedtime, were more likely to have shorter sleep duration, poorer sleep quality and take longer to fall asleep (PLoS One, Nov. 9, 2016). So, turn off your cell phone, computer and television at least an hour before bedtime. (See the chart for other behavioral changes you can make to improve your sleep.)
What happens if you sleep with your eyes open? People sometimes sleep with their eyes open, which is known medically as nocturnal lagophthalmos. Symptoms caused by this condition include redness and blurry vision. Treatment options include eye drops, moisture goggles, or even surgery. It does not usually have serious complications. Learn more about it here. Read now