"The groundwork of all happiness is health." - Leigh Hunt

Over-the-counter sleep aids may carry more risks than advantages.

Find more practical alternatives to make it easier to get night's rest.

Photo: © miya227/Getty Images

You've spent the previous few nights watching the ceiling, desirous about your grocery list, organizing your tasks for the subsequent day, or obsessing over your problem—but what you actually All you should do is sleep well. You're on the pharmacy and also you see an array of over-the-counter sleep aids, and also you're tempted. Will getting help make it easier to get the deep sleep you crave?

Before you reach for that bottle, it is advisable to re-evaluate.

These risks include short-term problems corresponding to daytime sleepiness, irritability and falls. In addition, most sleep aids fall right into a category of medicine called anticholinergics, which have been linked to dementia and Alzheimer's disease in heavy, long-term users.

A preferred evening time option

You may not realize that sleep experts discourage using sleep aids if you're walking through the pharmacy, where the shelves are often stuffed with different brands. About 15% to twenty% of American adults take an over-the-counter sleep aid in any given month, says Dr. British. But the big variety of brands might be deceiving.

“People don't realize that these companies are basically just repackaging a product,” she says. Most sleep aids are antihistamines, that are also commonly utilized in allergy medications. “People taking sleep aids are basically taking Benadryl. [diphenhydramine]. They don't realize that this is the most effective sleep aid,” said Dr. British.

Antihistamines are used to assist sleep because they affect what's often called a histamine receptor in your body, which plays a job in wakefulness. This is why taking antihistamines could make you sleepy. But while a pill can induce that sleepy feeling before bed, it could possibly stay in your system and cause a groggy, hung-over feeling the subsequent day.

Although some people find that these over-the-counter products help them get a greater night's sleep, there is restricted research on their effectiveness, and few reports that do exist, Dr. British says. The improvement in sleep quality could be very modest. Therefore, the advantages usually are not clear, while the actual risks related to long-term use appear.

A natural sleep aid

Antihistamine-based products could be the commonest variety of industrial sleep aid, but natural remedies corresponding to melatonin are also popular. Unfortunately, melatonin is usually not very effective in helping treat chronic insomnia, says Dr. Burtish. “In some cases it can be useful to help change your body's natural clock if you're jet-lagged, or in people who have circadian rhythm problems that disrupt their sleep,” she says. are doing.” But individuals who take melatonin on their very own often take it incorrectly, undermining any potential advantages it might produce. There are also safety concerns about melatonin, especially relating to use in children.

“Melatonin is a hormone, and it can have effects on reproductive hormones, especially during certain critical developmental windows. Therefore, it may not be appropriate for use in children,” says Dr. Burtish. There are also concerns in regards to the purity of melatonin products. The FDA doesn’t regulate supplements the identical way it regulates pharmaceuticals, so manufacturing practices usually are not monitored, and contamination has been present in various supplements in the marketplace. But you’ll be able to get some assurance of quality by on the lookout for packages that display a seal from the US Pharmacopeia, ConsumerLab.com, or NSF International.

However, while over-the-counter sleep aids may appear to be a fast fix, there are safer, more practical strategies it is best to consider for solving your sleep problems.

Types and causes of insomnia

There are differing kinds and degrees of sleep problems, which can reply to different treatments. Insomnia is a standard grievance, especially amongst older adults, with 35 percent of American adults reporting episodes of insomnia. Many people experience periods of short-term insomnia that last lower than three months, and 10% have chronic insomnia, defined as falling asleep at the very least thrice every week. I even have problems that last more than three months, based on the AASM. Some sleep problems could also be related to hormonal changes or other health conditions.

Women report higher rates of insomnia. “There are many ladies who develop hot flashes, especially across the menopausal transition, which can lead to changes in sleep quality. In midlife, many ladies report that they’ve poor sleep. goes, although some studies have found no objective evidence of this,” says Dr. Britsch. This can be a time in many ladies's lives once they are at increased risk of developing other sleep problems, corresponding to sleep apnea, a respiration disorder at night, and restless legs syndrome. This results in an uncontrollable urge to maneuver the legs which might develop into obstructive. Sleep Don't assume that sleep problems are a standard a part of the aging process, she says; Rather, they’re a treatable problem.

Behavior therapy

Good sleep habits include the next:

  • Go to bed and stand up at the identical time each day.

  • Avoid electronic devices at the very least two hours before bed, as the sunshine from these devices can disturb your body's natural sleep clock.

  • Sleep in a quiet, dark, cool place.

  • Avoid caffeine late within the day.

  • Exercise recurrently. (While some experts recommend exercising within the morning, there's no clear evidence that exercising in the course of the day has any effect on sleep quality.)

  • Avoid alcohol before bed. Alcohol can make it easier to go to sleep faster, nevertheless it normally ends in more broken sleep, and other people who drink alcohol have worse sleep quality.

In addition, detecting and addressing underlying health problems may help resolve sleep problems. These include sleep apnea, which could also be characterised by snoring or periods where respiration is disturbed at night, and movement disorders, corresponding to restless legs syndrome.

However, if these strategies don't help, and your insomnia is frequent and interferes with each day activities, it's time to see your doctor. More intensive treatments may have the option to get your sleep back on target. “There are effective, non-pharmacological strategies that can help,” says Dr. British.

Improving sleep without drugs

One promising option is cognitive behavioral therapy (CBT). “It's just as effective as medication and can work longer,” says Dr. British.

CBT is often administered over a four- to 10-week program that helps you make lasting changes to your sleep habits—a lot of which could seem counterintuitive. This might include, for instance, limiting the period of time you spend in bed—thus training you to avoid staying in bed whilst you're asleep. The strategy is easy in theory, but very difficult to implement for most individuals, which is why CBT works best under skilled guidance.

Cognitive behavioral therapy is run by an expert or through specially designed online CBT programs, says Dr. British.

These methods may take longer than popping a pill, but eventually, they will make it easier to make changes that lead to raised sleep in the long term.