It is not necessary to discontinue sleep medication in order to benefit from CBTI. This means that their dose and purity are not monitored. The FDA does not regulate herbs and supplements. These remedies include herbs, such as valerian, and supplements, such as melatonin and L-tryptophan. Some people use over-the-counter medications, which usually contain antihistamines, or natural remedies for insomnia. These medications are usually prescribed at doses that are lower than what is required for the treatment of depression and they do not lead to tolerance or drug dependence. The most common antidepressants prescribed for sleep are Trazodone, Doxepine, and Elavil. For example, a sedating antidepressant medication is often prescribed to help with insomnia. Sometimes doctors prescribe a medication that is sedating even though it was not specifically developed to help with sleep. It affects the melatonin receptor in the brain. It has a very different mechanism of action. Ramelteon is another new sleep medication. Because of their safety profile and their lower potential for dependence, some medications in this class are approved by the FDA for continuous long-term use. Grogginess in the morning occurs when a sleep medication is metabolized slowly, and it's still active upon waking up in the morning. This happens because people differ in how they metabolize the medications. Some people experience grogginess in the morning even with sleep medications from this newer class. They're called "non-benzodiazepines", a confusing name given that they still operate by acting on the benzodiazepine receptors. Therefore, these newer sleep medications are safer and have lower potential for dependence and fewer side effects. Most of these newer medications work on the benzodiazepine receptors in the brain, but do it more selectively than the medications in the benzodiazepine class. In addition, some medications in this class can produce a "hangover" or grogginess the next day.įor these reasons, newer sleep medications have been developed and approved by the FDA. Benzodiazepines are generally recommended for short-term use because tolerance and dependence can develop. Other benzodiazepine medications approved by the FDA for the treatment of anxiety, such as Lorazepam, Clonazepam, and Alprazolam, are sometimes prescribed for insomnia as well. The following five medications, listed in alphabetical order, are approved by the FDA for the treatment of insomnia: These medications are older and have a higher potential for dependency. One class of sleep medication is called benzodiazepines. The discussion is organized by classes of medication. Below is a brief discussion of medications that are commonly used for sleep. These are called hypnotic medications or sleep medications. The Food and Drug Administration (FDA) has approved certain medications for the treatment of insomnia.
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