If your best attempts to get a good night's sleep have failed, your best bet is to seek evaluation by your doctor. Often, specific causes for insomnia may be found that are reversible. Nondrug approaches including cognitive behavior therapies can be effective. Prescription sleeping pills may be both effective and safe, if taken as prescribed. Consider OTC sleep aids or supplements with caution.
- Start with your doctor. You don't need your doctor's OK to take an over-the-counter sleep aid, but it's a good idea to check with your doctor anyway. He or she can make sure the sleep aid won't interact with other medications or medical conditions. Your doctor can also help you determine the best dosage. In some cases, your doctor may recommend prescription sleeping pills. If you and your doctor decide further evaluation is needed, you may be referred to a sleep specialist.
- Take it one day at a time. Sleep aids are a temporary solution for insomnia. Most over-the-counter varieties are intended to be used for only two to three nights at a time. Taken too often, some sleep aids may cause rebound insomnia - sleeplessness that returns in full force when you stop taking the medication.
- Avoid alcohol. Never mix alcohol and sleep aids. Alcohol increases the sedative effects of the pills. Even a small amount of alcohol combined with sleep aids can make you feel dizzy, confused or faint.
- Quit carefully. When you're ready to stop taking sleep aids, follow your doctor's instructions or the directions on the label. Some medications must be stopped gradually.
- Watch for side effects. If you feel sleepy or dizzy during the day, talk to your doctor about changing the dosage or discontinuing the pills.
Everyone deserves a good night's sleep. If you continue to have trouble sleeping, consult your doctor for additional help.
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