Physicians reminded that during drug treatment, one should also adjust good living and sleeping habits. If one relies solely on drugs and still maintains bad living habits, in addition to physical dependence, psychological dependence is also likely to result; the picture shows the situation.

(picture taken from freepik)

[Health Channel/Comprehensive Report] The consumption of sleeping pills in Taiwan is astonishing. According to previous statistics from the National Health Insurance Administration, 4.41 million people used sleeping pills last year, equivalent to 1 in every 5 people took sleeping pills, with a consumption of 1.05 billion pills.

Li Minshan, the director of Gest Mind Body Medicine Clinic, reminded that while taking medication, one should also adjust good living and sleeping habits. If one only relies on medication and still maintains unhealthy living habits, in addition to physical dependence, it is also likely to cause psychological dependence.

Li Minshan posted an article on the Facebook fan page "Physician Li Minshan of Psychosomatic Medicine" that sedatives and sleeping pills refer to the same group of drugs in medicine, and some people also call them anti-anxiety drugs, mainly because drugs from this family have multiple pharmacological effects , will have different names.

This family is collectively referred to as benzodiazepines, which act on the GABAA receptors in the central nervous system, increase the permeability of chloride ions in nerve cell membranes, and achieve neuroinhibition.

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The benzodiazepine family has 4 main actions

Li Minshan said that the benzodiazepine family mainly has four effects, including anti-anxiety, sleeping, muscle relaxation, and anti-spasm. There are slight differences among the members of the family. Less; some have obvious muscle relaxation effect; and according to the half-life of the drug, it can be divided into short-acting, intermediate-acting and long-acting.

Doctors will use drugs according to different situations. For example, short-acting drugs are suitable for those with difficulty falling asleep, long-acting drugs are suitable for early awakening and insufficient sleep time, and long-acting drugs are suitable for relieving panic symptoms. The anti-anxiety ratio is higher and the sleeping effect is lower category.

In addition, Li Minshan said that there is a class of drugs that are different from benzodiazepines and can also help you fall asleep. This type of drug is Z-drug.

Compared with benzodiazepines, Z-drug has specificity for binding to Omega (BZ1) receptors, so that it has no anti-anxiety, muscle relaxation, and anti-spasmodic effects. It is mainly used to help sleep, and its most widely known is to use Tinos, because of its fast action and fast metabolism, is less dizzy after getting up, and is very popular among users, but it should be noted that if it is not used according to the doctor's advice, there will be a risk of increased tolerance.

Some people have short-term memory loss before going to bed after using Z-drug. If this happens, stop using it immediately.

Overdose of sedative hypnotics prone to tolerance

Li Minshan said, follow the doctor's advice, patiently let the drug take its time, and don't increase the dose at will. The sedative and sleeping pills are not so addictive, and they will be a good little helper to help restore the spirit.

What I am most afraid of is that I am eager to have an effect. After taking the dose prescribed by the doctor, I wait for less than 15 minutes. If I feel that there is no effect and take a dose, or take more medicine at a time that is not taking the medicine, it is easy to develop tolerance. Eat heavier.

He further said that while taking medication, you should also adjust your living and sleeping habits, such as not taking too much caffeine, not drinking too much alcohol, exercising regularly, and not using blue light products before going to bed, etc. Drugs and non-drugs complement each other. If you only rely on drugs and still maintain bad living habits, in addition to physical dependence, it is easy to cause psychological dependence. If you don’t take medicine, you will definitely be nervous or unable to sleep.

Li Minshan said that with the advancement of medical treatment, in recent years, sleep aid drugs with different mechanisms have entered Taiwan. They are not controlled drugs and are safer, but they still require a doctor's prescription. Those who need it can consult a psychosomatic doctor.

She also reminded that for sleeping pills, the public should have a proper understanding and use them in accordance with the doctor's advice. They should be combined with lifestyle adjustments and other auxiliary treatments to get rid of insomnia and find a beautiful life.

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  • Insomnia

  • sleeping pills

  • medication safety

  • living habit

  • sleep quality

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