Insomnia can be caused by other conditions such as stress, menopause, depression, anxiety, or old age. Sleep problems like sleep apnea, addictions like alcoholism, and using too much caffeine can also cause insomnia. After you and your doctor have treated other health problems leading to your insomnia, there are many steps you can take to break the cycle of sleeping poorly and feeling tired during the day. One of these steps may be to take sleeping pills.

Consider the following when making your decision:

• Sleeping pills may quickly relieve the symptoms of insomnia.
• Sleep medicines work best and are safest as a short-term treatment combined with lifestyle changes.
• You can try sleeping pills for a short time while you work on the problems that are causing your insomnia.
• Some sleep medicines have side effects, such as daytime drowsiness and nausea.
• Sleeping pills may not work as well when your body gets used to the medicines.
• You can become addicted to some types of sleeping pills if you take them for more than a few weeks.
• You may have withdrawal symptoms when you stop taking the medicines.
• Lifestyle and behavior changes can work as well as or better than medicines in helping you fall asleep and stay asleep.

What is insomnia?

People with insomnia have problems falling asleep or staying asleep. You may wake up during the night or wake up too early the next morning. Without enough sleep, you may feel sleepy during the day. This can make you more likely to have an accident, and it also makes driving dangerous. You may feel grumpy from lack of sleep. Some people have trouble remembering things, don't get as much done, and don't enjoy being with family and friends. Some people use caffeine to help them get over feeling tired, but this may make their insomnia worse.

Insomnia is a common problem that affects almost everyone at some point. Having trouble sleeping from time to time is often linked to short-term stress. It can last for days to weeks. It often gets better in less than a month.

But insomnia can turn into a long-term sleep problem, especially when you worry about not sleeping well. This is called chronic insomnia. It is often a symptom of another health problem, such as depression or chronic pain. Chronic insomnia is less common than short-term sleep problems.

How can sleeping pills help?

Sleep medicines may provide fast relief from the symptoms of insomnia. They can help you break the cycle of poor sleep quality and daytime fatigue while you work on the problems that are causing your insomnia. Sleeping pills can also be helpful when you just have trouble now and then falling asleep. But they work best as a short-term treatment.

There are different types of sleeping pills. Talk to your doctor about your choices.

What are the risks of taking sleeping pills?

Sleeping pills do not work as well over time as do lifestyle and behavior changes, such as getting more exercise and changing your sleep environment, your schedule, or what and when you eat and drink. Sleeping pills can also become habit-forming. You may come to rely on them so much that you can't sleep without them.

When you take sleeping pills, you may have side effects such as feeling anxious or sick to your stomach (nauseated) or feeling sleepy or drowsy during the day.

Medicine works best and is safest as a short-term treatment combined with lifestyle changes. In the long run, lifestyle changes are the most helpful treatment for insomnia.

If you need more information, see the topic Insomnia.

Your choices are:

• Treat health problems leading to your insomnia to see if the insomnia goes away.
• Treat your insomnia with lifestyle changes, such as getting more exercise and changing your sleep environment, your schedule, or what and when you eat and drink.
• Take sleeping pills for a short time while you work on the problems that are causing your insomnia.

The decision whether to take sleeping pills takes into account your personal feelings and the medical facts.

These personal stories may help you make your decision.

Use this worksheet to help you make your decision. After completing it, you should have a better idea of how you feel about taking sleeping pills. Discuss the worksheet with your doctor.

Circle the answer that best applies to you.

*NA=Not applicable

Use the following space to list any other important concerns you have about this decision.

What is your overall impression?

Your answers in the above worksheet are meant to give you a general idea of where you stand on this decision. You may have one overriding reason to take or not take sleeping pills.

Check the box below that represents your overall impression about your decision.