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Safety considerations
Prescription sleeping pills (and even some nonprescription sleeping aids), as well as certain antidepressants, may not be safe if you are pregnant, breastfeeding or an older adult. Sleeping pill use may increase the risk of nighttime falls and injury in older adults. If you're an older adult, your health care provider may prescribe a lower dose of medicine to reduce your risk of problems.
Some health conditions — for example, kidney disease, low blood pressure, heart rhythm problems or a history of seizures — may limit your options. Also, prescription sleeping pills and nonprescription sleep aids may interact with other medicines. And taking certain prescription sleeping pills can lead to drug misuse or drug dependence, so it's important to follow your health care provider's advice.
Taking sleeping pills
If your best attempts to get a good night's sleep have failed, prescription sleeping pills may be an option. Here's some advice on how to use them safely.
Get a medical evaluation. Before you take sleeping pills, see your health care provider for a thorough exam. Often your provider may be able to find specific causes for your insomnia. If you're taking sleeping pills for more than a few here weeks, talk to your provider about an appropriate follow-up schedule to discuss your medicines.
Read the medication guide. Read the medication guide for patients so that you understand how and when to take your medicine and what the major potential side effects are. If you have any questions, ask your pharmacist or health care provider.
Never take a sleeping pill until you're going to bed. Sleeping pills can make you less aware of what you're doing, increasing the risk of dangerous situations. Wait to take your sleeping pill until you've completed all of your evening activities, immediately before you plan on sleeping.
Take your sleeping pill when you can get a full night's sleep. Only take a sleeping pill when you know you can get a full night's sleep of at least 7 to 8 hours. A few short-acting sleeping pills are intended for middle of the night awakenings, so you may take them when you can stay in bed for at least four hours.
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