Drug store shelves are packed with over-the-counter sleep aids, many of which are antihistamines. Antihistamines are mainly used in allergy medication but are also branded separately as sleep aids for exhausted consumers wondering how to fall asleep fast.
This is because antihistamines block your body from producing extra histamine—a chemical that helps rid your body of allergens—one that also conveniently helps regulate your body’s wakefulness (5). When antihistamines are used as sleep aids, the resulting drowsiness becomes a perk rather than an unwanted side effect.
The reality, though, is that antihistamines are not generally recommended for long-term sleep use, and haven’t been found to be especially effective (6).
One downside is that you can very quickly develop a tolerance to antihistamines’ sleep-inducing effects (7)...
While they may work great the first time you try them, you’ll soon find yourself feeling less and less of their sedative effect. At the same time, antihistamines can linger in your body longer than the time it takes to simply get some rest. That makes for a groggy, hangover-like feeling the next morning (8).
There are also some potentially harmful effects when antihistamines are used long-term: Some antihistamines are anticholinergic. This means they inhibit acetylcholine, an important neurotransmitter that plays an important role in memory and optimal brain function.
A 2015 study found that participants over 65 who regularly took anticholinergic medications for more than 3 years were at a higher risk for dementia and Alzheimer’s disease (9). The risk was found to continue increasing over time with continued use of the medications.
Antihistamines may be fine for a one-time boost (for example, if you’re hit with jet lag and need to fall asleep quickly one night) but they are not your friends for long-term, healthy sleep.
2. Acetaminophen (like Tylenol PM)