Most of us know that sleeping pills aren’t an ideal way to get more rest.
Maybe you’ve heard they can make you drowsy in the daytime. Or maybe you have a friend who started talking in her sleep after taking them.
And sure, sometimes the only side effects of sleeping pills are annoying but manageable quirks like the above.
But for some people, that’s not where it stops. Sleeping pills can do much deeper damage.
According to a shocking 2015 study, some sleeping pills, like Ambien, Desyrel, and Restoril, could double a person’s risk of being in a car accident—even after the timeframe when the medication’s effects should have worn off (3). In fact, the risk may be as strong as the risk of driving drunk.
The study took a look at the medical records and driving records of participants over a five-year period and found that people who took any of those three sleep aids had between a 25% and 300% higher risk of getting into a car accident in that timeframe (3). Those on Restoril had a 27% higher risk, those on Desyrel had a 91% higher risk, and Ambien users’ risk more than doubled.
These risk levels are comparable to a blood alcohol level between .06% and .11%. To paint a better picture: .08% is the legal limit in the US. The cautiously optimistic news is that this risk level wears off as time goes on, though researchers aren’t sure if that’s because people get used to the side effects or find ways to compensate for them.
One of the more alarming aspects of these findings is the notion that the medications can sometimes stay in a person’s bloodstream longer than expected…
Many users may be following the medication’s instructions where they sleep 7 to 8 hours, wake up assuming the meds are out of their system, and then go about their morning commute unknowingly putting themselves and others at risk.
A few years before the 2015 study was published, the FDA was already seeing red flags. The agency told drug manufacturers to reduce the recommended sleep aid doses so people would be able to drive safely in the mornings. In addition to this, they also advised doctors to prescribe the lowest possible doses (4).
These recommendations are especially important for women, whose bodies sometimes process drugs more slowly than men.
But according to a 2018 study, many doctors neglected to reduce doses, with as many as two-thirds of women and seniors taking high doses (5).
Sleep aids also come with a slew of other health concerns, including increased risks of falls, daytime exhaustion, abnormal behavior, potentially life-threatening interactions with other drugs or substances, and doing activities in your sleep that you don’t remember the next day.
Many prescription sleep aids have what are called black box warnings, the most serious FDA warnings for medications and medical devices that alert consumers about the risk of serious or life-threatening side effects (6).
There’s also the risk of taking sleep aids incorrectly…
Even if you’re diligent about following medication instructions, sleep aids come with so many restrictions that it’s easy to unintentionally break one. Some of the biggest dangers are combining sleeping pills with alcohol or other sedative medications, or taking them when you have less than 7 to 8 hours to devote to sleeping.