Many people start sleeping pills during a stressful period and continue for years. Some common sleeping pills (benzodiazepines and related drugs) lose effect over time and cause dependence.
Risks of long-term use
- Needing higher doses for the same effect
- Memory problems and daytime drowsiness
- Falls and fractures in older adults
- Dangerous when mixed with alcohol
How to stop
Do not stop suddenly after long use — it can cause rebound insomnia, anxiety and even fits. A doctor will plan a gradual reduction over weeks while treating the cause of poor sleep.
What works better
CBT for Insomnia — a structured program of sleep scheduling and habits — is the first-line treatment and gives lasting results.
Frequently asked questions
Is it safe to take a sleeping pill every night?
Many sleeping pills are meant for short-term use only. Long-term nightly use can cause dependence; discuss a plan with your doctor.
What works better than pills for long-term insomnia?
CBT for insomnia (CBT-I) is the recommended first treatment for chronic insomnia and its benefits last after therapy ends.
Medical references
Guidelines and official sources used for this article.
- Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 2021.
- mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings, version 2.0. World Health Organization, 2016.
- Author
- Dr. Kuldeep Budania, MBBS, MD Psychiatry
- Medical reviewer
- Dr. Kuldeep Budania, MD Psychiatry
- Last reviewed
This article is for general information and is not a substitute for personal medical advice.
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