Sleep:Prescription Sleep Drugs

WEEKLY NEWSLETTER

Sleep News and Insights
Sign up for a free weekly email with our most up-to-date information.

Antidepressants as Sleep Aids: the Pros and Cons of Sedative Prescription Medications


12
 
The most widely prescribed medication for insomnia isn't a sleep drug: It's trazodone (brand name Desyrel), an antidepressant with sedating properties.

Because many antidepressants are available as generics, they can be a less expensive option than newer sleep aids on the market. But before filling a prescription, consider the safety information and advice below.

Antidepressant medications are often prescribed for people with insomnia. Best results are seen in people who have underlying depression. Although they have not been well studied for insomnia, doctors often prescribe low doses of certain antidepressants in an attempt to facilitate sleep.

Examples of the antidepressants that might be prescribed for insomnia are amitriptyline (such as Elavil) and trazodone (Desyrel).

The other side effects of these medications, which may include sexual dysfunction, weight gain, dry mouth and throat, racing pulse, confusion, and disturbed dreams, must be weighed against their potential benefits.

FDA advisories
The US Food and Drug Administration (FDA) has issued:
  • A warning on the antidepressants Paxil and Paxil CR (paroxetine) and birth defects. One new study showed that women who took Paxil during their first 12 weeks of pregnancy had a slightly higher chance of having a baby with birth defects.
  • An advisory on antidepressant medicines and the risk of suicide. The FDA does not recommend that people stop using these medicines. Instead, a person taking antidepressants should be watched for warning signs of suicide. This is especially important at the beginning of treatment or when the doses are changed.
Last Updated: January 22, 2008 See Full Credits Disclaimer



12
 
Last Updated: April 19, 2008


Last Updated: January 22, 2008
Author:
Maria G. Essig, MS, ELS
Medical Review:
Anne C. Poinier, MD - Internal Medicine

Jan Ulfberg, MD, PhD - Sleep Disorders


© 1995-2008 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.



This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.