Sedating antidepressants insomnia
They carry risks of addiction and side effects such as grogginess, headaches, nausea and bizarre behavior while sleeping.There are stages of sleep, from drowsiness to progressively deeper relaxation.Doctors may be factoring in cost considerations and their own familiarity with prescribing antidepressants relative to newer sleep medications, experts said.Some doctors prescribe antidepressants because their patients have both depression and insomnia.These drugs can be highly addictive over chronic use. A sample of 3,400 physicians' prescription practices published in the journal Sleep in 2004 showed that antidepressants were approximately 1.53 times more likely to be prescribed by American doctors than insomnia drugs."A lot of it is a holdover from the days where the perception was that sleeping pills would cause dependence and there would be abuse liability," said author James Walsh, executive director and senior scientist at the Sleep Medicine and Research Center at St. "There was a feeling that they only worked for short periods of time and you develop tolerance to those medicines.Side effects for antidepressants can include headache, night sweats, nausea, agitation, sexual problems and dry mouth.
In 2007, the Food and Drug Administration approved the first generic version of Ambien, called zolpidem, for short-term treatment of insomnia.Antidepressants balance the natural chemicals in the brain that are involved in regulating mood.The drugs can block reabsorption of the chemicals, such as serotonin, leaving more available in the brain.Those impressions came from pills used until the 1970s." Three of the top four most commonly prescribed drugs for insomnia were antidepressants, according to Walsh's 2004 article.Five years later, Walsh doubts many of the prescription practices have changed.