Are Sleeping Pills Really Safe?

Are sleeping piles are safe
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Written by : Dr. Poonam Subramanian
MD Pulmonary Medicine Sleep Medicine Allerg
Updated on : November 8, 2025

Over one-third of adults worldwide, approximately 30-35% report experiencing symptoms of insomnia at some point. If you’ve been considering a sleeping pill, it can offer short-term relief for you, but it’s important to understand how to use them safely, recognise possible side effects and learn how to avoid misuse.

Sleeping pills are used to treat sleep disorders, such as Insomnia, by helping you feel relaxed and sleepy. However, even natural sleep pills such as melatonin can have side effects, including daytime drowsiness, confusion, or even unusual behaviors like sleepwalking or sleep eating (parasomnias). For many people, non-drug treatments like cognitive behavioral therapy for insomnia (CBT-I) offer better sleep.

What are sleeping pills?
Sleeping pills, also known as sleep aids or sedatives, can help you get some sleep. If you have a sleep disorder like Insomnia and or frequent nighttime awakenings. While melatonin sleeping pills and natural sleep aids offer mild support whereas strong sleeping pills are prescribed by a sleep doctor for severe cases. Sleeping pills go by many different names, including:

  • Hypnotics.
  • Sedatives.
  • Sleep aids.
  • Sleep medicines.
  • Tranquilizers.

However, using the best sleeping pills requires caution, or misuse or high sleeping pill dosage for adults can lead to side effects. Always consult a doctor before taking any sleeping pills for better, safer sleep.

Also read: Understanding Parasomnias: From Sleepwalking to Night Terrors

Who needs sleeping pills?

In India, 1 in 10 adults struggle with long-term insomnia, and sleep issues are steadily rising due to stress, lifestyle changes, and screen time. Studies show that sleeping pills in India are becoming more common among older adults; nearly 1 in 4 people over 60 depends on some form of sleep medicine or sleep aid to get proper sleep. If you’re facing trouble sleeping, consult a doctor before taking any sleeping pills, as overuse can lead to sleeping pills side effects and dependency on them.

What are the types of sleeping pills?

There are different kinds of sleeping pills available, depending on your sleep issues and medical needs. Here are the following types of sleeping pills:

1. Over-the-Counter (OTC) Sleeping Pills
These are non-prescription bedtime aids that can be obtained from a pharmacy by anyone over 18 years of age. Although they may be an easy option, the over-the-counter sleep pills may cause some side effects when utilized long-term, such as sleep medication drowsiness or sleep medication confusion.

2. Natural Sleeping Pills
If you are looking for a natural option, melatonin sleep medications, or herbal options such as valerian root, are well-known. Melatonin sleep aid, is a natural hormone that assists in managing sleep cycles. However, even natural products can affect other medications, so it is best practice to talk to your doctor first as an added precaution. 

3. Prescription Sleeping Pills
For more serious Insomnia, a doctor could prescribe longer-acting medications, such as benzodiazepines. These types of medications provide temporary insomnia relief, but can lead to psychological dependency if they are taken longer than prescribed or too frequently. Always make sure to check the recommended dosage for sleep medications for adults to avoid the risk of overdose.

Also read: CBT-I vs. Sleeping Pills: Why Therapy is the Safer and More Effective Choice

What are the side effects of sleeping pills?
Like most medicines, sleeping pills can cause side effects, and they vary from person to person. People with asthma or lung problems like COPD should be especially cautious, as some sleeping pills may affect breathing. Common sleeping pills side effects include:

  • Dizziness or loss of balance
  • Daytime drowsiness or confusion
  • Headache and dry mouth
  • Digestive issues like constipation or heartburn
  • Unusual dreams or memory problems
  • Tingling in hands or feet

Sleeping pills complications
Some sleeping pills can cause serious side effects, including parasomnias, unusual behaviors while asleep, such as:

  • Sleepwalking or sleep talking
  • Sleep eating or phone calls during sleep
  • Sleep driving – a dangerous, unconscious act while not fully awake

Other common sleeping pills side effects include:

  • Daytime drowsiness, dizziness, or confusion
  • Slow reaction time, making driving or operating machinery risky
  • Rebound insomnia if you stop sleeping pills suddenly

To avoid side effects or dependency, always take sleeping pills as prescribed by your doctor. Discuss safe dosage, alternatives like natural sleeping pills or melatonin, and how to stop medication with your doctor.

Also read: Is excessive sleep during pregnancy a problem?

Transform Your Sleep, Transform Your Life Sleep Soundly, Live Fully with Remesleep
Who shouldn’t take sleeping pills? Not everyone can safely take sleeping pills; they can interact with other medicines or cause serious side effects. Always talk to your doctor before using any sleeping pills, even over-the-counter (OTC) or natural sleeping aids.

Children

  • Sleeping pills are not recommended for children.
  • No FDA-approved sleeping pills exist for kids under 16.
  • Dosages are untested, and side effects can be unpredictable.
  • Always consult a pediatrician for insomnia or sleep issues in kids instead of self-medicating.

Older Adults (65+)

  • Avoid OTC sleep aids and Z-drugs 
  • Sleeping pills stay longer in older adults’ systems, leading to Daytime drowsiness, Memory loss & confusion, and Falls or accidents
  • Common side effects: dry mouth, constipation, urinary problems.

Pregnant or Breastfeeding Women

  • Avoid sleeping pills unless prescribed by a doctor.
  • May cause harm to the baby or affect milk production.

People with Medical Conditions Avoid or use sleeping pills only under medical supervision if you have:

  • Kidney or heart disease
  • Low blood pressure
  • Seizures or abnormal heart rhythms
  • Chronic insomnia or sleep apnea
It’s normal to have a few sleepless nights, but if insomnia or sleep apnea starts affecting your life, seek expert help instead of relying only on sleeping pills. While OTC sleep aids and melatonin can offer short-term relief, always use them under a doctor’s support to avoid side effects, dependency, or rebound insomnia. For long-term sleep health, therapies like CBT-I and lifestyle changes are safer. We at Remesleep offer expert treatment for sleep disorders such as sleep apnea and insomnia, helping you achieve better, natural rest, without the risks of overusing sleeping pills.

Frequently Asked Questions for Insomnia Treatment Cost in Bangalore

  • Severe insomnia is treated with a combination of approaches, including lifestyle and sleep habit changes, cognitive-behavioral therapy for insomnia (CBT-I), and medication when necessary.
  • A full-night sleep study (polysomnography) costs between ₹6,000 and ₹10,000, depending on setup and duration of the treatment.
  • Cognitive behavioral therapy (CBT) for insomnia is priced between ₹1,000 and ₹2,800 per session. sleep doctors in Bangalore recommend undergoing 6 to 8 sessions for a more effective treatment.
  • Typically, Consultation fees range from ₹600 to ₹1,500 per visit to your sleep doctor.
  • Dr.Subramanian Natarajan and Dr.Poonam Subramanian are among the most trusted somnologists in Bangalore, offering expert care at Remesleep.
  • The cost of insomnia treatment at Remesleep ranges between ₹ 3,500 – ₹ 15,000+, depending on the therapy plan you will be prescribed by the somnologist.
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