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Do sleeping pills have many side effects?
In the past, this problem may be very serious, because bromate, barbital and other old-fashioned sleeping pills are not toxic, and the lethal dose is very close to the therapeutic dose. If you are not careful, you may overdo it and you will never wake up again. Alas. For example, a drug can sleep after taking three and a half tablets, and it will be poisoned after taking six tablets. One day you took one tablet and it didn't work (it didn't reach the therapeutic dose); Eating two tablets doesn't work; Three tablets, still no effect. As a result, you got angry, wanted to say that three tablets didn't work, and ate three at a time-what do you think? Can sleeping pills harm the body? Many people are worried that sleeping pills will harm their health, so they refuse to take them. Will sleeping pills hurt the body after all? It's hard to say, because what is harmful to the body is really difficult to define. For example, barbiturates can enhance the metabolic function of the liver, that is, as the saying goes, "enhance the detoxification function", but this is a double-edged sword: on the one hand, the liver will accelerate the dissolution of poisons, on the other hand, the liver will rapidly metabolize vitamins and other nutrients. As a result, whether it is good or bad, it is gone. Do you think it will hurt your health? For another example, anxiety will stimulate sympathetic nerve, and a large amount of sympathetic nerve substances will be released into blood vessels, which will cause problems such as faster heartbeat and higher blood pressure. In the long run, it will damage cardiovascular function and even lead to myocardial infarction or stroke. After BZD is given, the anxiety will be reduced, which naturally protects these organs; But BZD may cause amnesia-will it hurt? Similarly, if you insist on not taking medicine, the result will be long-term insomnia. Is this good for your health? Therefore, in medicine, we can't treat things in a dichotomy, let alone indiscriminately say that "western medicine will hurt the body" like charlatans. We can only make use of the advantages of each drug and avoid its disadvantages according to the current situation, so as to maximize the effect and minimize the side effects. In this way, we can discuss sleeping pills instead of "effects on the body". At present, BZD and Omega- 1 are the main sleeping pills, supplemented by auxiliary sleeping pills (antihistamines, tricyclic antidepressants, Chanotetrazodone and antipsychotics), so the old sleeping pills are not mentioned at all. All kinds of sleeping pills may have the side effect of "being too calm and still groggy when getting up the next day", which is a very common side effect. No matter what kind of sleeping pills, BZD, auxiliary sleeping pills or even omega-1, it may cause this phenomenon. The main reasons are excessive sedation and drug residue. Although some drugs have a short half-life, theoretically, this symptom should not occur, but everyone's physical condition is different, the speed of drug absorption or metabolism may be different, and the strength of drug reaction is also different, so even short-acting sleeping pills may make people sleepy and difficult to concentrate the next day. Therefore, during taking sleeping pills, don't operate the machine and don't drive-of course, it is difficult to avoid it completely, but at least, you must reduce the time of operating the machine or driving. Don't do it if you can't. If there is really no way to avoid it, we must be cautious. There are many muscles that are not harmonious. If you want to do any action, you must coordinate all the muscles to move together, otherwise you will make a joke, just like the simplest way to hold chopsticks. If the five fingers are fragmented, don't say that you can't hold chopsticks stably. The cerebellum is responsible for many of these coordination tasks, but BZD will inhibit the cerebellum. As a result, the coordination of movements is not smooth and it is difficult to dress and write. Fortunately, this phenomenon is unlikely to occur at normal doses. Even if it does happen, it will return to normal as long as the dosage is reduced or the efficacy slowly fades. Excessive muscle relaxation BZD will inhibit the nerves in the spinal cord and relax the muscles. Generally speaking, not only the brain, but also the muscles are sleeping. Once the brain wakes up and the muscles are tired, people will feel weak and unable to work. This may not be a bad thing for people with long-term muscle strain. But for the elderly, it may make him fall down accidentally when he gets up. In case he falls and hurts his head, the problem will be big. Memory is affected. Some people don't fall asleep immediately after taking sleeping pills, but they can continue to do things and talk to others. It takes a while to fall asleep. When I got up the next day, I forgot everything I had done. This temporary amnesia is more likely to occur in powerful sleeping pills, whether BZD or Omega-1. But this is only temporary and will not affect memory. Behavior out of control and sleepwalking are always unpleasant things in life, hidden in the bottom of my heart, but BZD will weaken the power of psychological repression, and as a result, the repressed anger and emotions will be vented to the fullest. Some people will be angry and excited after taking it; Some people will unconsciously walk around, take things, move things, and even go shopping outside. In serious cases, they will do some inappropriate behaviors, such as undressing in public, and then forget the story at all. Respiratory depression When patients suffer from some respiratory or nervous system diseases, the use of BZD may cause respiratory depression. When BZD is used with alcohol, this effect will be enhanced. But the general problem is not big. A few allergic patients have special constitutions and are allergic to sleeping pills. No matter what kind of drug it is, it may cause allergies. Sexual function is affected. It is reported that BZD can cause sexual dysfunction in rare cases. Tricyclic antidepressants may also cause impotence and decreased sexual desire. As for trazodone, it may prolong the erection time of men, but it is recoverable and will not cause organ damage or permanent obstacles. This is not the same as alcohol. Long-term drinking may lead to permanent sexual dysfunction. Gastrointestinal discomfort zolpidem or zopiclone may cause dizziness, nausea, vomiting and diarrhea, but the incidence is not high. Tricyclic antidepressants may also cause similar problems. Side effects of only auxiliary sleeping pills Extrapyramidal side effects and endocrine effects (rare) Some tricyclic antidepressants and antipsychotics can cause extrapyramidal side effects due to dopamine, such as acute muscle weakness, Parkinson's disease, akathisia and other side effects. In addition, it may also cause prolactin to rise, so women may stop menstruating, men may have milk, and men and women's sexual desire will decrease. However, when such drugs are used as sleep AIDS, it is almost impossible to have such problems. Three plus three, one * * * six, damn it, you are poisoned! So easy, the distance from the therapeutic dose to the dangerous dose is too close, and the difference in safety can be imagined. And everyone's physique and physical condition are different, and no one is sure how many tablets should be taken to be effective, and how many tablets will be poisoned. Doctors cannot prevent it in advance. To make matters worse, old-fashioned sleeping pills are very addictive, and it is easy to enhance the effect after interacting with alcohol. In case someone drinks wine and eats a few more tablets in a daze, and the toxicity is doubled, then they will never wake up again. The sleeping pills commonly used at present are not easy to kill, but these are all in the past. Since the invention of BZD, its lethal dose has been far from the therapeutic dose. Many people have taken hundreds of sleeping pills-I have even seen patients who have taken 1000 tablets, but they still can't die. But I saw a patient who died after eating a lot of sleeping pills and toast. After the autopsy, it was found that toast died of suffocation in the trachea. Therefore, after taking sleeping pills, it's best to wait until you want to sleep, and don't do too many things. It's best to have someone to accompany you. At present, other sleep AIDS are more likely to have problems, such as low-dose antipsychotics and tricyclic antidepressants. When taken in large quantities, they may have a strong anti-acetylcholine effect, thus affecting brain and heart function, leading to coma and even death. But basically, the probability of using this kind of sleeping aid drugs is small, and it will only be used to assist BZD if the dosage of BZD sleeping pills is already very large. Moreover, except psychiatrists, most doctors are not very good at using such drugs. So as far as the current situation is concerned, it is unlikely that people who take sleeping pills will not wake up unless the patients themselves have some problems or the drugs they take conflict with each other. These problems need to be examined by doctors and drug use should be monitored to avoid danger. However, despite this, many people are still afraid of sleeping pills. There may be two reasons for this: social labels. Before BZD was invented, many people committed suicide or died of overdose by taking sleeping pills. Through the extensive publicity of the media, the society generally has a "dangerous" impression on sleeping pills, not only the general public, but also doctors. People naturally reject sleeping pills. Psychologically speaking, sleep itself is a very strange experience. During sleep, the "self" seems to have no idea where he went, and that time was blank. No wonder, in Greek mythology, the god of sleep and death are brothers, and they can only wake up after sleeping, but there is no way to die. Subjectively, sleep is like a short death, during which you can do nothing-because "you" is gone! This is very secret. I can talk, I can think, I can be angry, I can run around, but I just can't make me disappear. Sleeping pills can just solve this problem. As soon as you take medicine, people will fall asleep as if they were dead. Many people will have an involuntary feeling, as if they were pushed into another world by something foreign, which is terrible. This fear is manifested in resistance to sleeping pills. In fact, these are all overblown. Sleeping pills are invented by human beings and are tools for serving human beings. Researchers will try to make sleeping pills safer, and doctors will analyze your physical condition to further enhance your safety, so don't worry too much-even if the feeling of falling asleep seems forced, what's the harm? After all, we are its owners, and you know that sleep is only short. At that time, we will finally wake up. Why are you too scared? Does sleeping pill have many side effects? Many side effects? You may not be at ease: "I read the professional pharmacopoeia, which is full of forests and has many side effects." Are these also fake? " Many people are not at ease, so they go to the bookstore to check the Pharmacopoeia and have a look. A bunch of chemicals called triazolam, estazolam, clonazepam, diazepam, zopiclone, lorazepam .......................................................................................................................................... What's more frightening is that there are a lot of contraindications and side effects, ranging from "fatal danger" and "teratogenesis" to "danger of operating machines" and "nausea and vomiting", all of which are shocking. I really don't know if this is a drug or a drug. In fact, these are all true, but if you look at other drugs, you will find that other drugs have more side effects than sleeping pills! The crux of the matter is that the Pharmacopoeia will not record the consideration between the probability of occurrence, the timing of occurrence and the gain and loss. For example, "Will you be killed by a car when you walk?" Of course it will! All you have to do is close your eyes at the red light and cross the fast lane. Do you think you will be killed by a car? The problem is: you won't do it. You will know that it is much safer to pay attention to the cars coming from left and right when crossing the zebra crossing and the green light. Taking sleeping pills is the same. However, the doctor will help you pay attention to "traffic safety": the elderly? Metabolism may be bad; Edema? Albumin may be too low, affecting the drug action; Scar on the face? There may have been trauma before, which affected the interaction between the brain and drugs. These doctors should pay attention and understand carefully. Once understood and carefully evaluated, sleeping pills will not be serious even if they have side effects. What's more, the probability of side effects of current sleeping pills is not high. If you are anxious about something that is unlikely to happen, isn't it equal to "being afraid of an accident and not going out for life"? There is no absolutely safe road, only by obeying traffic rules can we ensure safety; Similarly, there is no absolutely safe sleeping pill, but as long as the medication rules are strictly observed, there will be no serious problems. Sleeping pills are addictive? "Even if the sleeping pills are safe now, will they be addictive?" This is a problem that many people don't want to take medicine. There are indeed many sleeping pills that are in danger of addiction, which is also the biggest obstacle to drug use at present. But there are many kinds of drugs, and the probability of addiction is different. You can choose drugs with less addiction. If you don't use them for a long time, you won't be in danger of addiction. The doctor should consider the medication and time according to the condition. This problem is not as serious as generally thought. If the condition improves, the demand for drugs will naturally decrease. In any medical textbook, unlimited use of sleeping pills is not recommended, so if your doctor is well-trained and has medical ethics, you will not be allowed to take medicine without illness. In the same way, he prescribed medicine, and he thought your illness needed medicine. How about taking Chinese medicine? "Eat Chinese medicine will have no side effects? Better than sleeping pills? " This is a common myth. In fact, Chinese medicine is also medicine. Many western medicines are learned from nature, such as aspirin and antibiotics. In order to survive, many natural creatures are also poisonous, such as marijuana, opium and other drugs. Isn't it also a kind of herbal medicine? Improper use of western medicine will hurt your health, and so will traditional Chinese medicine. No one is gentler than others, and no one is more harmful than others. Both are medicines, so be careful. Of course, it is good to take Chinese medicine effectively, but if not, there is no guarantee that there will be no side effects. Why use drugs instead of relying on yourself? People who suffer from insomnia often have more or less anxiety or fear about sleep, even when it is dark, they dare not sleep or watch the bed. As soon as I go to bed, the more I want to rely on my own strength and force myself to sleep, the more I can't relax. What if I can't sleep well? What will happen tomorrow? In this case, a vicious circle. Perhaps, many people still have strong psychological barriers to psychiatry-from registering, waiting for a doctor, calling a number, entering the clinic, and facing the doctor's inquiry ... all need great courage to face it. Similarly, psychotropic drugs are also a psychological obstacle, which requires great efforts to break through. However, in addition to this psychological obstacle, we should think from the real needs of the body: in the case of insomnia, memory and understanding decline, temper all day, lack of interest, confusion of thinking, which will cause obstacles to work, life and interpersonal relationships, or sleepy during the day and unable to sleep at night. Under the vicious circle, insomnia will continue, which is definitely not a good idea. How can such a vicious circle be stopped and stopped? Many people may have tried many methods, such as relaxing skills, drinking milk and taking a bath. The results are not consistent. In fact, drugs are also a good method, which has a greater success rate to make people with insomnia fall asleep, calm down, review the causes of insomnia, find a solution, and then gradually reduce drugs until insomnia improves. In this way, it is a virtuous circle. In fact, think about it carefully-never taking sleeping pills, just like absolutely taking sleeping pills, is biased. Sleeping pills will be the best weapon to fight insomnia if the illness and symptoms are needed and eaten reasonably and properly. The side effects of sleeping pills taken by minors are more serious.
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