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DEALING WITH THE CAUSE OF INSOMNIA: SLEEPING PILLS (A LAST RESORT)
Publicity about the side-effects of sleeping pills and tranquillizers belonging to the benzodiazepine group of drugs has made the general public wary of taking them, and doctors wary of prescribing them. When they were first produced in the 1960s they seemed to answer all sorts of problems: now we know that these drugs don’t solve any problems, and can be extremely addictive.
In addition, when taken as sleeping pills, benzodiazepines reduce the quality of your sleep. They cause suppression of REM sleep in the first part of the night, often with a rebound effect with more dreaming later in the night, which can cause early wakening. They can also leave people feeling fuzzy-minded next morning, which is particularly dangerous in the old, since it can make them confused and increases the risk of falls.
Recently some new sleeping pills have come on the market, the cyclopirolones, which don’t disturb normal sleep patterns. They haven’t been around long enough for their long-term effects to be known for certain, and it’s likely that doctors would discourage patients from taking them consistently for any length of time.
There may be a case for taking medication for a day or two under certain conditions ? after the shock of a bereavement, for instance. But no one should take sleeping pills for year after year, as has been the case in the past.
What if you are already taking them? There have been many stories about the horrors of withdrawal symptoms. That may make you scared of giving them up, even if publicity about their effects on your sleep is also causing you anxiety.
Not everyone goes through horrendous withdrawal symptoms; a less well publicized fact is that numbers of people have given up sleeping pills relatively easily. Since we all have individual body and brain chemistry, the effects of both taking and giving up benzodiazepines can vary a great deal.
Giving them up is really worth it. Once they are out of your system you will return to a normal, natural sleep pattern, and your mind will be clearer.
It’s vital to come off them slowly, by gradually tapering off the dosage over at least two or three months; the worst withdrawals happen when people give them up suddenly. Some people try reducing their intake by cutting their pills in halves or quarters, but this method is not very accurate. It’s best to consult your doctor so that he or she can prescribe gradually smaller doses. Your GP may be able to refer you to other sources of help, too, such as a relaxation class or self-help group. Some GPs are in touch with natural therapists and may be able to suggest someone reliable who can help you, through massage, aromatherapy, or hypnotherapy, for example.
Practitioners of natural therapies can be very supportive in helping you to come off sleeping pills, or dealing with the aftereffects of coming off. They are not allowed to recommend you to go against your doctor’s advice; you can of course make your own decision, but it’s best if you work in co-operation with your doctor. Some natural practitioners prefer people to give up sleeping pills before starting treatment, either because the drugs may interfere with their treatment, or because they like to know that the patient is committed to stopping.
A hypnotherapist was asked to treat a woman with agoraphobia, who had already been helped by a herbalist to wean herself off the tranquillizers and anti-depressants she had taken for eight years. On her first visit, the woman’s husband came with her because she couldn’t go out alone; on her second, she came by herself. The hypnotherapist commented: ‘She was very, very committed to her own recovery. She was going to do it! That commitment is something the therapist can’t supply’
What natural practitioners can supply is the time and the listening ear that busy GPs are rarely able to give, together with natural treatments to strengthen and detoxify the body. A naturopath and osteopath tells me that about 5 per cent of her patients are hooked on sleeping pills when they come to her. They usually come for treatment for some other problem, and after a while ask for her help in giving up the pills. She has found it possible to help them by using herbal pills as a bridge, and combining counselling with her physical treatments.
On giving up benzodiazepines, some people experience increased fatigue for a time, and some increased agitation. There can also be a period of increased dreaming. And it can happen that the suppressed anxieties for which they originally took the pills start surfacing. This is easier to cope with if you accept it as part of the healing process rather than a sign of sickness: it shows that these feelings are now on their way out. Counselling from a professional counsellor or alternative practitioner can help you through this stage.
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