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Mayo clinic minute: is melatonin the right sleep aid for me
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It can be very inconvenient to be lying in bed and unable to fall asleep. It can not only add to the tension and anger in those moments, but it can also affect your ability to work and concentrate the next day. Fortunately, there are a number of over-the-counter treatments available to help you recover your full night’s sleep.
Durga Sunitha Posina, MD, a board-certified internist in Stony Brook, New York, was consulted to find out what ingredients to look for in supplements and medications. While Dr. Posina admits that over-the-counter drugs can be useful, she stresses that they are only supposed to be used “in the short term or for light disturbances in your sleeping schedule.” She advises that you evaluate certain lifestyle considerations before going to the pharmacy.
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Gluten-free sleep aids are important for those suffering from insomnia due to celiac disease or non-celiac gluten sensitivity. However, not all over-the-counter sleep aids available in pharmacies or online are gluten-free, so shop around.
Despite the wide range of products and formulations available in the pharmacy aisle, there are only two types of over-the-counter sleep aids: medication-based sleep aids, which use antihistamines that often make you tired, and melatonin-based sleep aids, which use small doses of the sleep hormone melatonin.
If you’ve ever taken cold medicine at night, you’re probably aware of how drowsy it makes you. These sleep aids contain the same antihistamines that are used in nighttime cold medicine, but in different dosages.
The antihistamines used in the drugs are diphenhydramine HCI or doxylamine succinate. If your favorite brand isn’t gluten-free, you should be able to find a gluten-free-labeled alternative that contains the same active ingredient.
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You’ve spent the last few nights staring at the ceiling, worrying about your shopping list, organizing your day’s activities, or obsessing about your current dilemma — but what you really want to be doing is sleeping comfortably. You’re in the pharmacy and you’re tempted by the range of over-the-counter sleep aids. Will taking one help you get the restful night’s sleep you desire?
Short-term concerns such as daytime sleepiness, grogginess, and falls are among these threats. Furthermore, most sleep aids belong to the anticholinergic drug class, which has been related to dementia and Alzheimer’s disease in heavy, long-term users, she says.
When you’re walking to the drugstore, where the shelves are usually stocked with different brands, you do not know that sleep experts discourage the use of sleep aids. According to Dr. Bertisch, 15 to 20% of American adults use a nonprescription sleep aid in any given month. The large number of brands available, however, could be deceiving.
“People don’t know that these businesses are actually repackaging the same thing,” she says. Antihistamines, which are also widely found in allergy remedies, make up the majority of sleep aids. “Sleep aids are simply Benadryl [diphenhydramine] in disguise. They don’t realize that’s what most sleep aids are,” said Dr. Bertisch.