HomeSinequanHow come sleeping pills don’t make me sleepy?
Posted in Sinequan on 27th May 2014

How come sleeping pills don’t make me sleepy?
I take a medication to prevent my migraines & that medication is also given to people for Insomnia. I have been having trouble sleeping lately my doctor suggest that I stop all caffeine well I tried that & it hasn’t helped. I have been taking sleeping pills & they don’t even make me sleepy.Why is that?

Best answer(s):

Answer by Jennifer
Some medications affect people differently. I would suggest trying melatonin. My husband and I switched from Tylenol PM to that and it works great. It’s not habit forming like the other stuff, it’s cheap, it’s safe, it doesn’t make you feel groggy in the morning like sleeping pills do, and it works great.

Answer by Mom of E and S and # 3
From my own personal experience… sleeping pills don’t work for me. I have this horrible problem with staying asleep. Once I’m awake, I’m awake. I get, on average, about 5 hours of sleep a night. It doesn’t matter if I took 2 Benadryl or a Unisom or anything. I just can’t stay asleep. The only thing that has worked for me was Ambien CR. I hate to take it(and don’t while I’m prego), but I will break down and have one every few weeks so I can just get some sleep.

Are you having trouble going to sleep or staying asleep? You might want to google your problems and get a check list together. Once you’ve gone through all those options it may be time to talk to your doctor about a prescription to take OCCASIONALLY. I’ve tried EVERYTHING under the sun and nothing else has helped. I’ve been this way since I was a young teen.

Good luck.

Answer by Mathieu
What EXACTLY are you taking for migraine? Is what you take listed below?

Midrin, Duradrin (isometheptene/dichloralphenazone/acetaminophen)
Fioricet, Esgic, Esgic Plus (acetaminophen/butalbital/caffeine)
Phrenilin, Phrenilin Forte, Butapap (acetaminophen/butalbital)
Fiorinal (aspirin/butalbital/caffeine)
Elavil (amitriptyline)
Aventyl, Pamelor (nortriptyline)
Seroquel (quetiapine)
Neurontin (gabapentin)
Desyrel (trazodone)
Remeron (mirtazapine)
Adapin, Sinequan (doxepin)
Flexeril (cyclobenzaprine)
Vistaril, Atarax (hydroxyzine)
Phenergan, Sominex (promethazine)

Many of the medications prescribed (including all medications I list) for sleep are NOT approved for insomnia or for any sleep issue. Amitriptyline is, for example, one of the most effective medications for migraine and it is also one of the five most prescribed medications for insomnia however there is almost no evidence it is an effective sleeping medication, especially in people without depression.

Also people can develop tolerance to hypnotics and since you have been taking this medication for migraines, it is likely any sedating effects have gone.

If your insomnia is causing significant problems then go back to your doctor. If you are in pain that may be the reason you can’t sleep.

The American Academy of Sleep Medicine guidelines recommendations first-line treatment for insomnia to be using short- or intermediate-acting benzodiazepine receptor agonists (BzRAs), whether a benzodiazepine such as Restoril (temazepam), Doral (quazepam), Halcion (triazolam)
Mogadon, Alodorm (nitrazepam)*, Dalmane (flurazepam), or ProSom (estazolam) or a newer BzRAs such as Ambien, Stilnox, Zolpimist (zolpidem), Ambien CR (zolpidem extended-release), Edluar (zolpidem sublingual), Sonata, Starnoc (zaleplon), Imovane, Rhovane, Zimovane (zopiclone)*, or Lunesta (eszopiclone). Drugs with a * are not commercially available in The United States.

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