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FDA Petitioned to Revise Warnings About Sleeping Pills and Add “Black Box” warning

A Citizens Petition was submitted to the Food and Drug Administration to revise warnings about hypnotics (sleeping pills), including possible black box warning for evidence of a serious hazard associated with their use. The petition, which is summarized below,  was submitted by Dr. Daniel Kripke, professor emeritus at the University of California at San Diego…

Sleeping Pills are Only Marginally Effective

There is little evidence that the newer generation sleeping pills such as Ambien or Lunesta are more effective than older sleeping pills such as Dalmane or Restoril. There is, however, plenty of research to suggest that they are only mildly effective just like their predecessors. A meta analysis of sleeping pill studies published in 2006…

CBT-I and Depression

CBT-I has consistently been shown to be the most effective treatment for chronic insomnia. It improves sleep in 75-80% of insomnia patients, is proven more effective than sleeping pill in all studies that have directly compared the two treatments, and reduces or eliminates sleeping pill use in 85-90% of patients. CBT-I achieves these dramatic outcomes…

Sleeping Pills and Reward Pathways

Drug dependency implies tolerance, in which increasing doses of the drug are required to produce an effect, or withdrawal symptoms such as anxiety, agitation, or physical stress reactions when the individual attempts to stop using the drug. Drug addiction involves drug use that adversely affects occupational, personal, or social functioning because the individual cannot stop…