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Sleeping Tablets Prescription: Get Better Rest

Are you struggling to get a good night’s sleep due to insomnia? You’re not alone. Millions of Americans experience difficulty falling asleep or staying asleep, which can lead to daytime fatigue, mood disturbances, and decreased quality of life. Fortunately, prescription sleep medication may provide the relief you need to get the rest your body deserves.

If you’ve tried lifestyle changes and natural remedies without success, it may be time to consider prescription sleeping tablets. These insomnia treatments work by targeting specific brain receptors to promote relaxation and induce sleep. Your healthcare provider can help determine the best sedative medication for your unique needs, taking into account factors such as your medical history, age, and the severity of your sleep disturbances.

Prescription sleep aid drugs come in various forms, including benzodiazepines, Z-drugs, melatonin receptor agonists, and antidepressants with sedating effects. Each type of medication works differently to help you fall asleep faster and stay asleep longer. By working closely with your doctor, you can find the right sleeping tablets prescription to improve your sleep quality and restore your daily functioning.

Don’t let insomnia control your life any longer. Take the first step towards better sleep by discussing prescription sleep medication options with your healthcare provider. With the right treatment plan, you can finally experience the restful, rejuvenating sleep you deserve.

Key Takeaways

  • Prescription sleeping tablets can provide relief for those struggling with insomnia
  • Healthcare providers consider various factors when prescribing sleep medications
  • Different types of prescription sleep aids work in unique ways to promote sleep
  • Finding the right sleeping tablets prescription can improve sleep quality and daily functioning
  • Consult with your doctor to determine the best insomnia treatment plan for your needs

Understanding Insomnia and Sleep Disorders

Insomnia and sleep disorders are prevalent conditions that affect millions of people worldwide. While transient insomnia affects up to 80% of the population, chronic insomnia impacts around 15% of individuals. Sleep disorders can significantly impact an individual’s quality of life, leading to daytime fatigue, mood disturbances, and impaired cognitive function. Understanding the causes and symptoms of these conditions is crucial for seeking appropriate treatment and improving overall well-being.

Common Causes of Insomnia

Various factors can contribute to the development of insomnia and other sleep disorders. Stress, anxiety, and depression are among the most common psychological causes of chronic sleep issues. Medical conditions such as chronic pain, respiratory disorders, and neurological conditions can also disrupt sleep patterns. Additionally, certain medications and poor sleep habits, such as irregular sleep schedules and excessive screen time before bed, can exacerbate insomnia symptoms.

Approximately 10% of cases of chronic insomnia are due to anxiety or panic disorder.

Symptoms of Sleep Disorders

Sleep disorder symptoms can vary depending on the specific condition, but some common signs include:

  • Difficulty falling asleep or staying asleep
  • Waking up frequently during the night
  • Waking up too early in the morning
  • Feeling unrefreshed or tired upon waking
  • Excessive daytime sleepiness or fatigue
  • Mood disturbances, such as irritability or depression
  • Difficulty concentrating or memory problems

Chronic sleep issues are more prevalent among certain populations, with females and older individuals being at higher risk. In fact, studies have shown that:

PopulationPrevalence of Insomnia
General Population15%
Females20-25%
Older Adults (>65 years)30-40%

It is essential to recognize the symptoms of sleep disorders and seek professional help if they persist. Addressing the underlying causes and implementing appropriate treatment strategies can significantly improve sleep quality and overall well-being.

Types of Prescription Sleeping Pills

types of prescription sleeping pills

When it comes to treating insomnia and other sleep disorders, there are several types of prescription sleeping pills available. Each type works differently to promote better sleep, and your healthcare provider will determine the most suitable option based on your specific needs and medical history. Let’s explore the main categories of prescription sleep medications.

Benzodiazepines

Benzodiazepines, such as temazepam (Restoril) and triazolam (Halcion), are often prescribed for the short-term treatment of insomnia. These medications enhance the effects of GABA, a neurotransmitter that promotes relaxation and sleep. Doctors typically prescribe temazepam for 7 to 10 days, while triazolam comes in doses of 0.25 mg and 0.5 mg, with a recommendation not to exceed 0.5 mg daily.

Z-Drugs

Z-drugs, including zolpidem (Ambien), eszopiclone (Lunesta), and zaleplon (Sonata), are newer sleep medications that work similarly to benzodiazepines but may have fewer side effects. These drugs are approved by the FDA for short-term therapy for insomnia. The recommended starting dose for eszopiclone is 1 mg, which can be increased to 2 or 3 mg if necessary. Zaleplon generally has a typical adult dose of 10 mg, but some may find that 5 mg is sufficient. Women are more affected than men by the same dose of Z-drugs, increasing the risks of next-day impairment.

Melatonin Receptor Agonists

Melatonin receptor agonists, like ramelteon (Rozerem), help regulate sleep-wake cycles by targeting melatonin receptors in the brain. Ramelteon, a specific melatonin receptor agonist, is FDA-approved to treat insomnia related to initially falling asleep. It is available in a one-size dose of 8 mg and is viable for longer-term use compared to other short-term prescription sleep aids. Ramelteon is generally well-tolerated with a low risk of side effects compared to other prescription sleep medications.

Antidepressants with Sedating Effects

Some antidepressants, such as trazodone and doxepin, have sedating effects and may be prescribed in lower doses to treat insomnia. Trazodone (Desyrel) typically starts with a daily dose of 150 mg and can go up to a maximum of 400 mg for other indications. Doxepin (Silenor) is available as an immediate-release tablet in doses of 3 and 6 milligrams (mg). Antidepressants and antianxiety medications, such as mirtazepine (Remeron) and quetiapine (Seroquel), are sometimes utilized for their side effect of drowsiness to assist with sleep.

Medication ClassExamplesTypical Dose Range
BenzodiazepinesTemazepam (Restoril), Triazolam (Halcion)0.25 mg – 0.5 mg
Z-DrugsZolpidem (Ambien), Eszopiclone (Lunesta), Zaleplon (Sonata)1 mg – 10 mg
Melatonin Receptor AgonistsRamelteon (Rozerem)8 mg
Antidepressants with Sedating EffectsTrazodone (Desyrel), Doxepin (Silenor)3 mg – 400 mg

Benefits of Prescription Sleep Medications

For those struggling with chronic insomnia, prescription sleeping pills can offer a glimmer of hope. These medications are designed to promote faster sleep onset, allowing you to drift off to sleep more quickly and easily. Once asleep, prescription sleep aids can help you maintain longer sleep duration, ensuring that you get the restful, uninterrupted sleep your body needs.

One of the most significant benefits of prescription sleep medications is improved sleep quality. By enhancing the depth and continuity of your sleep, these medications can leave you feeling more refreshed and rejuvenated upon waking. This, in turn, can lead to reduced daytime fatigue, allowing you to tackle your daily tasks with greater energy and focus.

“Nearly two-thirds of Americans are taking sleep aids, according to a survey by the American Academy of Sleep and Medicine, with over 2,000 adults across the US participating in the survey on sleep aids.”

The primary benefit of most sleep aids is inducing drowsiness to aid in falling asleep or staying asleep. This can be particularly beneficial for those who struggle with racing thoughts or anxiety at bedtime, as the medication can help quiet the mind and promote a sense of relaxation.

BenefitDescription
Faster Sleep OnsetFall asleep more quickly and easily
Longer Sleep DurationMaintain uninterrupted sleep throughout the night
Improved Sleep QualityExperience deeper, more restful sleep
Reduced Daytime FatigueFeel more energized and focused during the day

It’s important to note that while prescription sleep aids can be highly effective, they are not a “magic cure” for insomnia. As with any medication, it’s crucial to work closely with your healthcare provider to determine the best course of treatment for your individual needs. By combining prescription sleep medications with healthy sleep habits and lifestyle changes, you can unlock the door to more restful, restorative sleep and improved overall well-being.

Potential Side Effects and Risks

sleeping pill side effects

While prescription sleeping pills can offer much-needed relief for those struggling with insomnia, it’s essential to be aware of the potential side effects and risks associated with these medications. By understanding the common and long-term side effects, as well as the risk of dependency and addiction, you can make an informed decision about whether sleeping pills are the right choice for you.

Common Side Effects

Many individuals who take prescription sleep aids experience side effects, ranging from mild to severe. According to a recent study, 32 percent of people taking prescription sleeping pills reported feeling drowsy or less alert the morning after. Other common side effects include:

  • Dizziness and light-headedness
  • Headaches and gastrointestinal issues
  • Dry mouth and throat irritation
  • Muscle weakness and unsteadiness

These side effects can impact your daily life, making it difficult to perform tasks that require alertness and coordination, such as driving or operating machinery.

Long-term Side Effects

The long-term use of sleeping pills can lead to more severe side effects and health risks. A study published in the Journal of Contemporary Pharmacy Practice in 2020 found that older adults who use sleeping pills nightly are at a significantly higher risk of falling and incurring injuries like broken hips. Additionally, long-term use of sleep medications can lead to:

  • Cognitive impairment and memory loss
  • Increased risk of high blood pressure and diabetes
  • Rebound insomnia when discontinuing the medication
  • Tolerance, requiring higher doses to achieve the same effect

It’s crucial to work closely with your healthcare provider to monitor your long-term use of sleeping pills and to discuss any concerning side effects.

Risk of Dependency and Addiction

One of the most significant risks associated with prescription sleeping pills is the potential for dependency and addiction. More than 68% of patients prescribed sleeping pills take them for longer periods than advised, increasing the likelihood of developing a physical or psychological dependence. Benzodiazepines, in particular, carry a high risk of addiction.

Sleeping pills can also lead to complex sleep behaviors, such as sleepwalking, sleep-eating, and even sleep-driving. The FDA has issued warnings indicating that prescription sleep aids, specifically non-benzodiazepine receptor agonists, can cause rare but serious incidents like these. In some cases, reports reviewed by the FDA revealed incidents of deaths due to car crashes and drowning related to the use of certain prescription medications for insomnia.

Type of Sleeping PillRisk of DependencyPotential for Complex Sleep Behaviors
BenzodiazepinesHighModerate
Z-DrugsModerateHigh
Melatonin Receptor AgonistsLowLow
Antidepressants with Sedating EffectsLow to ModerateLow

If you find yourself relying on sleeping pills for an extended period or experiencing any unusual sleep behaviors, it’s essential to speak with your doctor to discuss alternative treatment options and to address any underlying issues contributing to your sleep problems.

Sleeping Tablets Prescription: What to Expect

sleep medicine consultation

When seeking help for persistent sleep problems, the journey to better rest often begins with a sleep medicine consultation. This crucial step allows your healthcare provider to gain a comprehensive understanding of your unique sleep challenges and develop a tailored treatment plan. During the consultation, you can expect an in-depth discussion about your sleep patterns, medical history, and any underlying conditions that may be contributing to your insomnia.

Consultation with a Healthcare Provider

Your healthcare provider will ask you a series of questions to better understand your sleep difficulties. Be prepared to discuss:

  • The duration and frequency of your sleep problems
  • Your typical sleep schedule and routines
  • Any medications or supplements you are currently taking
  • Your stress levels and emotional well-being
  • Your family history of sleep disorders or mental health issues

Based on this information, your provider may recommend further testing, such as a sleep study, to rule out any underlying sleep disorders like sleep apnea or restless leg syndrome.

Choosing the Right Medication

If your healthcare provider determines that prescription sleeping tablets are the best course of action, they will work with you to choose the most appropriate medication. Factors that influence this decision include:

Medication TypeConsiderations
BenzodiazepinesEffective but higher risk of dependency and side effects
Z-DrugsNewer medications with fewer side effects and lower addiction risk
Melatonin Receptor AgonistsMimic the effects of the sleep hormone melatonin
Sedating AntidepressantsUsed off-label for insomnia, particularly in patients with coexisting depression or anxiety

Your provider will consider your age, overall health, and any potential drug interactions when choosing sleep medication to ensure your safety and well-being.

Dosage and Duration of Treatment

Once the appropriate medication has been selected, your healthcare provider will determine the proper dosage and treatment duration. In most cases, they will start with the lowest effective dose and gradually adjust as needed. It is essential to follow your provider’s instructions closely and not exceed the recommended dosage.

The goal of prescription sleep medication is to provide short-term relief while you work on addressing the underlying causes of your insomnia.

Regular follow-up appointments are crucial to monitor the effectiveness of the medication and address any concerns you may have. Your provider may also recommend combining medication with cognitive-behavioral therapy for insomnia (CBT-I) to develop healthy sleep habits and coping strategies.

Remember, prescription sleeping tablets are not a long-term solution. As you work with your healthcare provider to improve your sleep, they will guide you in tapering off the medication and transitioning to more sustainable, non-pharmacological approaches to managing your insomnia.

Alternatives to Prescription Sleep Aids

While prescription sleep medications can provide relief for those struggling with insomnia, there are also effective non-pharmacological insomnia treatments that can help improve sleep quality without the potential side effects and risks associated with medication. These alternatives focus on addressing the underlying causes of sleep disturbances and promoting healthy sleep habits.

Cognitive-Behavioral Therapy for Insomnia (CBT-I)

Cognitive-behavioral therapy for insomnia (CBT-I) is a highly effective treatment approach that focuses on identifying and changing thoughts and behaviors that interfere with sleep. This therapy helps individuals develop a more positive relationship with sleep by addressing the psychological factors contributing to insomnia. CBT-I techniques may include:

  • Sleep restriction: Limiting time spent in bed to increase sleep efficiency
  • Stimulus control: Strengthening the association between the bedroom and sleep
  • Relaxation training: Learning techniques to calm the mind and body before bedtime
  • Cognitive restructuring: Challenging and reframing negative thoughts about sleep

Studies have shown that CBT-I can be as effective as prescription sleep medications in improving sleep quality and duration, with long-lasting benefits and fewer side effects. The Mayo Clinic recommends CBT-I as a first-line treatment for chronic insomnia.

Lifestyle Changes for Better Sleep

Making simple lifestyle adjustments can significantly impact sleep quality and help alleviate insomnia symptoms. Some effective changes include:

  1. Maintaining a consistent sleep schedule: Going to bed and waking up at the same time every day helps regulate the body’s internal clock
  2. Creating a sleep-conducive environment: Ensuring the bedroom is dark, quiet, and cool can promote better sleep
  3. Practicing good sleep hygiene: Avoiding stimulating activities before bedtime, such as watching TV or using electronic devices, and establishing a relaxing pre-sleep routine
  4. Exercising regularly: Engaging in physical activity during the day can improve sleep quality, but avoid intense exercise close to bedtime
  5. Managing stress: Incorporating stress-reduction techniques, such as meditation or deep breathing, can help calm the mind and body before sleep
  6. Limiting caffeine and alcohol intake: Both substances can interfere with sleep, so it’s best to avoid them, especially in the hours leading up to bedtime

“Improving sleep hygiene and making lifestyle changes can be an effective way to combat insomnia without relying on medication. By creating a sleep-friendly environment and establishing healthy habits, you can set the stage for more restful and restorative sleep.” – Dr. Sarah Thompson, Sleep Specialist

In addition to these non-pharmacological approaches, some people may find relief from insomnia through natural sleep aids, such as melatonin or valerian root. However, it’s essential to consult with a healthcare provider before using any supplements to ensure safety and appropriate dosage.

By exploring non-pharmacological insomnia treatments, such as cognitive-behavioral therapy and lifestyle changes, individuals struggling with sleep disorders can improve their sleep quality and overall well-being without the need for prescription medications. Embracing these alternative approaches can lead to long-term, sustainable improvements in sleep and a healthier, more balanced life.

Safe Use of Prescription Sleeping Pills

safe sleeping pill use

When using prescription sleeping pills, it is crucial to prioritize safety and adhere to your doctor’s instructions. By following the prescribed dosage, timing, and duration of treatment, you can minimize the risk of adverse effects and ensure the effectiveness of your sleep medication. According to the Sleep Foundation, safe sleeping pill use involves open communication with your healthcare provider, regular follow-up appointments, and a commitment to using the medication as directed.

Following Your Doctor’s Instructions

One of the most critical aspects of safe sleeping pill use is following your doctor’s instructions to the letter. This means taking the medication at the prescribed dose and time, not exceeding the recommended duration of treatment, and attending follow-up appointments as scheduled. By adhering to these guidelines, you can reduce the likelihood of developing tolerance, dependence, or experiencing adverse side effects.

It is also essential to inform your doctor about any other medications, supplements, or herbal products you are taking to minimize the risk of drug interactions. Some substances can enhance the sedative effects of sleeping pills or cause dangerous complications when combined. Your healthcare provider can help you navigate potential interactions and adjust your treatment plan accordingly.

Avoiding Alcohol and Other Substances

Another critical aspect of safe sleeping pill use is avoiding alcohol and other substances that can interact with the medication. Alcohol, in particular, can intensify the sedative effects of sleeping pills, leading to excessive drowsiness, impaired coordination, and respiratory depression. The combination of alcohol and sleeping pills can also increase the risk of dangerous behaviors, such as sleepwalking or engaging in activities without full awareness.

“Alcohol should never be combined with sleeping pills, as it can lead to serious, even life-threatening consequences. It is crucial to prioritize your safety and well-being by avoiding this dangerous combination.”

In addition to alcohol, it is important to be cautious when using other substances that can cause drowsiness or impair cognitive function. These may include:

  • Over-the-counter antihistamines
  • Opioid pain medications
  • Muscle relaxants
  • Antidepressants with sedating effects

If you are taking any of these substances, discuss their potential interactions with your sleeping pills with your doctor. They can help you find a safe and effective treatment plan that minimizes the risk of adverse effects.

SubstancePotential Interaction with Sleeping Pills
AlcoholEnhances sedative effects, increases risk of dangerous behaviors
AntihistaminesCan cause excessive drowsiness when combined with sleeping pills
Opioid pain medicationsIncreases risk of respiratory depression and overdose
Muscle relaxantsCan enhance sedative effects and impair coordination

By prioritizing safe sleeping pill use, following prescriptions, and avoiding dangerous drug interactions and alcohol consumption, you can improve the quality of your sleep without compromising your health and well-being. Remember to maintain open communication with your healthcare provider and explore alternative strategies, such as sleep technology and cognitive-behavioral therapy, to develop a comprehensive approach to better sleep.

Special Considerations for Specific Populations

While prescription sleeping pills can provide much-needed relief for those struggling with insomnia, certain populations require extra care and consideration when it comes to using these medications. Pregnant and breastfeeding women, elderly patients, and people with chronic medical conditions should take special precautions to ensure their safety and well-being.

Pregnant and Breastfeeding Women

Pregnant and breastfeeding women should generally avoid taking sleeping pills during pregnancy, as these medications can pass through the placenta or breast milk and potentially harm the developing fetus or infant. If insomnia is severe and significantly impacting a woman’s health, a healthcare provider may recommend a short-term, low-dose sleep aid. However, non-pharmacological interventions, such as cognitive-behavioral therapy for insomnia (CBT-I) and lifestyle changes, should be the first line of treatment.

Elderly Patients

Older adults are more susceptible to the side effects of sleep aids for elderly, such as confusion, memory issues, and balance problems. These side effects can increase the risk of falls and fractures, which are leading causes of hospitalization and death among the elderly population. A meta-analysis found that the use of sedative-hypnotic drugs more than doubled the risk of falls and hip fractures in older people.

Additionally, the use of prescription sleep medications has increased among older adults, including those without a formal diagnosis of insomnia. Around 8% of adults used a sleep aid at least four times in the previous week, according to data from the CDC. As many as 80% of people taking sleep aids report experiencing lingering next-day sedative effects, potentially leading to excess drowsiness or slowed thinking.

Healthcare providers should carefully monitor the use of sedative-hypnotic drugs in elderly patients to ensure they are beneficial and do not cause adverse effects. Alternative treatments, such as light therapy, behavioral interventions, and exercise training, have shown promise in improving sleep patterns and overall health in older adults.

People with Chronic Medical Conditions

Individuals with chronic medical conditions, such as heart disease, cancer, or psychiatric disorders, should consult their healthcare provider before taking sleeping pills. These medications may interact with other treatments or exacerbate existing health issues. For example, a study found that sleep-disordered breathing and hypoxia were associated with an increased risk of mild cognitive impairment and dementia in older women.

Insomnia treatment for chronic conditions often requires a multifaceted approach that addresses both the underlying medical condition and the sleep disturbance. Cognitive-behavioral therapy for insomnia has been shown to be effective for people with comorbid psychiatric and medical conditions. Additionally, exercise training has been found to improve sleep patterns and metabolic profiles in elderly people with chronic diseases.

PopulationConsiderationsAlternatives
Pregnant and Breastfeeding WomenAvoid sleep medications due to potential harm to fetus or infantCBT-I, lifestyle changes
Elderly PatientsIncreased risk of side effects, falls, and fracturesLight therapy, behavioral interventions, exercise training
People with Chronic Medical ConditionsPotential interactions with other treatments, exacerbation of existing health issuesCBT-I, exercise training, multifaceted approach addressing underlying conditions

In conclusion, while prescription sleeping pills can be beneficial for some individuals, special considerations must be made for pregnant and breastfeeding women, elderly patients, and those with chronic medical conditions. By working closely with healthcare providers and exploring alternative treatments when appropriate, these populations can find safe and effective solutions for their insomnia and sleep disorders.

When to Seek Professional Help

If you’ve been struggling with insomnia and seeking help for insomnia hasn’t yielded the desired results, it may be time to consult a healthcare professional. Sleep disorder treatment often begins with a thorough evaluation by a doctor or sleep specialist who can identify the root causes of your sleep disturbances and recommend an appropriate course of action. Don’t hesitate to reach out for support if your sleep issues are affecting your daily life, causing significant distress, or not responding to self-help measures.

A healthcare provider can assess your unique situation, taking into account any underlying medical conditions, medications, or lifestyle factors that may be contributing to your insomnia. They may recommend cognitive-behavioral therapy for insomnia (CBT-I), which has been shown to be highly effective in treating sleep disorders without the side effects associated with prescription sleep aids. CBT-I typically involves a combination of techniques, such as sleep hygiene education, relaxation training, and cognitive restructuring, to help you develop healthier sleep habits and overcome negative thoughts and worries that may be interfering with your ability to rest.

In some cases, your doctor may refer you to a sleep medicine specialist for a more comprehensive evaluation and personalized treatment plan. These experts are well-versed in the latest research and techniques for managing sleep disorders and can provide valuable guidance on your journey to better sleep. Remember, seeking professional help is a sign of strength, not weakness. By taking proactive steps to address your insomnia, you’re investing in your overall health and well-being. Don’t let sleep problems control your life any longer – reach out to a healthcare professional today and take the first step towards restful, rejuvenating sleep.

FAQ

What are the most common types of prescription sleeping pills?

The most common types of prescription sleeping pills include benzodiazepines (such as temazepam and triazolam), Z-drugs (like zolpidem, eszopiclone, and zaleplon), melatonin receptor agonists (such as ramelteon), and antidepressants with sedating effects (like trazodone and doxepin).

How can prescription sleep medications help with insomnia?

Prescription sleep medications can help individuals with insomnia fall asleep faster, stay asleep longer, and improve overall sleep quality. By promoting better sleep, these medications can reduce daytime fatigue, enhance cognitive function, and improve mood.

What are the potential side effects and risks of using sleeping pills?

Common side effects of sleeping pills include drowsiness, dizziness, headaches, and gastrointestinal issues. Long-term use may lead to tolerance, dependency, and addiction. Some people may experience complex sleep behaviors, such as sleepwalking or sleep-eating.

What can I expect during a consultation for a sleeping tablets prescription?

During a consultation, your healthcare provider will discuss your sleep patterns, medical history, and any underlying conditions contributing to your insomnia. They will help choose the most appropriate medication based on your specific needs and potential side effects, determining the proper dosage and duration of treatment.

Are there any non-pharmacological alternatives to prescription sleep aids?

Yes, cognitive-behavioral therapy for insomnia (CBT-I) is a highly effective non-pharmacological treatment that focuses on identifying and changing thoughts and behaviors that interfere with sleep. Lifestyle changes, such as maintaining a consistent sleep schedule and practicing good sleep hygiene, can also promote better sleep.

How can I ensure the safe use of prescription sleeping pills?

To ensure safe use, follow your doctor’s instructions carefully, take the medication at the prescribed dose and time, and attend follow-up appointments as scheduled. Avoid combining sleeping pills with alcohol or other substances that can increase the risk of adverse effects.

Are there any special considerations for specific populations when taking sleeping pills?

Yes, pregnant and breastfeeding women should generally avoid sleep medications. Elderly patients are more susceptible to side effects, which can increase the risk of falls and fractures. People with chronic medical conditions should consult their healthcare provider before taking sleep medications to avoid interactions or exacerbating existing health issues.

When should I seek professional help for insomnia?

Consult a healthcare provider if sleep disturbances are affecting your daily functioning, causing significant distress, or not responding to self-help measures. A doctor can assess the underlying causes of insomnia, recommend appropriate treatments, and monitor progress.
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