Why do I experience a worsening of sleep after using a sleeping pill? What is rebound insomnia?
Many sleeping pills have a negative influence on the sleep architecture, and cause non-restorative sleep.
Rebound insomnia is defied as a worsening of (at least) one of the following parameters compared to the time before srarting drug treatment:
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sleep latency = time until you fall asleep
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nocturnal awakenings = waking up at night
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total sleep time
And you have to feel either
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sensation of non-restorative sleep
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diurnal fatigue
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worsening of anxiety / tension
Drugs with moderate or severe rebound insomnia effects are :
Benzodiazepines
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Triazolam (Halcion)
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Midazolam (Dormicum)
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Brotizolam (Dormex, Noctilan, Lendomin)
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Loprazepam (Dormonoct)
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Lormetazepam (Noctanid)
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Flunitrazepam (Rohypnol, Fluscand)
Non-benzodiazepines
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Zopiclone
Sometimes, withdrawal effects or hang-over cause additional complaints for the patients.
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