
Q I've been taking sleeping pills for years. I feel like I can't sleep without them anymore-why does this happen?
A Long-term use of sleeping pills or anti-anxiety medication can lead your body to adapt, causing tolerance (the same dose stops working as well) and dependence (difficulty falling asleep without the drug). Stopping suddenly can cause rebound insomnia that's worse than before, so you must always taper gradually with your prescribing doctor.
Detailed Answer
With long-term use of benzodiazepine-class sleeping pills or anti-anxiety medications, the brain adapts to their sedative effect. This can result in tolerance (reduced effect at the same dose) and dependence (difficulty sleeping without the drug), and stopping abruptly can trigger rebound insomnia and withdrawal symptoms such as anxiety and tremors that are worse than before. This doesn't mean the medication was bad-it's a sign your body needs time to readapt, so you must taper slowly and deliberately with your prescribing doctor.
Our Korean Medicine Clinic's Perspective
Dongjedang views this state as one where long reliance on medication has suppressed the body's own ability to fall asleep. From a detox and weight-management perspective, we don't focus on abruptly stopping the medication, but on helping the body readapt by restoring the natural ability to fall asleep and relax during the tapering process. Herbal medicine plays a supportive role in buffering rebound insomnia during tapering-it does not replace sleeping pills-and tapering is always carried out together with the prescribing doctor.
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