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Sleeping Pills and Alcohol: Effects & Treatment

For many people, issues with falling asleep or staying asleep can result in an over-reliance on sleep medication for help. In a survey published by the Centers for Disease Control and Prevention (CDC), roughly 8.4% of adults reported using sleep medication every day or most days of the week in the last 30 days (2020).1

When used as prescribed, these medications can be helpful in the short-term; but when overused or combined with drugs and/or alcohol, serious side effects, physical dependence, or overdose can occur.

Historically, there have been several types of medications used to manage insomnia, including:2,3

  • Nonbenzodiazepine benzodiazepine receptor agonists (e.g., Ambien, Lunesta, Sonata).
  • Benzodiazepines (e.g., Ativan, Klonopin, Restoril).

Other classes of medications have also been used to help with sleep issues, as they make people drowsy. Examples include:

  • Over-the-counter antihistamine sleep aids (e.g., Benadryl, Vistaril, Atarax).
  • Antidepressants (e.g., Trazodone/Desyrel).
  • Melatonin receptor agonists (e.g., Rozerem).

It is never advised to mix sleeping pills with alcohol because the interaction can be dangerous or, in some cases, potentially fatal.3 Even small amounts of alcohol combined with certain sedating medications, such as prescription sleep aids, can result in serious symptoms such as over-sedation, confusion, dizziness, fainting, as well as slowed heart rate and breathing.3,4

Side Effects of Mixing Sleeping Pills and Alcohol

Because there are so many different types of sleeping pills, their exact interactions with alcohol may differ slightly, with some being more dangerous than others. In general, it is advised to never mix sedatives or hypnotics with alcohol. Combining sleeping pills with alcohol can increase the sedating effects of both, thus seriously increasing the risk of overdose.3,4

The side effects of mixing alcohol and sleeping pills include:3,4

  • Confusion/disorientation.
  • Dizziness.
  • Drowsiness.
  • Impaired motor control.
  • Increased risk of overdose.
  • Lowered blood pressure.
  • Memory problems.
  • Slowed heart rate.
  • Slowed or difficulty breathing.

Drinking even one alcoholic beverage in combination with sleeping pills can be dangerous. Some sleeping pills have adverse and/or unusual effects such as memory loss and sleepwalking, even when taken on their own.3,4 People have reported engaging in behaviors such as eating, talking on the phone, and sometimes even driving a motor vehicle with no recollection after taking a sleeping pill.5

Link Between Alcohol Use and Sleep Issues

In 2022, approximately 29.5 million people aged 12 or older had an alcohol use disorder (AUD) in the past year.6 And according to data from the 2020 National Health Interview Survey, 14.5% of adults had trouble falling asleep most days or every day in the past 30 days.7

While sleep disorders and alcohol misuse can occur separately, in some cases, there is a link between the two.8 At times, those with sleep disorders may self-medicate with alcohol and tranquilizers to promote sleep.8 While on the other hand, those misusing alcohol may begin to suffer from sleep disturbances which can result in a continued use of sleeping pills and alcohol.8

Several studies have shown that the majority of patients entering treatment for alcohol misuse reported insomnia-related symptoms, such as difficulty falling and staying sleep.8

Treatment for Addiction to Sleeping Pills and Alcohol

Frequent or regular use of both sedative sleeping pills and alcohol can result in even more severe, or complicated withdrawal when attempts are made to quit using them. In such instances, it is important that people trying to quit do so under the care of physician.

Symptoms of withdrawal from sedative-hypnotic type sleeping pills may include restlessness, anxiety, trouble sleeping, and tremors.9 As part of a physician-supervised detox or medical withdrawal management plan, the dose of these types of sleeping pills may be gradually decreased over several weeks rather than abruptly quitting.9 Doing so can help to minimize withdrawal symptoms and lower the chance of relapse.9

The acute alcohol withdrawal syndrome may range from mild to physically dangerous and include symptoms such as irritability, anxiety, agitation, increased heart rate, high blood pressure, seizures and in rarer cases, delirium tremens.10 A supervised, medical detox can help people avoid unnecessary discomfort or life-threatening withdrawal complications.

You may need additional treatment if you are suffering from both an alcohol and sleeping pill addiction. Integrating detox and treatment efforts for both substances, and any related issues can facilitate a safer, smoother recovery. For instance, when you stop using sleeping pills and alcohol, rebound insomnia is likely to develop.9 In cases of recovery from co-occurring addiction to alcohol and sleeping pills, continued sedative-hypnotic treatment may not be a viable therapeutic option; in such instances, a more behavioral treatment focused approach may be required.9,11

Fortunately, there are several non-pharmacological treatment options that can help with rebound insomnia, including:11

  • Relaxation therapy.
  • Sleep hygiene education.
  • Cognitive behavioral therapy.
  • Stimulus control (e.g., no watching TV or reading in bed, no exercise, smoking, warm baths just before bed).
  • Sleep restriction (e.g., minimizing sleep outside of set hours, etc.).

Inpatient and Outpatient Treatment

Treatment for polysubstance (multiple drug) addiction is available on both an inpatient and outpatient basis. Inpatient treatment takes places in a residential facility. Residential programs commonly offer 24/7 treatment attention for periods of time ranging from 30 to 90 days.12 In this setting, patients may have limited access to the outside world so that they can focus exclusively on recovery and minimize the chance of relapse due to external triggers.

Outpatient treatment can take place in a variety of settings, including hospitals, counselor’s offices, community mental health clinics, or even shared space within an inpatient/residential rehab facility.13 This level of care might be a good fit for those who have already gone through a more intensive program first, such as residential/inpatient care.

Whether on an inpatient or outpatient basis, treatment for alcohol and sleeping pill addiction typically consists of some combination of:9,11,12

Find Help for Concurrent Use of Alcohol and Sleeping Pills

If you’re concerned that concurrent use of alcohol and sleeping pills is impacting your health or that of someone close to you, substance abuse treatment programs can help. American Addiction Centers (AAC), parent company of Alcohol.org, is a nationwide provider of addiction treatment facilities. AAC’s admissions navigators are available 24/7 to discuss your treatment options today. Help is available, call .

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