Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 3; referees: 2 approved]

This is a review of hypnotic drug risks and benefits. Almost every month, new information appears about the risks of hypnotics (sleeping pills). The most important risks of hypnotics include excess mortality (especially overdose deaths, quiet deaths at night, and suicides), infections, cancer, depre...

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Main Author: Daniel F. Kripke
Format: Article
Language:English
Published: F1000 Research Ltd 2018-11-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/5-918/v3
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author Daniel F. Kripke
author_facet Daniel F. Kripke
author_sort Daniel F. Kripke
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description This is a review of hypnotic drug risks and benefits. Almost every month, new information appears about the risks of hypnotics (sleeping pills). The most important risks of hypnotics include excess mortality (especially overdose deaths, quiet deaths at night, and suicides), infections, cancer, depression, automobile crashes, falls, other accidents, and hypnotic-withdrawal insomnia. Short-term use of one-two prescriptions is associated with even greater risk per dose than long-term use. Hypnotics have usually been prescribed without approved indication, most often with specific contraindications, but even when indicated, there is little or no benefit. The recommended doses objectively increase sleep little if at all, daytime performance is often made worse (not better) and the lack of general health benefits is commonly misrepresented in advertising. Treatments such as the cognitive behavioral treatment of insomnia and bright light treatment of circadian rhythm disorders offer safer and more effective alternative approaches to insomnia.
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spelling doaj.art-3b023328991b488b85408fb4a0b598002022-12-22T01:56:20ZengF1000 Research LtdF1000Research2046-14022018-11-01510.12688/f1000research.8729.318371Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 3; referees: 2 approved]Daniel F. Kripke0University of California, San Diego, La Jolla, CA, 92037-2226, USAThis is a review of hypnotic drug risks and benefits. Almost every month, new information appears about the risks of hypnotics (sleeping pills). The most important risks of hypnotics include excess mortality (especially overdose deaths, quiet deaths at night, and suicides), infections, cancer, depression, automobile crashes, falls, other accidents, and hypnotic-withdrawal insomnia. Short-term use of one-two prescriptions is associated with even greater risk per dose than long-term use. Hypnotics have usually been prescribed without approved indication, most often with specific contraindications, but even when indicated, there is little or no benefit. The recommended doses objectively increase sleep little if at all, daytime performance is often made worse (not better) and the lack of general health benefits is commonly misrepresented in advertising. Treatments such as the cognitive behavioral treatment of insomnia and bright light treatment of circadian rhythm disorders offer safer and more effective alternative approaches to insomnia.https://f1000research.com/articles/5-918/v3Anxiety DisordersMood DisordersNeuropharmacology & PsychopharmacologyNeuropsychiatric Disorders
spellingShingle Daniel F. Kripke
Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 3; referees: 2 approved]
F1000Research
Anxiety Disorders
Mood Disorders
Neuropharmacology & Psychopharmacology
Neuropsychiatric Disorders
title Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 3; referees: 2 approved]
title_full Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 3; referees: 2 approved]
title_fullStr Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 3; referees: 2 approved]
title_full_unstemmed Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 3; referees: 2 approved]
title_short Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit [version 3; referees: 2 approved]
title_sort hypnotic drug risks of mortality infection depression and cancer but lack of benefit version 3 referees 2 approved
topic Anxiety Disorders
Mood Disorders
Neuropharmacology & Psychopharmacology
Neuropsychiatric Disorders
url https://f1000research.com/articles/5-918/v3
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