this post was submitted on 19 Apr 2024
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[–] [email protected] 3 points 7 months ago (2 children)

Lol because there's no side effects / risks / addiction potential in sedatives/hypnotics?

Mm, yes.

I use weed and Ambien for sleep (not both all the time, but you get it) and while I Ambien suits me very well, I can see the abuse potential and know a lot of people who choose to avoid it due to all manner of behaviour. And very often nowadays, what is prescribes for slight insomnia is something like a small dose of seroquel, which is practically poison compared to weed. Originally it was meant only for the most severe manic schizophrenics and bipolar patients. Then they started pushing it "a little" and despite being fined for hundreds of millions for bad marketing practices, it's still pushed a lot.

"Take a sleeping pill"

Why not cannabis? Smoking is unhealthy, yes, but herb vaporisers are pretty innocuous as delivery mechanisms.

[–] [email protected] 10 points 7 months ago (1 children)
[–] [email protected] 3 points 7 months ago (1 children)

Good meme, but I also have to respond with a bit srsly.

Use doesn't always equal abuse.

I acknowledge weed addiction is massively a thing. Anything can be addictive.

Dependence on the other hand...

Benzos and benzolike drugs are often used as hypnotic sleeping aids, and while they're very safe and usually well tolerated, if you develop a benzodiazepine dependence, that's gonna be hell compared to any weed addiction.

Trust, me, I know a lot of weed addicts and I've known a lot of pill junkies.

[–] [email protected] 2 points 7 months ago (1 children)

Leaping to benzodiazepines when I said to take a sleep med is insane. There are much milder ones and benzodiazepines are not typically used as a sleep aid. Even Ambien is too strong for most.

[–] [email protected] 1 points 7 months ago (2 children)

Ambien is specifically a sleeping aid. There's no other accepted use for it. Zolpidem and zopiclone are the most common sleeping aids, and they are hypnotic sedatives.

And benzos are used sometimes for hard insomnia, long acting benzos.

I've been having sleeping problems for more than a quarter of a century, but please, do tell me about these "more common" medications that aren't benzolike or hypnotic and definitely safer than fucking cannabis. No-one is "leaping" to anything. Long acting benzos and benzo derivative hypnotics like ambien are really the only sleeping aids we've got.

Unless you've bought into giving headsmashingly strong neurolepts to people with no history of mental disorders... as a "sleeping aid".

Go ahead. I'll wait. And no, melatonin isn't for acute insomnia, it's something youre supposed to take at bedtime, not if you wake up in the middle of the night.

[–] [email protected] 1 points 7 months ago (1 children)

I'm not sure where your post came from because I did not say that it isn't a sleeping aid.

[–] [email protected] 1 points 7 months ago (1 children)

If were talking about acute insomnia, what are the "milder" medications which aren't hypnotic (and thus probably benzo derivatives)?

[–] [email protected] 1 points 7 months ago (1 children)

Trazadone for one. There are others. Please do some research if you're going to share opinions on the topic.

[–] [email protected] 1 points 7 months ago (2 children)

I've been having this issue since before you were a glittery in your father's ballsack.

That's a single medication I've bet you've never even seen irl but desperately googled. You argued "**MOST sleeping pills aren't benzos/derivatives".

If you understood medicine or chemistry you'd understands that a medication with a half-life of upwards of ten hours isn't good for acute insomnia. They also prescribe quetiapine for slight insomnia. And the fact that sentence tells you nothing is what horrifies me as a part of this world.

So, go ahead, list all the other plentiful ones. Becauses I've eaten all of them. Most probably before you could even walk.

Please do some research if you're going to share opinions on the topic.

[–] [email protected] 2 points 7 months ago* (last edited 7 months ago) (1 children)

You sure are clinging emotionally to this. I take trazodone and it's not the first sleep medication I have used.

So nice try, but way off the mark.

[–] [email protected] 1 points 7 months ago (1 children)

We're not talking about your personal experience.

The average half-life of trazodone is 10-12 hours. It's not something that's good for acute insomnia, as I've said, several times. Do you not understand the condition we're talking about? Perhaps Google it or something?

So, what are the "much milder and more commonly used ones", when Ambien and other benzo-derivatives and benzos themselves are factually very commonly used medications for acute insomnia.

[–] [email protected] 0 points 7 months ago (1 children)

They are not factually very commonly used for acute insomnia. You are starting from a place of fiction.

[–] [email protected] 1 points 7 months ago* (last edited 7 months ago)

Yes, they are. Ambien is common as fuck and so are other benzo family medications,

Pharmacological Treatment of Insomnia

#Treatment

The recommended sequence of medication trials is:

Short- or intermediate-acting benzodiazepine receptor agonists (BzRAs)

You're still avoiding naming the “much milder and more commonly used ones”, when Ambien and other benzo-derivatives and benzos themselves are factually very commonly used medications for acute insomnia.

[–] [email protected] 0 points 7 months ago

Hydroxazine is an antihistamine (in the same family as diphenhydramine) which is frequently prescribed for anxiety relief and as a sleep aid. It is safe and usually well tolerated. While there is addiction potential like there is for diphenhydramine, it is far far less addictive than benzos. An adult can safely take up to 100mg up to 4 times per day for anxiety relief. I can't find dosages for insomnia anywhere but that probably because most people get completely knocked out by 30-50mg let alone 100mg. For reference, I'm a 260lb dude and 50mg will take me from anxiety attack to entirely unconsious in less than 30 minutes; a friend of mine says 25mg is enough to knock them out. Being an anticholinergic drug it isn't great for long term use but it is still a whole lot better in that regard than benzos.

I know from my mother who is a nurse midwife that high dosages of hydroxazine are frequently given to women in labor when it's going to be several hours until the baby actually starts ariving to let them sleep through most of the labor. If it can make someone sleep through labor pains I can't imagine insomnia it couldn't handle.

[–] [email protected] 2 points 7 months ago (1 children)

Sleeping pills last longer. Why get up and smoke when you could be asleep?

[–] [email protected] 1 points 7 months ago

If you wake up at 4 am and have to get up at 6.30, taking a hit and being able to go back to bed instantly and wake up in a few hours is much more practical than taking a sleeping pill, waiting 30 min for it to kick in and then not being able 2 hours later because the half-life of sleeping pills is at least 6 hours (for ambien) to 8-12 (imovane and most benzos) to 20+ hours (quetiapine, mirtazapine).

So that's why