Prescription medication should only ever be taken as prescribed. Unless your doctor has suggested taking the medication contingently (based on how well you are sleeping on a night-by-night basis), then it’s rarely a good idea to do so — for a few reasons.
First, if you take medication contingently you are reinforcing the idea that you are unable to sleep without medication. So, whenever you have a bad night, instead of implementing techniques that will strengthen your natural biological propensity to sleep, you take a pill — and, when you sleep, you reinforce the idea that you would not have slept if you hadn’t taken that pill.
Second, if you take a pill and have a bad night of sleep, instead of recognizing that the pill was ineffective, it’s very easy to conclude that you are incapable of sleep (when this is not true).
Third, if you take a pill late in the night, you risk starting the day with a medication hangover and all the potentially dangerous side-effects that come with that. Furthermore, when you take hypnotics late in the night, you may start the day feeling very fatigued and lethargic. Instead of recognizing this as a symptom of the late-night use of sleeping pills, it’s all-too-easy to think this is a result of your insomnia — and this exacerbates sleep-related worry and anxiety and can lead to compensatory behaviors that make sleep worse.
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