![]() Often your provider may be able to find specific causes for your insomnia. Before you take sleeping pills, see your health care provider for a thorough exam. Here's some advice on how to use them safely. If your best attempts to get a good night's sleep have failed, prescription sleeping pills may be an option. Prescription sleep medicine options include the following. And they may require that you try other approaches first to try to manage your insomnia. Insurance companies may have restrictions on which sleeping pills are covered. Help you determine whether there is a generic version, which is typically less expensive than brand-name medicine.Have you try a different prescription sleeping pill if the first medicine you take doesn't work after the full prescribed course.Prescribe a sleeping pill for a limited period of time to determine the benefits and side effects for you. ![]() Discuss options for taking prescription sleeping medicine, including how often and when to take it and in what form, such as pills, oral spray or dissolving tablets.Order tests to rule out any underlying conditions that may be causing difficulty sleeping.Ask questions to get a clear picture of your sleep patterns.Efficacy and Tolerability of Gabapentin in Adults with Sleep Disturbance in Medical Illness: A Systematic Review and Meta-analysis. Drugs for Insomnia beyond Benzodiazepines: Pharmacology, Clinical Applications, and Discovery. Gabapentin for Off-Label Use: Evidence-Based Cause for Concern? Substance Abuse: Research and Treatment. Peckham AM, Evoy KE, Ochs L, Covvey JR.National Institute of Neurological Disorders and Stroke (NINDS).Allergic reactions with swelling of the throat or face.Swelling, usually involving the legs and feet.The most common side effects with gabapentin include: The FDA has approved gabapentin enacarbil (Horizant) - a long-acting gabapentin - as a treatment for RLS. RLS causes an uncontrollable and uncomfortable urge to move your legs, which is worse at night. ![]() Gabapentin may also be used to treat RLS, a disorder that makes it hard to fall asleep or stay asleep. It takes about 2 to 3 hours for immediate-release gabapentin to reach its fullest effect, and it’s typically taken 3 times per day. Misuse and abuse of the drug has also been reported. Although positive sleep outcomes were reported, the researchers noted that gabapentin was not tolerated as well as placebo and some patients stopped taking it. In a large review of 26 studies on gabapentin and sleep in patients with other medical conditions, the average dose taken daily was about 1,800 mg.
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