Sleep Aid Dosage: Risks of Overconsumption - Neurology

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Dosage of sleeping pills?


Hello, doctor: I would like to ask about the Chinese actress Liu Tao.
Her husband reportedly consumed over 200 sleeping pills in one day.
Doctor, what would happen if someone took over 200 sleeping pills in a single day? For the sleeping medication Stilon, what is the maximum number of pills one can take in a day, or at one time? What are the consequences of exceeding that amount? Thank you!

Chen Xiaogang, 20~29 year old female. Ask Date: 2016/12/21

Dr. Jiang Junyi reply Neurology


Hello: The recommended dosage of Stilnox is 10mg (one tablet).
Since sedative medications can lead to tolerance, patients may find that they need to take more over time, but the effectiveness of sleep induction diminishes.
Even taking 4 or 6 tablets may not yield better results than taking just one.
Treatment should be kept as short as possible; for occasional insomnia, a duration of 2-5 days is advisable, while for transient insomnia, a duration of 2-3 days is recommended.
The medication may cause respiratory depression when combined with alcohol or other drugs.
It is advisable to consult a neurologist or a psychiatrist to discuss any potential underlying sleep disorders, such as bipolar disorder or sleep apnea.
Wishing you peace and joy.
Dr.
Tao and the team care about you.

Reply Date: 2016/12/21

More Info


When it comes to sleep aids, particularly prescription medications like Zolpidem (known as "Sleepman" in some regions), understanding the appropriate dosage and the risks associated with overconsumption is critical for safety and health.
Firstly, it is essential to recognize that sleep medications are designed to help individuals who struggle with insomnia or other sleep disorders. However, they must be used responsibly and under the guidance of a healthcare professional. Zolpidem, for example, is typically prescribed at a maximum dose of 10 mg per day for adults under 65, and for those over 65 or with liver impairment, the recommended dose is often halved to 5 mg. This medication is intended for short-term use, usually not exceeding four weeks, to minimize the risk of dependence and other side effects.

The case you mentioned regarding the actress Liu Tao's husband consuming over 200 sleep aids in one day raises significant concerns. Such an extreme dosage is not only dangerous but potentially life-threatening. Overconsumption of sleep medications can lead to severe side effects, including respiratory depression, profound sedation, coma, and even death. The body can only metabolize a certain amount of medication at a time, and exceeding this limit can overwhelm the system, leading to toxic effects.

In terms of the specific medication "Sleepman," which is a brand name for Zolpidem, taking more than the prescribed dose can lead to various adverse effects. Common side effects of Zolpidem include dizziness, drowsiness, confusion, and in some cases, more severe reactions like hallucinations, amnesia, and sleepwalking. In extreme cases, overdose can result in respiratory failure, which is a medical emergency requiring immediate intervention.

If someone were to take an excessive amount of Zolpidem, it is crucial to seek medical attention immediately. Treatment for an overdose may involve supportive care, monitoring vital signs, and possibly the administration of activated charcoal if the ingestion was recent. In severe cases, hospitalization may be necessary to ensure the individual's safety and to manage any complications that arise.

For individuals using sleep aids, it is vital to adhere strictly to the prescribed dosage and to communicate openly with healthcare providers about any concerns or side effects experienced. If a person finds that their current sleep medication is not effective, they should consult their doctor rather than increasing the dosage on their own.
In conclusion, while sleep aids can be beneficial for managing insomnia, they come with risks that necessitate careful use. The case of consuming an excessive number of sleep aids highlights the importance of understanding the potential dangers of overconsumption and the need for responsible medication management. Always consult with a healthcare professional regarding any changes in medication or concerns about side effects to ensure safe and effective treatment for sleep disorders.

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