Doctors warn: common sleep drugs may quietly increase dementia risk

by DailyHealthPost Editorial

Having trouble sleeping? You’re not alone. Many people turn to medication for a good night’s rest. But before you reach for that pill, a new study has a warning you’ll want to hear. While sleep aids can provide short-term relief for insomnia, new research raises serious questions about their long-term safety, suggesting a potential link to a significantly higher risk of developing dementia.

Key Takeaways

  • A recent study found that frequent use of sleep medication is associated with a higher risk of dementia in older adults.
  • The risk was particularly high for white participants, who had a 79% greater chance of developing dementia compared to those who rarely or never used sleep aids.
  • The type and amount of medication used, not just the use itself, appear to be critical factors in this increased risk.
  • Experts recommend exploring non-drug alternatives, such as cognitive-behavioral therapy for insomnia (CBT-I) and treating underlying health issues, before turning to medication.

A Closer Look at the Alarming Numbers

Researchers followed more than 3,000 older adults, who were dementia-free at the beginning of the study, for an average of nine years. Over the course of the study, about 20% of the participants developed dementia. The striking finding was that the risk wasn’t evenly distributed. The study revealed that white participants who reported using sleep medications “often” or “almost always” had a staggering 79% higher risk of developing dementia than those who used them rarely or not at all.

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Why the Difference in Risk?

Interestingly, the study did not find a similar increase in risk among Black participants. The researchers suggest this isn’t about race itself, but likely reflects differences in medication access and prescription patterns. White participants in the study were more likely to use a wider range of sleep aids, including more potent drugs like benzodiazepines, trazodone, and sedative-hypnotics (often called “Z-drugs,” like Ambien). This suggests that the specific type and frequency of medication you use could be what drives the heightened dementia risk.

Are There Safer Ways to Get a Good Night’s Sleep?

Given these findings, experts are urging both you and your doctor to consider safer, non-pharmacological approaches to insomnia first. One of the most important steps is to rule out and treat any underlying health conditions that might be disrupting your sleep, such as sleep apnea. Another highly effective and safe alternative is Cognitive-Behavioral Therapy for Insomnia (CBT-I). This therapy helps you change the thoughts and behaviors that are preventing you from sleeping well, without the side effects of medication. While some people try over-the-counter options like melatonin, researchers note that its long-term effects still need more investigation.

Conclusion

While a pill might seem like a quick fix for a sleepless night, this study serves as a critical reminder that convenience can come with long-term consequences. The potential link between common sleep aids and dementia risk highlights the importance of having a careful conversation with your doctor. Before starting or continuing these medications, consider exploring safer strategies that support not only your sleep but also your long-term brain health.

Scientific References

Leng, Y., et al. (2023). “Association Between Potentially Inappropriate Sleep Medication Use and Risk of Dementia in a Biracial Cohort of Older Adults.” Journal of Alzheimer’s Disease, 91(2), 719-728. URL: https://content.iospress.com/articles/journal-of-alzheimers-disease/jad220851

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