At 3:00 in the morning? Counting sheep till dawn without sleeping
What? You can't sleep if you lie down for an hour? According to the white paper on sleep health in china of the china sleep research institute, 2024, over 300 million people in the country suffer from sleep disorders, with an insomnia rate of 38. 2 per cent。
Many are physically and mentally exhausted by insomnia, but are afraid to take medications, do not take medications, and even suffer from increased ill health as a result of the insomnia. The 2025 edition of the guide for the diagnostic and treatment of insomnia in china has been officially published, offering more scientific and safer guidance programmes on insomnia。
Today, in plain language, you will be taught the correct use of the seven types of sleeping pills, so that you can leave insomnia and sleep。
First, get it first: three insomnias, the choice of the drug
Insomnia is not a single problem, with different types of insomnia and different choices. The 2025 version of the guide clearly divides insomnia into three categories, identifying its own type before using medication to do more than anything。
Sleeping difficulties: the more you lie down for more than 30 minutes, the more you want to sleep, the more you look at young people, the more stressful you are. Sleep maintenance difficulties: frequent awakening at night (2 times a night) and difficulty sleeping again, mostly among middle-aged people. Early awakening: more than an hour earlier than the scheduled time to get up, and less able to sleep after waking up, more of them among older and depressed people。
At the same time, the guidelines emphasize that short-term insomnia (<3 months) and chronic insomnia (+3 months) drug use programmes differ。
Short-term insomnia is dominated by rapid mitigation symptoms, and chronic insomnia requires a combination of therapeutic efficacy and safety, avoiding dependence。
Core dry goods: 7 types of sleeping pills recommended in the 2025 guide. Select
Category 1: non-benzodiazepines (z medicines) — pre-sleep, safety factor high
Common positioning: a new generation of “temperative sleeping pills”, the first recommended sleeping aids in the 2025 guide。
Core strengths:
Quick effect: 15-30 minutes effective, sleeps quickly after bedtime. Metabolism speed: a short half-life — the time required to halve the concentration of the drug in the body and no “ hangover” the next day. High safety: dependency, memory effects are much lower than traditional sleeping pills。
Usage: 10-15 minutes before sleep, zoltan 5-10 mg/b, right sapien cloning 1-3 mg/b。
A taboo reminder:
Category ii: benzodiazepines — traditional powerful drugs, used with caution as required
Commonly defined: classic old medicine, which is highly sedated, is strictly medically prescribed and cannot be used for long periods。
Selective classification:
Short effect (asterium): fit for sleep difficulties. (a) medium effect (appoulon): fit for sleeping difficulties + wake up at night. Long-acting (divine): fits for early awakening, severe sleep maintenance difficulties。
Note:
Category iii: dual-adulant receptor retardants (dora) - new long-lasting drugs without risk of dependence
Common positioning: insomnia drug “new expensive”, suitable for chronic insomnia by blocking brain “sane signals”。
Core strengths:
There is no addiction and long-term use. Without affecting the sleep structure, there is sufficient time for deep sleep. The residual effects of the next day are small and do not affect daytime work。
Usage: 30 minutes before bedtime, half of the initial dose, from 25 mg for the elderly。
The taboo reminds that severe liver and kidney insufficiency is prohibited, and the operation of machinery and driving is avoided during medication。
Category iv: decontamination receptor agonizer - biological clock adjusters, suitable for rhythm chaos
Common orientation: the human “biological clock regulator” is not an ordinary melancholy but a prescription drug。
Day and night rhythm disorders: shifts, time lags, insomnia of the insomnia of the insomnia of the insomnia of the insomnia of the insomnia as a result of the reduction of the melancholycin: insomnia suitable for depression, double adjustment
Core strengths: lack of dependency, lack of hangover, high security。
Note: the effect is slower, with regular use of 1-2 weeks to avoid co-use with powerful liver enzyme inhibitors。
Category v: depressive antidepressants — mood + sleep reconciliation
Common orientation: the problem of insomnia is not the preferred one, but rather the simple sleeping pill, which combines cure with cure。
Core strengths:
No dependency, suitable for long-term use. It both improves sleep and relieves depression and anxiety. Small doses are used to help sleep, with small side effects。
Usage: pre-sleep administration, curdone 25-150 mg/day, mn 3. 75-15 mg/day。
Prohibition of co-use with monoamine oxidation inhibitors and compliance by patients with hypertension and heart disease。
Category vi: anti-groupamines — temporary emergency relief, without long-term use
Commonly defined “back-up players”, which are suitable only for temporary, occasional insomnia and cannot be relied upon for long periods。
Core characteristics: affordable, easy to buy, but not suitable for chronic insomnia。
Note:
Category vii: medicines in the anthem - moderate adjustment suitable for mild insomnia
Common positioning: mid-medicine-modulated sleeping aids suitable for mild insomnia and infirmity and need to be identified for use。
I don't know
Heart spleen (dreaming, indulging, eating poorly): fuzzy spleen (dreaming, drying, hotness of hands): the king's heart and kidneys (insomnia and insomnia)
Core strengths: moderation, low side effects, suitable for long-term lightness。
Caution: the chinese medicine needs to be identified, not taken blindly, and the heavy insomnia requires a combination of western medicine。
Iii. Guidelines for special groups of popular groups: the old, observate, longer
1. Older persons (65 years)
2. Pregnant women and nursing mothers
Prohibition of benzodiazepines, antidepressants。
3. Children and adolescents
4. Chronically ill persons
Optimal diluctide receptor agonists, dora class。
Iv. Avoiding the five major drug faults. 90% of the people have stepped on it. The pit
Insomnia: take sleeping pills, the more effective they are
Truth: insomnia is preferred to non-pharmacological treatment (sleep cognitive behaviour therapy), and drugs are only complementary。
Reliance is created by prolonged eating insomnia, which exacerbates insomnia。
Mistake 2: i take a lot of sleeping pills together. It works better
Truth: associated use increases central inhibition, triggers risks such as dizziness, slow breathing, coma, etc。
It's strictly forbidden to associate。
Mistake 3: sleeping pills are dependent and they're not taken
Truth: the priority drug dependence recommended in the guide is extremely low and short-term regulation is fully safe。
There's no need for excessive fear medicine。
Mistake 4: drinking and sleeping is safer than taking pills
The truth: alcohol destroys the sleep structure and leads to more sleep and awakening。
It also reacts with drugs, giving rise to lethal risks。
Insomnia 5: when it's ready, stop
Truth: long-term drug use needs to be reduced gradually (by one quarter per week)。
The sudden stoppage of the drug is accompanied by an arrhythmia, anxiety, panic, etc。
V. Core drug use principles of the 2025 guidelines: 4 points to be safe and effective
On demand: not every night, only insomnia, two to four times a week. Small dose start: start at the lowest effective dose and avoid high dose use. Short-term use: the preferred drug does not last more than four weeks, and chronic insomnia requires a doctor's assessment. Integrated reconciliation: drugs + moods + sports to complete the insomnia。
Vi. At the end: sleep well, the most cost-effective
Insomnia is not a terrible thing. It is a terrible thing to do with drugs. The 2025 edition of the insomnia drug guide focuses on precision, safe use and scientific use。
This paper is general knowledge only and is not a substitute for diagnosis and medical advice. If you are chronically insomnia and have an impact on your life, you must go to the regular hospital sleep or psycho-psychological section and use medication under the direction of a doctor。
May everyone who is insomnia put down their anxiety, sleep well at night and wake up in sunlight。
Core summary: sleep difficulties are selected for non-benzodiazepines, chronic insomnia-type doras, temperate antidepressants for emotional problems, temperaments for older persons, medical advice for special populations, short-term use at small doses on demand, and no reliance on science。
