DEAR DR. GOTT: My girlfriend takes sleeping pills before bedtime and diet pills several times during the day. These all are sold over-the-counter and she follows the recommended dosage. She has done this for more than 10 years. Are there any dangers with this kind of long-term use?
DEAR READER: In my opinion, that’s a definite yes. If the supplements were taken for a true medical condition, I might feel that a 10-year history was okay but not in this case. Her body should be able to function well without drugs – even if they are controlled OTCs. For example, if she suffers from insomnia or feels the need for nightly sleep aids, there is likely an underlying cause that requires investigation for resolution. Perhaps she is depressed or there are stresses at work or at home. Or, she consumes caffeine in the form of coffee or chocolate too late in the evening. Perhaps she’s on a specific medication with insomnia as a known side effect. Most diet pills tend to be stimulants, which can make getting to sleep very difficult. Is a television on in the bedroom and she has the perception she cannot obtain a good rest unless it is on? Perhaps she has sleep apnea or you snore and she doesn’t want to spoil the relationship you have together.
It is my suggestion you speak with her to determine the exact reason why she feels a 10-year history of sleeping pills is a necessary part of her life. I’m rather pleased she doesn’t exceed the recommended amount to take and hasn’t had to use greater doses since the body generally builds up a tolerance over time.
I’m also concerned she takes diet pills several times throughout the day. Diet pills are available in pharmacies, grocery and health food stores and even on the internet. Their packaging can claim to increase calorie burning, help decrease one’s appetite, block the absorption of dietary fat, and so much more. Despite what she reads on the label, these supplements are sold every day with minimal proof of safety and effectiveness. These claims are likely erroneous but nonetheless may give the perception of helping control one’s weight. On the downside, dietary supplements can cause loose stools, an upset stomach, headache, bloating, nausea, agitation, sleeplessness, and can raise blood pressure levels. The temptation to lose weight overnight is hard to resist and she may feel if she misses taking pills for even a day, she will pack the pounds on. Does she perceive she is fat or will not be happy with herself or you will not be happy with her if she gets that way?
Again, I suggest you address the issue to determine why she feels she must choose this way of life. Perhaps she will give you the benefit of the doubt for just one month. Join her for a walk around the block, try an exercise program together at your local gym, a bike ride after work, or another form of physical activity you can both share. Sit down at the kitchen table with a pencil and paper to plan healthful meals that will reduce calories without the need for a supplement. Eat earlier in the evening so your food has a chance to digest before you retire for the evening. Make sure the bedroom is quiet and conducive to a good night’s sleep.
Some simple measures should be instituted to put an end to the pills she is popping and she will surely feel better if she provides her body with better, more natural choices.
Readers who would like related information can order my Health Report “Sleep/Wake Disorders” by sending a self-addressed, stamped number 10 envelope and a $2 US check or money order to my attention at PO Box 433, Lakeville, CT 06039-0433. Be sure to mention the title when writing or print out an order form from my website www.AskDrGottMD.com.
