Do you feel dizzy and dizzy after taking traditional sleeping pills? How can middle-aged and elderly people choose the right medicine to "sleep well and safely"?

1. Why do middle-aged and elderly people experience more serious side effects from taking sleeping pills?

As you age, your body's response to medicines changes:

•       Slower liver and kidney metabolism : Drugs stay longer in the body and are more likely to accumulate

•       Decreased balance and blood pressure regulation : Drug sedation amplifies fall risk

•       Reduced cognitive reserve : more susceptible to GABA -like drugs that interfere with attention and memory

📌 Data show that elderly people who take traditional sleeping pills have significantly increased rates of nighttime falls, cognitive impairment, and traffic accidents ( Allain et al., 2005 ; Billioti de Gage et al., 2014 )

 

2. Why are ORAs more suitable for middle-aged and elderly people?

ORAs (orexin receptor antagonists) Representative drugs: Suvorexant, Lebrexant, Darilexant
Its mechanism of action is different from traditional sleeping pills:

Types of medication	Mechanism of action	Does it calm the brain?	Does it affect memory cognition?	Whether you feel sleepy the next day
Benzodiazepines (such as diazepam)	Activates GABA receptors, forcing sedation	✅ yes	❌ Significant impact	✅ Easy to sleep
ORAs (such as Suvorexant, etc.)	Block the wakefulness system and gently guide you to sleep	❌ no	✅ No damage	❌ Awake the next day

✅ Clinical research supports:

•       Muehlan et al., 2022 (Dalileisheng) : After use by people over 60 years old, there was no significant decline in attention and executive function

•       Michelson et al., 2014 (Suvorexan) : No changes in cognitive function or increased risk of falls in elderly patients

•       Ueno et al., 2022 (Lebrexan) : Long-term use does not affect morning wakefulness and is suitable for people who need to get up early and move around

 

3. Not affecting daytime and not increasing the risk of falling are the core criteria for medication for middle-aged and elderly people

When choosing sleep aids, the middle-aged and elderly population should give priority to:

•       ✅ Does it provide central nervous system sedation? ( ORAs : No)

•       ✅ Does it affect balance and gait? ( ORAs : no data to support risk)

•       ✅ Can it be used long-term? Is it addictive? ( ORAs : no tolerance, can be used periodically)

•       ✅ Does it affect morning function? Can you get out of bed safely and alone? ( ORAs : Most patients recover quickly after waking up)

 

4. Recommended plan (matching drugs according to specific needs)

Symptom Type	Recommended drugs	Features
Restless sleep, frequent night awakenings	Suvorex	Long half-life, sleep soundly all night long without waking up
Difficulty falling asleep again after waking up in the middle of the night	Dale Raisin	Improve your sleep structure and wake up naturally refreshed
My mind keeps racing at night and I fall asleep slowly	Leibersson	Fast-acting, suitable for "delayed sleep onset" insomnia

Conclusion: For middle-aged and elderly people, sleeping soundly is only the first step, waking up clearly is more important.

A good sleeping pill should not make you feel dizzy as soon as you lie down, nor should it make you feel like you are not awake when you wake up.
The mild regulatory mechanism of ORAs provides safe and high-quality sleep for middle-aged and elderly people.
Not all sleeping pills are the same. Only by choosing the right mechanism and using the right medicine can you truly achieve “ a restful night and a relaxed day ” .

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