Specialists Warn: The Line Between a Single Pill and Addiction Can Be Slippery

Specialists are issuing a stark warning about the potential for addiction to sedatives and sleeping pills, highlighting how easily the boundary between therapeutic use and dependence can blur. Sigita Korbutaitė, a pharmacist at Gintarinė vaistinė, observes that some patients are too casual about these medications, particularly if they were initially prescribed by a doctor. "We notice that people sometimes consider these drugs harmless help," Korbutaitė said. "Some patients think that if a doctor prescribed it, it's inherently safe, and they don't consider how long they can use it."

This casual attitude is particularly prevalent among older patients who may have been taking sleeping pills for a decade or more. "They often can no longer fall asleep without their help," Korbutaitė explained. "The body gets used to the effect, tolerance develops, and stopping the medication becomes increasingly difficult."

Dr. Laura Andriuškevičienė, a psychiatrist at Lotus Medica clinic, clarifies that sedatives are not inherently bad and can be necessary in specific situations. However, she stresses that their use must be integrated into a broader treatment plan, rather than serving as a perpetual method to suppress anxiety or insomnia. "In cases of acute anxiety disorder, panic attacks, or situational anxiety due to a personally significant, traumatic event, sedatives may be needed," she stated. "If anxiety arises suddenly, disrupts daily functioning, and prevents the performance of usual duties, it is important to stop the panic attack or intense anxiety episode in a timely manner. This can help prevent the disorder from progressing and give the person the strength to seek further help."

Andriuškevičienė advises that the duration of use depends on the individual's condition, symptom intensity, history of mental health issues, previous substance use, and cooperation with their doctor. "It is important to understand that the medication must have a clear purpose, a defined term of use, and be combined with other forms of support," she emphasized. The psychiatrist also noted that signs of dependence can mimic the original symptoms of anxiety. "After several weeks of regular use, persistent thoughts about having the medication, severe anxiety at the thought of running out, or fear of not being able to continue daily activities without it may emerge," she listed. "Using the drug against a doctor's recommendations or experiencing significant psychological discomfort when trying to stop are also important indicators."

Korbutaitė adds that even when used as prescribed, it's crucial to consider daily activities and other health risks. Benzodiazepines can impair reaction time, coordination, memory, and alertness. "This is especially relevant for people who drive, operate machinery, or are already taking other central nervous system depressants," she warned. For older patients, these medications can increase the risk of falls, posing a danger to those living alone or with mobility issues. Individuals with lung diseases or sleep apnea should also exercise caution.