Medicated or not medicated hypnotic substance use: strategies in sleep disorders among patients of community pharmacy
Abstract
The principal outcome was to identify which hypnotics substances, medicated (benzodiazepines, antihistamine, antidepressant…) or not medicated (herbal medicine, homeopathy, melatonin…), were consumed by community pharmacy patients who reported taking something for sleep disorder, and which factors can influence the consumption of medicated substance rather than nonmedicated substance. Data were collected via a network of 73 partner pharmacies around Nantes, France. Patients who reported taking a substance to sleep completed a questionnaire that collected data relative to the different substances consumed by that person for sleep, and the desired effect. Substances were classified in Hypnotic Drug Substances and nonmedicated hypnotic substances. A logistical regression was done in order to highlight the factors associated with the consumption of Hypnotic Drug Substance rather than nonmedicated hypnotic substances. Six hundred and forty-seven patients were included, with an average age of 58 years and 74% female. The principal strategy employed to combat sleep disorder was the consumption of Hypnotic Drug Substance (54%), followed by herbal medicine (32%) and homeopathy (19%). The factors positively associated with the consumption of a Hypnotic Drug Substance are age, living alone, being out of work, or in the process of looking for a job and being a parent. In our survey, the use of Hypnotic Drug Substance to help patients with sleep is far from systematic. On the other hand, among patients who consume HDS, misuse is still significant, particularly in terms of the duration of consumption.
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Among adults, and particularly among women, hypnotic medications are frequently employed as the main strategy to cope with sleep difficulties.
“Among adults, and particularly among women, hypnotic medications are frequently employed as the main strategy to cope with sleep difficulties.”
From Z-drug abuse and dependence: Clinical guideline of the Brazilian Academy of Neurology for diagnosis and management (2025) · cites this paper as [60]
Factors associated with hypnotic use in individuals with insomnia include older age, social isolation such as living alone, and unemployment.
“Factors associated with hypnotic use in individuals with insomnia include older age, social isolation (such as living alone), and unemployment.”
From Z-drug abuse and dependence: Clinical guideline of the Brazilian Academy of Neurology for diagnosis and management (2025) · cites this paper as [60]
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References 24 · Cited by 1
- Authors
- Lauzeille, D., Guerlais, M., Sallenave‐Namont, C., Etcheverrigaray, F., Broccato, L., Poisblaud, Q., Jolliet, P., & Victorri‐Vigneau, C.
- Affiliations
- Pharmacology department Centre d'Evaluation et d'Information sur la Pharmacodépendance ‐ Addictovigilance (CEIP‐A), Institut de Biologie 9 quai Moncousu 44093 Nantes cedex 01 France
- Nantes Université (FR)
- Inserm (FR)
- Corresponding author
- Lauzeille, Delphine
- Venue
- Fundamental & Clinical Pharmacology
- Publisher
- Wiley
- Published
- 2018-11-21
- Volume
- 33
- Issue
- 2
- Pages
- 216-222
- ISSN
- 0767-3981 (ISSN-L)
- 1472-8206
- OpenAlex
- W2894850191
- Cited by
- 1
- References
- 24
- Citations by year
- 2025: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Fundamental and Clinical Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Keywords
- sleep disorders, benzodiazepines, herbal medicine, homeopathy, melatonin, community pharmacy, hypnotic misuse, self-medication
- MeSH terms
- Drug Misuse, Adolescent, Adult, Aged, Aged, 80 and over, Community Pharmacy Services, Cross-Sectional Studies, Nonprescription Drugs, Female, France, Humans, Hypnotics and Sedatives, Male, Middle Aged, Risk Factors, Sleep, Sleep Wake Disorders, Risk Assessment, Plant Preparations, Prescription Drugs, Young Adult, Prescription Drug Misuse
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