There has been a significant increase in the consumption of sleep medication, under a doctor’s prescription or in alternative forms, since the October 7 Hamas terrorist invasion and massacres that launched the war, data from Israel’s health insurance funds and pharmacies reveal.
Experts warn that this increase can risk addiction and damage to the normal sleep mechanism.
A person spends a third of his life sleeping, which is important not only for preventing fatigue and functioning alertly during the day but also for a huge variety of medical processes that happen at night. A lack of sleep has already been proven to shorten lifespan and can increase the risk of chronic diseases – including hypertension, heart disease, diabetes, and obesity.
The security and political situation since October 7 has led to an increase in patient inquiries and complaints of fear and anxiety. Close to 100,000 distress calls registered loneliness, depression, anxiety, suicidal thoughts, and related sleep disorders, according to data provided by Israeli health professionals.
According to the United Health Insurance Fund, the first month of fighting showed a 170% increase in the number of patients who, for the first time, started treatment with sleeping pills and sedation compared to the corresponding period last year.
From November 7, there was a decrease of about 50% in patients who started treatment with anti-anxiety drugs but an increase of about 20% in the number who started using sleeping pills compared to the first month of fighting.
What sleep medications are patients frequenting?
The main increase was recorded in the sleep medications Zodorem, Bundormin and Ambien. The Leumit Health Insurance Fund’s data showed a 17% increase in the dispensing of prescription drugs for sleep and anxiety in the past three months.
It is “understandable and expected,” says Tal Lavana, a clinical psychologist and director of the mental health system of Meuhedat in the Jerusalem district.
“Sleep impairment is a typical characteristic of dealing with anxiety, trauma, and depression. Many patients suffer from various types of sleep disorders among different age ranges. In children, there are frequent difficulties with falling asleep, in addition to separation anxiety from their parents when trying to fall asleep. Among adults, we see difficulty falling asleep and waking up throughout the night.
Many also report that their sleep is ‘not good’, a kind of feeling that they have slept and are still tired.
“Since October 7, ... we also see in the Jerusalem area an increase in the consumption of sleeping pills,” confirms Dr. Amit Lotan, director of the psychiatry department at Hadassah Hospital. “However, the prolonged viewing of news on television and on cell phones, in addition to increasing anxiety, also damages the secretion of our sleep hormone. This hormone, melatonin, makes it difficult for us to fall asleep when it is not secreted or is secreted late.”
Increased consumption of sleep medications is also clear in the north of the country. Dr. Einat Medar, a specialist in internal medicine and psychiatry at the Emek Medical Center, notes: “It is important to know that a sleep disorder can also be the first symptom of another mental disorder such as depression, anxiety, or post-traumatic stress disorder, and lack of sleep in itself causes a low mood and significant functional difficulties.”
The use of sleeping pills comes with risks, especially when taken over an extended period.
“Treatment with sleeping pills impairs the quality of sleep, may cause fatigue during the next day, confusion, short-term memory loss, and a high risk of accidents. Prolonged use of benzodiazepine-type sleeping pills, such as Nocturno, Zorum, and Ambien, may also cause addiction, dependence, and withdrawal symptoms and the need to increase the dose,” explains Dr. Olga Breiman Tekch, the director of clinical pharmacy at Mohehad, adding: “The longer the treatment, the more difficult the withdrawal and may be accompanied by withdrawal symptoms.”
Long-term use of sleeping pills also causes additional dangers in the elderly: “In the elderly, frequent use and high doses may also cause cognitive decline and repeated falls,” adds Dr. Madar.
“Even if the doctor recommends you sleeping pills, it is recommended to take them for a limited number of days. One should check whether the medicine meets personal requirements, check if sleep improves, and if one is feeling refreshed and relieved after sleeping. Before using a drug, it is recommended to discuss the problem with a professional to understand the root of the problem and not treat only the symptom.”