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Ryan Jaslow /

CBS News/ February 28, 2012, 11:17 AM

Prescription sleeping pills tied to increased risk for death, cancer

(CBS News) Millions of Americans are prescribed sleeping pills to help them get a good night's rest. But according to a new study, the popular pills may significantly raise the risk of dying - even if they're not taken often.

PICTURES: Celebrity sleep secrets: What stars do in bed

The study found people who took 18 sleeping pills or fewer per year had more than 3.5 times higher a risk for death than those who didn't take any sleeping pills. What's more, people taking more than 132 sleeping pills per year were at five times higher risk for death and 35 percent higher risk for cancer.

"We are not certain. But it looks like sleeping pills could be as risky as smoking cigarettes," study author Dr. Daniel F. Kripke, professor of psychiatry at the University of California, San Diego, told WebMD.

For the study,  published in the Feb. 27 issue of BMJ Open, researchers tracked more than 10,500 people who were prescribed sleeping pills for an average of 2.5 years between 2002 and 2007. Prescribed sleeping pills included benzodiazepines, such as Restori; non-benzodiazepines, such as Ambien, Intermezzo, Lunesta, and Sonata; barbiturates; and sedative antihistamines. The researchers compared survival among these patients with that of 23,500 people matched for age, sex, lifestyle factors, and underlying health problems who did not take sleeping pills.

The risk was found for every age group, but was greatest among 18- to 55-year-olds. Researchers found these elevated risks after ruling out other factors that may contribute to death risk.

"We tried every practical strategy to make these associations go away, thinking that they could be due to use by people with more health problems, but no matter what we did the associations with higher mortality held," study co-author Robert D. Langer, a physician at the Jackson Hole Center for Preventive Medicine in Jackson, Wyoming, said in a statement.

"What our study shows is that sleeping pills are hazardous to your health and might cause death by contributing to the occurrence of cancer, heart disease and other ailments," Kripke, who also works at the Scripps Clinic Viterbi Family Sleep Center in San Diego, said in a hospital written statement.

The authors point out the study only shows an association and does not prove cause and effect. But Kripke thinks physicians should seek alternatives for treating insomnia. He said when insomnia is caused by depression, doctors should treat the psychological disorder rather than prescribing sleeping pills.

Should people taking sleeping pills need to be worried?

"I think you always need to weigh the risks versus the benefits," Dr. Carl Bazil, a neurologist and director of Columbia University's Comprehensive Epilepsy and Sleep Center, told CBS This Morning. "If there are other ways to help with your sleep, other than taking pills, that's often a better solution."

Sanofi, the drugmaker behind Ambien, also backed the pill. "Ambien has more than 17 years of real-world experience and is safe and effective when prescribed and taken according to its labeling," Sanofi said in a statement sent to WebMD. "Ambien should be prescribed in strict adherence to its labeling and patients should take their medication as prescribed."

One of the study authors told HealthDay the research has caused him to change his sleeping pill habits. Said Langer, "Since we started trying to qualify the results of this analysis about a year ago, I'll tell you, my prescription bottle for Ambien has sat on the shelf unopened."

The Mayo Clinic has more on prescription sleeping pills.

© 2012 CBS Interactive Inc. All Rights Reserved.
29 Comments Add a Comment
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shnovitz says:
People who suffer from insomnia are often anxious and worried for good reasons. Anxiety, worry, deep-rooted misery in life - all these are pretty well known as POSSIBLY adding to the risk of cancer. So how do these "researchers" separate the "sleeping pill cause" of cancer from the "worry/anxiety/agonising life problem-leading-to-insomnia cause" of cancer?

We have enough problems. Go away.
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Jesse_engAmer says:
All the research, from one year alone, suggests a stronger tie to causation than correlation.

5 Years ago the FDA requested label changes to sleeping pills, so research was clearly being done. Why have we heard nothing until now?
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bajajohn1 says:
Dadgomit....all these reports are troubling, cholesterol medication and sleeping pills....if you do not have definitive proof, then why are you publishing this?
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badgrammr says:
Ambien side-effects may include chills, somnambulant shopping bingeschasing your wife around the house with a knife...and cancer.
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shnovitz replies:
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Yes. Ambien caused me to have convulsions. It caused a friend to walk about naked in the street while fast asleep. I'm told by GPs that they would not be surprised at ANYTHING Ambien could cause. At a stretch, I suppose it might add to the risk of cancer. But then, what doesn't?
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larissa97 says:
Hey CBS, can you BE any more irresponsible? First of CORRELATION =/= CAUSATION.

Look this up. LEARN IT. LIVE IT. Because obviously, you guys FAILED science.

Second, from the linked article:

>>>>"It is important to note that our results are based on observational data, so even though we did everything we could to ensure their validity, it's still possible that other factors ex-plain the associations," said co-author Lawrence E. Kline, D.O., who is medical director of the Viterbi Family Sleep Center. "We hope our work will spur additional research in this area using information from other populations."<<<<<

In other words... we cannot determine a definitive root cause and no, we cannot say for certain that sleeping pills ARE the cause.

This is NOT causation. There is a LINK which is not a CAUSE.

Stop publishing articles like this as scientific fact when they are not.
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Tigguy says:
The more FDA approved 'Pills' hit the market, the higher the Death toll.
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AnitaGen replies:
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You got that right. It's all about Big Pharma making $$$$.
larissa97 replies:
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@AnitaGen

As opposed to the health food, herbal and vitamin industries making money? If you're going to go after big pharma - go after the other charlatans as well, my dear. They're all crooks. The only difference with big pharma is that the FDA has some jurisdiction over them. The same can't be said for the nutbags with the homoeopathic/herbal remedies and health food stores.
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ptrkent says:
One study, regardless of its size, does not provide conclusive evidence that sleeping pills raise mortality risks. There have been hundreds of studies that offer far more evidence that sleep deprivation significantly increases health risks. So, what are we, the public, to do? Throw away our sleeping pills based on association, not cause and effect, or take our pills and decrease the well-document dangers from not getting enough sleep? Resorting to cancer- and death-scare writing makes for good headlines but bad science reporting.
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larissa97 replies:
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It comes down to correlation =/= causation. When you see a study like this, if the data is based on correlation? You can throw it away because it's a rush to publish and it is essentially junk science.
pfister2 replies:
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The trouble with doctors (who, often, rely on drug studies conducted by the very company that makes them) is that they do not try working with the cause of the sleep disorder. Not being able to sleep, in my case, was a hormonal imbalance. Before I figured that out, I took Ambien -- with all its side-effects, such as severe depression and despair, hallucinations, and an uneasy, eerie feeling upon awakening. I suggest people throw away their sleeping pills and find the cause. Science (especially when it involves profits) is too slow -- lots of people have to die before science catches on. I say, let me hear the results of all tests and decide for myself.
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Forty-Four says:
Breaking news: Living increases your chance of dying
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jackp32 says:
When is our society going to stop the insane pill pushing by "big pharma?" Stressed out? Try getting off your duff and into an exercise program. It works wonders.
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molly_pitcher replies:
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Please remember folks the 1%: Big Pharma, Congress, Hollywood, Big Oil, Wall street, MSM they don t care about you (the 99%) they just want your taxes and/or your cash. Try melatonin no Rx needed sold in most supermarkets, no side effects.
shnovitz replies:
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Everyone is different. Your smug solution might not suit others. Some cannot "get off their duff" because they're paralyzed, in wheel chairs and unable to sleep because of anxiety. Not everyone is a fortunate as you, so think before you sermonise.
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Plavnik says:
Go to www.InsomniaDoc.com for research-based insomnia treatment without sleeping pills from Cleveland Clinic trained Neurologist & Sleep Medicine doctor, Dr. Craig Brooker, M.D.
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RealityByts replies:
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link at BigRubberMallet.com
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