The nightmare pill

Wednesday 8th March 2023

  The nightmare pill.

   Have you ever had one of those dreams where you know a terrible disaster is imminent, but you either can't tell anyone or they just won't listen? Well, this has been my life for the past twenty years or so. Yes, it's bizarre and no doubt, it sounds like I'm being overly dramatic. I probably wouldn't have believed me either.

   Despite being marketed as a "safer" option than benzodiazepines for the treatment of insomnia, none of these medicines are intended for long term use. Prescribing medical practitioners are advised to limit their patient's use of the drug to a maximum of 14-28 days. All these medicines prevent the patient from obtaining complete sleep cycles, with their rhythm oscillating between slow-wave and REM phases of sleep. Such a deficit impedes regeneration of the immune system and the cognitive abilities of the brain to retain thoughts and memories, among other vital functions. Consequently, sleep obtained by taking such medicines, is little better than none at all. 

https://thoughtcatalog.com/eric-redding/2016/01/44-people-share-their-crazy-and-dangerous-ambien-horror-stories/

  

 Irrespective of prescribing guidelines advising doctors, countless patients take these drugs on a daily basis for years on end, having become hopelessly addicted after years of use. It's impossible that they can be getting anything but relief from withdrawal symptoms (which admittedly does feel good) and a psychosomatic effect , given the tolerance they must have acquired. Ironically, withdrawal symptoms can be so severe that benzodiazepines are needed to assist with tapering, reduction and the management of potential seizures. Incidences of over prescribing have continued increasing in frequency alongside a staggering popularity for recreational use. 

 Although the number of people addicted to Z drugs is significant, it's not the biggest concern users should be aware of. Pharmacies are legally obliged to clarify the many side effects that can befall patients. Warnings in the UK mainly consist of verbal advise from doctors and pharmacists, whilst in the US, black box warnings and many times the size of the packaging itself. They describe all the usual unpleasantness associated with hypnotics, but one specific peculiarity has been intentionally suppressed since its inception. One that everyone, whether they take the drug or not, needs to be keenly aware of.

   It's impossible to suggest that I misused this drug in any way. I used it no more than two nights out of seven. Upon those occasions, I took a single 7.5mg pill, as prescribed, without any alcohol or any other possibly contra-indicated substance. To the best of my knowledge, I had experienced a fairly good night's sleep, waking feeling normal with nothing out of the ordinary to report. Then, one morning a friend of my then partner, knocked on my door. Thinking nothing of it, I opened the door and invited him inside. Before I could close the door behind him..BAM! He punched me square in the face. Now, I can take a punch, so my response was a combination of shock and confusion. I'm a very agreeable person. Definitely not the kind of person who has angered a queue avengers waiting for their turn to hit me. 

  Raised voices, accusations and denials ensued. Apparently, I had called his GF numerous times during the night, making increasingly severe threats. Calls made to someone I had never met, but yet even more baffling - how did I even know her phone number? I simply couldn't believe this was a behaviour I was capable of and still struggle to believe it to this day. 

  When he played me a recording of the calls, hearing my voice like that I was forced to admit my guilt. There was absolutely no denying it was my voice, but why or how it occurred was and still is, inconceivable. 

   Before too long I discovered from talking to friends, that these sort of bizarre incidents in conjunction with the memory loss, while under the influence of Zopiclone, were more common than we could have imagined. The common characteristics in all occasions were:

💊The use of a single 7.5mg dose of Zopiclone.

💊Behaviour out of character to the individual.

💊Absolutely no recollection whatsoever of the events.

   During the ensuing years, obscure reports of violent and embarrassing stories involving both celebrities and everyday people, began to hit the headlines. Oprah Winfrey was mocked, when she blamed the drug for racist remarks she had made on Twitter. Also alleging to be affected by the medicine, was Chris Pratt who challenged WWE star Dave Bautista to a fight. 

 An airplane was forced to make an emergency landing, when one passenger who had used the drug to alleviate their fear of flying, physically attacked the cabin crew. Further accounts portrayed hotel rooms being destroyed, patients facing domestic violence charges and all manner of peculiarities. 

 Until you've personally experienced such an episode, I can understand how hard it would be to accept the deniability that is warranted in what has been dubbed "The Ambien defence". This is unlike other instances of amnesia such as that caused by alcohol, where it's possible that remnants of events can return in drips and drabs with time. It's not like the effects felt from benzodiazepines, barbiturates, anaesthetics, opiates, Ketamine or just getting messed up, or overindulging.

 The truly terrifying business effectively steals your body for a period of time, to do absolutely anything with and you can never know. "Body snatching".

 Manufacturers Merck were making obscene profits from their product, maintaining that it was a "very rare side effect". In truth, many people were either too embarrassed to report anything, or were simply unaware that anything had befallen them, besides a full night's sleep. 

 Initial reports that did become public, were considered funny due to how bizarre it sounded. As time progressed, the more problematic nature of sleep eating, having (potentially involuntary or forceful) sex whilst unconscious, sleep cooking and even sleep driving, offered an indication of where this was heading.

   Then one day when I searched the internet for the latest news concerning the matter (which usually led with a selection of rehab and detox facilities), everything had changed. Suddenly, the first results the search engine churned out were for lawyers. Finally after nearly 2 decades, the other foot had fallen... a terrible disaster I had foreseen all those years before had come to pass. It was truly like some kind of horror movie. Patients using the drug had awoken to discover the person they loved and that loved and trusted them most in the world -their soul mate - was dead. Butchered by them in utterly heinous ways. Scientists had investigated this "very rare side effect" and discovered that everything that we had been saying was true. Thus it's now become an accepted alibi in defence of crimes, where it could be proven the phenomenon was in effect.

  However, the important thing to keep in mind is that whether a court of law accepts this alibi or not, that person still has to live each day for the remainder of their life, imagining that terror and suffering they inflicted upon their trusting partner. To my mind, such a sentence is a fate worse than death.

 Whether you take Zopiclone, Zolpidem or another nonbenzodiazepine, consider whether it's really a gamble you're prepared to take. This pill could lead you into a nightmare world from which there could be no waking up.

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