Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Taking medications in the middle of the night can be risky

Barbara Bronson Gray, RN
Meds
September 30, 2012
Share
Tweet
Share

You may have heard that veteran NBC News correspondent Tom Brokaw was hospitalized recently after he reported feeling lightheaded after making an appearance on MSNBC’s “Morning Joe.”

He’s fine. Brokaw tweeted, “All is well. Early a.m. I mistakenly took a half dose of Ambien and made less sense than usual.”

And that’s what you’ve got to be careful not to do.

Any time you get up in the wee hours of the morning to treat a problem, whether it be a headache, fever, sleeplessness, a stomach ache, nausea — whatever — you’ve got to adhere to a hard and fast rule. Turn on enough light to be sure you know what you’re taking and make sure you’re awake enough to be ingesting the right medication and the right dose.

It’s hard to tell just what Brokaw took and why, although it sounds like he may have grabbed a long-acting version of the sleep aid when perhaps the short-acting one would have served him better. He may have been having a wakeful night and, knowing that he had to get up early in the morning for a T.V. appearance, felt a little desperate to get some shut-eye.

Taking medication in the middle of the night has several risks.

It’s dark, and most people don’t switch on the lights because they don’t want to wake up “too much” or awaken the rest of the family.

Even if you’re sleepless, you’re usually very tired and probably not alert.

You also may be unaware of the time. It’s easy to look at a clock and think it says “12:00” when it’s really “2:00.”  That means that you could take a drug before it’s time for another dose. Or, with sleeplessness, you might go for the long-acting version of a medication when the short-acting one would be preferred.

It’s also hard to read the tiny print on prescription labels in low light and without contacts or glasses. And, in the morning, you may forget that you took any medication at all during the night.

If you’re taking a liquid, such as cough medicine, you might be tempted to drink out of the cap or the bottle if you don’t have a spoon nearby.

The dangers are even greater when you’re traveling, which Brokaw was doing. You may put a few of your prescription and over-the-counter pills together in a small, easy-to-stow pill container. You’re in unfamiliar conditions in a hotel room. You may have trouble finding the light switch.

Here’s what you should do:

ADVERTISEMENT

  • Make some rules for yourself and your family when it comes to taking medications at night. Lights on. Read the label carefully. Check the time. Leave the pill container out so you remember in the morning that you took something.
  • If you regularly need a medication in the middle of the night, leave it out on the counter to reduce the chance that you’ll grab something else instead.
  • When you travel, make sure you carefully label each medication you bring so you don’t accidentally take the wrong drug.
  • If you take sleeping pills, know which are slow-acting and which are long-acting and label them clearly. Be certain you know the time cut-off after which you should be happy just counting sheep.
  • Keep a liquid measurement tool or spoon with any liquid drugs, like cough syrup, so you can easily get the proper dosage and won’t be tempted to estimate or drink out of the cap.  If you’re traveling, tape a plastic spoon to the medication container.

Just knowing that taking any drugs at night — prescription or over-the-counter — can be fraught with risk will help. You’ll be more careful.  It could have saved Brokaw from a frightening and unnecessary trip to the hospital.

Barbara Bronson Gray is a nurse who blogs at BodBoss.

Prev

The Accountable Care Organization: Think opportunity, not threat

September 30, 2012 Kevin 8
…
Next

Why doctors need to be better social workers

September 30, 2012 Kevin 4
…

Tagged as: Medications, Primary Care

Post navigation

< Previous Post
The Accountable Care Organization: Think opportunity, not threat
Next Post >
Why doctors need to be better social workers

ADVERTISEMENT

More by Barbara Bronson Gray, RN

  • a desk with keyboard and ipad with the kevinmd logo

    We need an Apple Genius Bar for patients

    Barbara Bronson Gray, RN
  • a desk with keyboard and ipad with the kevinmd logo

    Give patients the pros and cons of treatment options

    Barbara Bronson Gray, RN
  • a desk with keyboard and ipad with the kevinmd logo

    How can we improve the patient experience?

    Barbara Bronson Gray, RN

More in Meds

  • Every medication error is a system failure, not a personal flaw

    Muhammad Abdullah Khan
  • Why kratom addiction is the next public health crisis

    Muhamad Aly Rifai, MD
  • FDA delays could end vital treatment for rare disease patients

    GJ van Londen, MD
  • Pharmacists are key to expanding Medicaid access to digital therapeutics

    Amanda Matter
  • How medicine repurposing enables value-based pain management and insomnia therapy

    Olumuyiwa Bamgbade, MD
  • Forced voicemail and diagnosis codes are endangering patient access to medications

    Arthur Lazarus, MD, MBA
  • Most Popular

  • Past Week

    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Doctors reclaiming their humanity in a broken system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Focusing on well-being versus wellness: What it means for physicians (and their patients)

      Kim Downey, PT & Nikolai Blinow & Tonya Caylor, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Doctors reclaiming their humanity in a broken system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • How to balance clinical duties with building a startup

      Arlen Meyers, MD, MBA | Physician
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Could ECMO change where we die and how our organs are donated?

      Deepak Gupta, MD | Conditions
    • Every medication error is a system failure, not a personal flaw

      Muhammad Abdullah Khan | Meds

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Doctors reclaiming their humanity in a broken system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Focusing on well-being versus wellness: What it means for physicians (and their patients)

      Kim Downey, PT & Nikolai Blinow & Tonya Caylor, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Doctors reclaiming their humanity in a broken system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • How to balance clinical duties with building a startup

      Arlen Meyers, MD, MBA | Physician
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Could ECMO change where we die and how our organs are donated?

      Deepak Gupta, MD | Conditions
    • Every medication error is a system failure, not a personal flaw

      Muhammad Abdullah Khan | Meds

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Taking medications in the middle of the night can be risky
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...