
Dr. Obaid Ullah
Consultant Psychiatrist

Medically reviewed by Dr. Obaid Ullah, MBBS, FCPS (Psychiatry) · Last reviewed October 2026
Careful, supervised tapering from sleeping pills and other prescription medicines.
Sleeping pills and tranquillisers are easy to buy in Pakistan, often without a prescription. Many people start taking them for a real reason, such as anxiety or poor sleep after a hard time, and slowly need more to get the same effect.
At Health Plus, our psychiatrists plan a slow, supervised reduction while treating the sleep or anxiety problem that started it. Stopping these medicines suddenly can be risky, so please do not do it alone.
We often see mothers, retired men and young professionals who were never thought of as 'addicts'. They took a pill to sleep after a death in the family, or during exam stress, and a few years later cannot sleep at all without two or three.
Pills are often bought from more than one pharmacy, or mixed with alcohol or charas. Families notice memory gaps, slurred speech in the morning, or panic when the supply runs out.
Noticing several of these over weeks, not days, is a reason to get advice.
Some sleeping pills and tranquillisers can cause dangerous withdrawal if stopped suddenly after long use, including seizures. Our psychiatrist first works out exactly what the person has been taking, and how much.
The dose is then reduced step by step over days or weeks, with nurses checking sleep, anxiety and vital signs. The speed depends on the medicine and the person.
At the same time, our psychologists treat the anxiety, grief or insomnia underneath. Patients learn sleep habits and relaxation skills that work without pills, so they are not back on them a month after discharge.
Most people who have taken sleeping pills for a long time are afraid they will never sleep again without them. Sleep does return, but it often takes a few weeks and some practice.
Patients follow the same daily routine at Health Plus: up for Fajr, sunlight and exercise in the day, no TV after 10pm. That routine alone often helps sleep more than people expect.
Our psychologists also teach practical sleep habits: going to bed only when sleepy, getting up at the same time every day, avoiding tea late in the day, and using simple breathing and relaxation exercises when the mind is racing.
If worry, grief or depression is keeping someone awake, those are treated directly. Sleeping pills may still have a short-term place in some cases, but only as part of a plan your psychiatrist explains and reviews.
Length of stay depends on the medicine and dose. Some people need a short residential stay to reduce safely, followed by outpatient follow-up. Others need the full 3 to 6 month program, especially when alcohol or other drugs are involved.

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Please do not stop suddenly after long-term use. Some medicines can cause severe withdrawal, including seizures. A supervised plan is safer.
Most people can learn to sleep better with treatment of the underlying problem and good sleep habits. Our team works on this throughout the stay.
Yes. See our pregabalin and tramadol page for details.
Not always. If she needs more over time, struggles without them or takes them in ways not prescribed, a psychiatric review is a good idea.
It depends on the medicine, dose and how long it has been used. Some reductions take days, others several weeks. Your psychiatrist will explain the plan.
Some are harmless, but some contain undeclared medicines. Tell the doctor about everything being taken, including herbal products, so the plan is safe.
Our admissions team answers 24 hours a day. Tell us what is happening and we will give you honest advice on what would help, with no pressure to admit.