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Snooze alarm

What the deaths of celebrities can teach us about the dangers of insomnia.

March 30, 2008|Gayle Greene and Gayle Greene, a professor of literature and women's studies at Scripps College, Claremont, is the author of "Insomniac," a first-person account of living with insomnia and an investigation of what is known about the disorder.

When a star dies from an overdose, there's a tendency to write it off as "drug abuse." That amazing combination of drugs in Heath Ledger's body, for instance -- what was he thinking? Blame the celebrity, chalk it up to reckless living, a self-destructive lifestyle, a pursuit of pleasure through recreational drugs.

But the drugs that killed Ledger -- three types of benzodiazepines, an antihistamine, two pain relievers -- are all substances people take for sleep. Ledger, we know, was desperate for sleep. A month or so before his death, he told the New York Times that he was going night after night on no more than two hours of sleep.


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He was described by his ex, Michelle Williams, as having a mind "turning, turning, turning." That might explain the variety of benzodiazepines he took that night -- Valium, Zanax and Restoril. All are effective at quieting a whirring mind.

Imagine what it would be like being a celebrity with a sleep disorder: the early morning shoots, the need to look bright-eyed and beautiful before a camera, the world watching, at close range, as you get hollowed out and haggard from lack of sleep. You'd need nerves of steel to live in the public eye like this; you'd need a "head-hits-the-pillow-and-I'm-out" kind of sleep system -- which not everybody has. Some stars, such as Eminem and Drew Barrymore, speak openly about their insomnia; I'm sure there are many more who do not.

I wonder how many stars have died just because they were trying to get some sleep. Elvis Presley had serious insomnia, by his ex-wife's account, and ultimately became addicted to Placidyl, a sedative so dangerous that it's no longer on the market. He would have had to increase the dose to keep getting the same effect, as one does with most sleep medications, even the newer ones -- but those older drugs are longer acting and build up in the system over time, leaving users dopey, groggy, in a permanent fog. Elvis then turned to Dexedrine to wake himself up, according to his ex-wife, and got caught in a vicious cycle. Official cause of death: heart failure.

Judy Garland also got hooked into that cycle: uppers to control her weight, sleeping pills so she could sleep; she too would have had to increase the dose to get an effect. Official cause of death? Accidental overdose from a barbiturate, Seconal.

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