The study examined the use of sleeping pills and their impact among students of Imo State University, Owerri, using a descriptive survey design. Four research questions guided the study, with data collected through self-administered, structured questionnaires. Stratified random sampling and Taro Yamane’s formula determined the sample size. Descriptive statistics such as frequencies were used for analysis. Results showed that 66.7% of respondents never used sleeping pills, while 40% reported not using them at all. Among users, 41.7% preferred herbal or natural remedies, and 46.7% cited academic stress as the primary reason for their use. Notably, 48.3% of respondents had tried relaxation techniques before resorting to sleeping pills, and 26.7% were neutral about external factors influencing their need for sleep aids. Additionally, 45% were unaware of potential side effects, and 43.3% believed sleeping pill use negatively affected academic performance due to drowsiness or fatigue. The study concludes that sleeping pill use among IMSU students is not prevalent but is primarily driven by academic stress, with a preference for herbal remedies among users.