The short answer

Slow breathing before bed may help you relax and fall asleep, but the evidence is thin. One small study found slow breathing improved sleep in people with insomnia, but no trial has tested the popular 4-7-8 method for sleep. If you have insomnia that lasts, the treatment with the strongest evidence is cognitive behavioural therapy for insomnia (CBT-I).

Weak evidence

Small or short studies, surveys, or results that are mixed. How we grade

On this page
  1. How to use breathing at bedtime
  2. What the research shows
  3. If you have insomnia
  4. What about mouth taping?
  5. Common questions
  6. References

How to use breathing at bedtime

Breathing exercises can’t make you fall asleep, but they can help you stop trying so hard, which is often what keeps people awake. Try this:

  1. Get comfortable in bed, lying on your back or side, with the light off.
  2. Breathe in gently through your nose for about 4 seconds.
  3. Breathe out slowly for about 6 to 8 seconds. Let the out-breath be the long, easy part.
  4. Keep going for 5 to 10 minutes. If your mind wanders, bring it back to counting the out-breath.
  5. If you’re still awake after about 20 minutes and getting frustrated, get up and do something quiet in dim light until you feel sleepy.

Exercises that suit bedtime include 4-7-8 breathing, resonance breathing and humming breath. If the long hold in 4-7-8 feels like effort, leave it out.

What the research shows

The direct evidence is thin. A small study in Taiwan compared 14 people with insomnia with 14 good sleepers. When the people with insomnia practised slow breathing at six breaths a minute for 20 minutes before bed, they fell asleep faster, woke less and slept more efficiently, measured overnight in a sleep lab. It was a small study without a randomised control group.

4-7-8 breathing, probably the most popular sleep breathing technique online, has never been tested for sleep in a trial. One study of 43 young adults found it changed heart rate variability in the short term, but it didn’t measure sleep.

Breathing exercises reduce stress and anxiety in trials (see stress and anxiety), and worry is a common reason for lying awake, so it is reasonable to think they may help some people. But we grade the evidence for sleep itself as weak.

If you have insomnia

Insomnia means regularly finding it hard to get to sleep or stay asleep, and feeling tired during the day. If it has lasted for months, the treatment with the best evidence is cognitive behavioural therapy for insomnia (CBT-I). GPs now offer it rather than sleeping pills, which are rarely prescribed. Relaxation techniques, including breathing, are often part of it. Talk to your GP, who may be able to refer you or point you to a digital CBT-I programme.

What about mouth taping?

Taping your mouth shut at night has become popular online, with claims that it improves sleep. A 2025 review of 10 studies found little good evidence of benefit, and warned of a risk of suffocation if your nose becomes blocked. We don’t recommend it. See nose breathing.

Keep reading

Common questions

What is the best breathing exercise to fall asleep?

Any slow, gentle exercise with a long out-breath that you find relaxing. 4-7-8 breathing, resonance breathing and humming breath are popular. There is no evidence that one works better than the others for sleep, so choose the one you like.

Does 4-7-8 breathing really help you sleep?

It might help you relax, but it hasn't been tested for sleep in a trial. Small studies show it changes heart rate variability in the short term. Claims that it puts you to sleep in 60 seconds have no evidence behind them.

Can breathing exercises help with sleep apnoea?

No. Sleep apnoea, where your breathing stops and starts while you sleep, needs medical assessment and treatment. If you snore loudly, someone has seen you stop breathing at night or you are very sleepy in the day, see your GP.

References

  1. Tsai HJ et al. Efficacy of paced breathing for insomnia: enhances vagal activity and improves sleep quality. Psychophysiology, 2015.pubmed.ncbi.nlm.nih.gov
  2. Vierra J et al. Effects of sleep deprivation and 4-7-8 breathing control on heart rate variability, blood pressure, blood glucose, and endothelial function in healthy young adults. Physiological Reports, 2022.pubmed.ncbi.nlm.nih.gov
  3. Rhee J et al. Breaking social media fads and uncovering the safety and efficacy of mouth taping: a systematic review. PLoS One, 2025.pubmed.ncbi.nlm.nih.gov
  4. NHS. Insomnia.nhs.uk

First published 4 November 2026. Next review due November 2027. Spotted an error? Tell us and we'll correct it. Read our editorial policy.