Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Estazolam (formerly branded as Prosom) and flurazepam (formerly branded Dalmane) are both benzodiazepines used to treat insomnia, but they have some differences. Estazolam is typically taken at a starting dose of 1 mg at bedtime, while flurazepam's starting dose is either 15 mg or 30 mg, with lower doses recommended for females and older adults. Estazolam and flurazepam are only recommended for short-term use due to their potential for habit-forming. Both medications can cause side effects like sleepiness and dizziness, but flurazepam also commonly causes stomach issues like nausea and heartburn. Additionally, both medications can lead to dangerous sleep behaviors like sleepwalking and sleep-driving, but flurazepam has a higher risk of causing behavioral changes and mood swings. Neither medication is recommended during pregnancy, and both should be used with caution to avoid dependence and withdrawal symptoms.
Estazolam (Prosom)
Flurazepam
Estazolam (Prosom)
Flurazepam
Summary of Estazolam vs. Dalmane
Summary for Benzodiazepine
Prescription only
Estazolam (Prosom) is a sleeping pill that can help adults with insomnia fall asleep and stay asleep. It's a benzodiazepine medication that's not a first-choice treatment option for trouble sleeping, and it's only meant for short-term use since it can be habit-forming. It comes as a tablet that you take by mouth right before you get into bed. It's only available as a generic since the brand-name medication, Prosom, is no longer on the market. In addition to causing sleepiness, other common side effects can include headache, weakness, and nervousness.
Summary for Benzodiazepine
Prescription only
Flurazepam is used to treat sleeping problems (insomnia). It's a controlled substance because it has a risk for becoming habit-forming. The brand name Dalmane has been discontinued, but it's still available as generic versions. Side effects of the medication include headache and upset stomach.