Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Estazolam (formerly branded as Prosom) and doxepin (Silenor) are both used to treat insomnia, but they have some key differences. Estazolam is a benzodiazepine that helps you fall asleep and stay asleep by slowing down brain activity. It's only available as a generic and is a controlled substance due to its potential for misuse and dependence. You should only use it short-term and take it right before bed. On the other hand, Silenor is a tricyclic antidepressant that blocks histamine receptors to help you stay asleep. It is not addictive and doesn't cause withdrawal symptoms, making it a safer long-term option. Silenor is also available as a generic, but you need to take it on an empty stomach and avoid food for at least 3 hours before taking it. While both medications can cause sleepiness, Silenor is less likely to cause dependency issues compared to estazolam.
Estazolam (Prosom)
Doxepin (Silenor)
Estazolam (Prosom)
Doxepin (Silenor)
Summary of Estazolam vs. Silenor
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 Tricyclic antidepressant
Prescription only
Doxepin (Silenor) is a tricyclic antidepressant that's used to help adults who have insomnia (trouble sleeping) stay asleep. Doxepin (Silenor) is a tablet that you take by mouth 30 minutes before bedtime. As expected, the most common side effects are sleepiness and tiredness, so only take the medication when you're ready to fall asleep for the night. Unlike some other sleep medications, doxepin (Silenor) isn't considered a controlled substance. Doxepin (Silenor) is available as brand-name and generic versions.