Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Lunesta (eszopiclone) and estazolam (Prosom) are both medications used to treat insomnia, but they belong to different drug classes. Lunesta is a sedative-hypnotic, while estazolam is a benzodiazepine. Lunesta is available as a generic and is typically taken right before bedtime to help you fall asleep faster and stay asleep longer. Estazolam, also available as a generic, is only meant for short-term use due to its potential for habit-forming. Both medications are Schedule IV controlled substances, meaning they have a potential for misuse and dependence. Common side effects of Lunesta include a bad taste in the mouth and headache, whereas estazolam can cause sleepiness, headache, and weakness. Additionally, both medications can lead to abnormal sleep behaviors like sleepwalking or sleep driving, but estazolam is not recommended for long-term use and may not be safe for older adults due to the risk of falls.
Lunesta (eszopiclone)
Estazolam (Prosom)
Lunesta (eszopiclone)
Estazolam (Prosom)
Summary of Lunesta vs. Estazolam
Summary for Sedative-hypnotic
Prescription only
Lunesta (eszopiclone) is used to treat insomnia in people over the age of 18. This medication can help you fall asleep faster and wake up fewer times during the night. Lunesta (eszopiclone) belongs to a drug class called sedative-hypnotics, and it's a controlled substance so there are restrictions on how it can be filled and refilled at the pharmacy. You typically only need to take a dose right before bedtime, but it can cause a headache or leave a bad taste in your mouth as a side effect.
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.