Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Temazepam (Restoril) and estazolam are both benzodiazepines used for short-term treatment of insomnia. Temazepam is available as both a brand name (Restoril) and a generic, while estazolam is only available as a generic since the brand name Prosom is no longer on the market. Temazepam is typically taken at a dose of 15 mg at bedtime, whereas estazolam is usually started at 1 mg at bedtime. Both medications can cause drowsiness, headache, and nervousness. Temazepam can cause a "hangover" effect the next day, which is less commonly reported with estazolam. Additionally, both medications carry risks of misuse, dependence, and withdrawal, and can cause complex sleep behaviors like sleep driving. However, estazolam is noted to have a higher risk of causing abnormal thoughts and dreams. Both medications should be used with caution, especially in older adults and those with a history of substance misuse or depression.
Temazepam (Restoril)
Estazolam (Prosom)
Temazepam (Restoril)
Estazolam (Prosom)
Summary of Restoril vs. Estazolam
Summary for Benzodiazepine
Prescription only
Temazepam (Restoril) is a short-term option for people who have insomnia (trouble sleeping). It's a benzodiazepine, so taking it can lead to misuse, addiction, and sometimes cause withdrawal symptoms if you suddenly stop taking it. For this reason, it's a controlled substance, so you'll need close follow-up with your provider to make sure this medication remains safe for you to take. Common side effects include drowsiness, headache, nervousness, and sometimes a "hangover" feeling the next morning after your dose. The medication available as a brand name (Restoril) and a generic version.
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.
Indications of Restoril vs. Estazolam
Indications for
•Short-term treatment of insomnia (trouble sleeping)