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.
