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Compare Silenor vs. Hetlioz

Head-to-head comparisons of medication uses, side effects, warnings, and more.

  • Doxepin (Silenor)
    Tasimelteon (Hetlioz)
  • Doxepin (Silenor)
    Tasimelteon (Hetlioz)

  • Summary of Silenor vs. Hetlioz

    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.

    Summary for Melatonin receptor agonist
    Prescription only

    Tasimelteon (Hetlioz) is a prescription medication that treats specific sleep problems, including non-24-hour sleep-wake disorder (non-24) in adults and sleep disturbances in both children and adults with Smith-Magenis Syndrome (SMS). It comes as capsules for adults and a liquid suspension for children. The dosage is typically taken by mouth at the same time every night, about 1 hour before bed. Tasimelteon (Hetlioz) can potentially interact with many medications. Common side effects include headache and nightmares or unusual dreams.

  • Indications of Silenor vs. Hetlioz

    Indications for
    •Insomnia (specifically trouble staying asleep)
    Indications for
    •Non-24-hour sleep-wake disorder (non-24) in adults
    •Nighttime sleep disturbances in children and adults with Smith-Magenis Syndrome (SMS)

  • Pros and Cons of Silenor vs. Hetlioz

    Pros and Const for Tricyclic antidepressant
    Pros
    •Taken once a day close to bedtime
    •Few side effects (other than sleepiness)
    •Non-addictive sleep medication
    Cons
    •Shouldn't take with food (must take at least 3 hours before or after food)
    •Risk of doing activities while you're not fully awake and not remembering that you did them the next day
    •Not approved for people younger than 18 years of age
    Pros and Const for Melatonin receptor agonist
    Pros
    •Only FDA-approved medication to help people with non-24 and SMS maintain a regular sleep cycle
    •Not a controlled substance so it's not habit forming
    •Available as a liquid suspension for children with SMS
    Cons
    •Can take weeks to months for you to notice any effect
    •Must be taken at the same time every night
    •Interacts with many medications, such as rifampin, fluvoxamine, and metoprolol

  • Common Side Effects of Silenor vs. Hetlioz

    Common Side Effects for
    •Sleepiness or tiredness (up to 9%)
    Common Side Effects for
    •Headache (17%)
    •Abnormal liver tests (10%)
    •Nightmares or unusual dreams (10%)

  • Warnings of Silenor vs. Hetlioz

    Common Side Effects for
    •Check for other causes of insomnia
    •Behavior changes
    •Worsened depression and risk for suicidal thoughts and behavior
    •Sleepiness and tiredness
    Common Side Effects for
    •Sleepiness
    •Interactions with other medications

  • Prices with our coupons for Silenor vs. Hetlioz

    Learn more about Doxepin
    Learn more about Tasimelteon

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