Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Zaleplon (Sonata) and Hetlioz (tasimelteon) are both medications used to help with sleep, but they work in different ways and are used for different conditions. Zaleplon is a sedative-hypnotic that helps you fall asleep quickly by working on gamma-aminobutyric acid (GABA) receptors in your brain. It's used for short-term treatment of insomnia and is available as a lower-cost generic. However, it can be habit-forming and may cause dependence. On the other hand, Hetlioz is a melatonin receptor agonist that helps regulate your sleep cycle, especially if you are totally blind with non-24-hour sleep-wake disorder or have Smith-Magenis Syndrome. Hetlioz is not habit-forming but can take weeks to months to show effects. It's available in both brand and generic forms. While Zaleplon is taken right before bedtime, Hetlioz needs to be taken at the same time every night on an empty stomach. Both medications have specific side effects and interactions, so it's important to follow your healthcare provider's instructions carefully.
Zaleplon
Tasimelteon (Hetlioz)
Zaleplon
Tasimelteon (Hetlioz)
Summary of Sonata vs. Hetlioz
Summary for Sedative-hypnotic
Prescription only
Zaleplon, once sold under the brand name Sonata, is a prescription sleep medication for adults. It helps with insomnia (trouble falling asleep). It's a type of sedative-hypnotic called a non-benzodiazepine, or "z-drug." You take it by mouth right before bed or when you're already in bed and can't fall asleep. Zaleplon is a controlled substance because it has a risk of misuse and dependence. Side effects can include headache and dizziness.
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.