Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Zaleplon (Sonata) and ramelteon (Rozerem) are both medications used to treat insomnia, but they work in different ways and have distinct characteristics. Zaleplon is a sedative-hypnotic that works on gamma-aminobutyric acid (GABA) receptors to help you fall asleep quickly, but it is a controlled substance and can be habit-forming. It is typically used for short-term treatment and may cause withdrawal symptoms if stopped abruptly. On the other hand, ramelteon is a melatonin receptor agonist that mimics the natural hormone melatonin to regulate your sleep cycle. It is not a controlled substance and is not known to be habit-forming. Ramelteon has fewer side effects and is available as a generic medication, but it should not be taken with or right after a high-fat meal. While both medications can cause drowsiness and dizziness, zaleplon has a higher risk of causing unusual behaviors like sleep-walking and sleep-driving.
Zaleplon
Ramelteon (Rozerem)
Zaleplon
Ramelteon (Rozerem)
Summary of Sonata vs. Rozerem
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.