Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Zaleplon (Sonata) and doxylamine (Unisom SleepTabs) are both used to help with sleep, but they work in different ways and have some key differences. Zaleplon is a prescription-only sedative-hypnotic that helps you fall asleep quickly by working on gamma-aminobutyric acid (GABA) receptors in your brain. It's a controlled substance and can be habit-forming, so it's only recommended for short-term use (up to 30 days). On the other hand, doxylamine is an over-the-counter antihistamine that makes you sleepy by blocking histamine in your brain. It's not a controlled substance and can be used by adults and children 12 years and older. Zaleplon is best if you need help falling asleep but not staying asleep, while doxylamine can make you sleepy throughout the next day and isn't recommended for older adults or people with certain medical conditions. Both medications should be taken right before bedtime, but zaleplon works faster, usually within 20 to 30 minutes, compared to doxylamine, which takes about 30 minutes to start working.
Zaleplon
Doxylamine (Unisom SleepTabs)
Zaleplon
Doxylamine (Unisom SleepTabs)
Summary of Sonata vs. Unisom
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 Antihistamine
Doxylamine succinate (Unisom SleepTabs) is an over-the-counter antihistamine that can be taken by adults and children ages 12 years and older who are having trouble falling asleep. It's a sleep aid that works by blocking certain chemicals (histamine) in your body. Doxylamine (Unisom SleepTabs) is taken by mouth once a day, about 30 minutes before bedtime. The most common side effect of this medication is next-day sleepiness.