Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Triazolam (Halcion) and Belsomra (suvorexant) are both used to treat insomnia, but they work in different ways and belong to different medication classes. Triazolam is a benzodiazepine that helps you sleep by relaxing your nervous system, while Belsomra is an orexin receptor antagonist that blocks a chemical in the brain that keeps you awake. Triazolam is available in a lower-cost generic form, but Belsomra is only available as a brand-name medication, making it more expensive. Triazolam is typically used for short-term treatment (7 to 10 days) due to its risk of dependence and withdrawal symptoms, whereas Belsomra can also be habit-forming but is noted for not usually causing withdrawal symptoms after stopping. Both medications can cause drowsiness and have serious risks if mixed with alcohol or other CNS depressants, but Belsomra may also cause unusual sleep behaviors like sleep-walking or sleep-driving. Additionally, Belsomra is not recommended for people with narcolepsy, while triazolam is not safe during pregnancy.
Triazolam (Halcion)
Belsomra (suvorexant)
Triazolam (Halcion)
Belsomra (suvorexant)
Summary of Triazolam vs. Belsomra
Summary for Benzodiazepine
Prescription only
Triazolam (Halcion) is used to treat insomnia in adults. It belongs to the drug class called benzodiazepines. The typical dosage is one tablet by mouth before bedtime. This medication helps you sleep, but it should only be used for a short period of time, typically for 7 to 10 days at a time. In addition to sedation (sleepiness), this medication can cause side effects like headaches and dizziness. Like other benzodiazepines, triazolam (Halcion) also has other serious risks and interactions with other medications.
Summary for Orexin receptor antagonist
Prescription only
Belsomra (suvorexant) is used to treat insomnia in adults. It's helpful for those who have a hard time falling asleep or staying asleep. This sleep medication belongs to the drug class called orexin receptor antagonists. You take a dosage within 30 minutes of bedtime as needed for sleep. It's common to feel drowsy the next day as a side effect. Belsomra (suvorexant) is a controlled substance because of the risk of misuse and becoming habit-forming. It's available as a brand-name medication only.