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Insomnia
19 min read
Written by Klarity Editorial Team
Published: Dec 9, 2022
Medically Reviewed by Dr. Zoe Russell
Navigating sleep disorders can be physically and emotionally draining, especially when you don’t know where to turn for relief. With so many options available to treat insomnia, it’s difficult to know which medication is right for you.
In this article, we’ll discuss the pros and cons of Lunesta and Sonata, medications used to alleviate problems with sleeping.
At Klarity Health, we provide access to insomnia treatment that’s affordable, secure, and fast. Schedule an appointment, and we’ll match you with an insomnia-trained provider who will determine which, if any, medication is right for your symptoms.
This article discusses suicide, suicidal ideation, and self-harm. If you or someone you know is experiencing suicidal thoughts or is in crisis, contact the Suicide Prevention Lifeline immediately at 800-273-8255.
Lunesta | Sonata | |
Drug Class | Sedative-hypnotic | Sedative-hypnotic |
Brand / Generic Status | Brand name for eszopiclone | Brand name for zaleplon |
Form(s) of the Drug | • Immediate-release tablets | • Immediate-release capsule |
Standard Dosage | Immediate-release tablets: • 1mg • 2mg • 3mg | Immediate-release capsule: • 5mg • 10mg |
Conditions Treated | FDA-approved: • Insomnia Off-label: • Anxiety • PTSD • Depression • Schizophrenia | FDA-approved: • Insomnia Off-label: • Alzheimer’s disease |
Cost | Brand name: • $7.53 to $86.61 for a 30-day supply Generic (eszopiclone): • $5.01 to $91.16 for a 30-day supply | Brand name: • $330.60 for a 30-day supply Generic (zaleplon): • $12.12 to $34.33 for a 30-day supply |
Side-Effects | Common side effects: • Day-time drowsiness • Dizziness • Memory or concentration issues • Anxiety • Depression • Nervous feeling • Headache • Nausea • Stomach pain • Constipation • Loss of appetite • Dry mouth • Unusual taste in your mouth • Mild skin rash | Common side effects: • Dizziness • Drowsiness • Short-term memory loss • Difficulty concentrating • Lack of coordination • Feeling hungover • Numbness or tingling • Anxiety • Depression • Nervousness • Vision problems • Headache • Nausea • Stomach pain • Loss of appetite • Constipation • Dry mouth • Increased menstrual pain • Back pain • Joint or muscle pain • Mild skin rash |
Warnings For Use | Drug interactions: • Tramadol • Ambien • Clonazepam • Cymbalta • Gabapentin • Klonopin • Lamictal • Lexapro • Lyrica • Melatonin • Trazodone • Xanax • Zoloft | Drug interactions: • Tramadol • Ativan • Cymbalta • Gabapentin • Klonopin • Lexapro • Lisinopril • Lunesta • Melatonin • Seroquel • Trazodone • Wellbutrin • Xanax • Zoloft |
Lunesta is a sedative or hypnotic used to treat sleep issues. This medication binds to the brain’s GABA receptors to help you relax and fall asleep. GABA receptors are neurotransmitters that block specific signals to your central nervous system, producing a calming effect and improving sleep.
Lunesta is a tablet in 1, 2, and 3 mg doses. Your dose depends on your current symptoms, health history, and the recommendation of your care provider. You can expect to start at 1 mg daily to be taken right before bed. You should take Lunesta without food, and when you have seven to eight hours before you must be awake.
Also known as eszopiclone in its generic form, Lunesta is prescribed to treat insomnia or trouble falling asleep and staying asleep. Lunesta can also be used off-label for anxiety, PTSD, depression, and schizophrenia.
Off-label use is when a drug is prescribed for something other than its FDA-approved use. FDA approval requires intensive testing and extensive resources, which aren’t available for each use of every medication. Off-label prescriptions are safe, ethical, and often effective forms of treatment.
The price of Lunesta varies based on your dose, your insurance coverage, and the pharmacy you use. For 30 tablets at a 1 mg dosage, you can pay anywhere from $7.53 to $86.61. You can also speak with your care provider about taking the generic Lunesta (eszopiclone), which is often more affordable.
As you adjust to your dosage, you may experience some common side effects that will likely dissipate over time. Those side effects include the following.
Medication misuse warning: Lunesta is a controlled substance that’s classified as a Schedule IV sedative-hypnotic that carries a risk of dependency if used improperly or for an extended period. Dependency may occur when the body becomes accustomed to the drug’s effects, leading to a reduced response and a potential need for higher doses. Abruptly stopping Lunesta after regular use can also result in withdrawal symptoms.
To minimize the risk of dependency, it is crucial to follow the prescribed dosage and duration provided by your healthcare professional. Lunesta is typically intended for short-term use, usually lasting one to two weeks, and is not recommended for prolonged usage.
If you have concerns about dependency or need to discontinue Lunesta, consult with your prescribing provider to receive guidance on gradually tapering off the medication and exploring alternative treatments for insomnia.
Lunesta can cause severe allergic reactions, so if you experience hives, nausea, vomiting, difficulty breathing, or swelling of your face, lips, tongue, or throat, seek emergency medical care.
Some people who take Lunesta engage in complex sleep behaviors while not fully awake. These activities can include walking, driving, or making phone calls. If you notice any changes in behavior, thoughts of self-harm, suicidal ideation, aggression, agitation, or hallucinations, contact your care provider immediately.
There are 355 drugs that interact with Lunesta, with 53 major interactions, 300 moderate interactions, and two minor interactions. Of the medications most frequently checked, Lunesta has a major interaction with Tramadol and moderate interactions with the following, in addition to alcohol:
Always discuss the medications you’re taking with your healthcare provider to ensure that Lunesta is safe for you to take.
Sonata, also known as Zaleplon in its generic form, is a sleep aid medication used to treat insomnia. Like Lunesta, Sonata is a hypnotic that slows your brain activity, so it’s easier for you to fall asleep.
You’ll take anywhere from 5 to 20 mg of Sonata per day, depending on the recommendation of your healthcare provider. Sonata comes as a capsule and should only be taken at night before bed when you have seven to eight hours before you need to wake up. You should also avoid eating a high-fat meal before taking this medication so that it’s the most effective.
Sonata is a hypnotic that’s a short-term treatment for difficulty falling asleep. While it doesn’t help you stay asleep longer, it does decrease the number of times you wake up throughout the night. Sonata can also be used in an off-label capacity to help Alzheimer’s patients sleep better.
Prices may vary depending on your insurance, dose, and pharmacy. For 30 zaleplon capsules at 10 mg, you can expect to pay anywhere from $12.12 to $34.33. Brand-name Sonata can cost more than $300 for 30-days’ worth of capsules.
While less likely if you take Sonata directly before bed, you may experience the following common side effects.
Medication misuse warning: Like Lunesta, Sonata is also a controlled substance. Specifically, it’s a Schedule IV sedative-hypnotic that carries a risk of dependency if taken in higher doses or for longer than prescribed. Abruptly discontinuing the use of Sonata can also result in withdrawal symptoms.
The best way to reduce risk of dependency is to follow your healthcare provider’s instructions on taking it. Sonata is typically recommended for short-term use, usually lasting one to two weeks, and is not intended for long-term usage.
If you’re concerned about developing a dependency or want to stop using Sonata, ask your healthcare provider to help you taper off of it while you explore other medications together.
Like Lunesta, Sonata can cause some people to engage in activities like driving, eating, or making phone calls without remembering doing so afterward. If this occurs, stop taking Sonata and discuss your options with your care provider.
Serious side effects of Sonata can include mood changes, thoughts of self-harm, suicidal ideation, hallucinations, and unusual behavior. Contact your provider immediately if you notice any shifts in your behavior or mental state.
Sonata interacts with 362 drugs, with 27 major interactions, 323 moderate interactions, and 12 minor interactions. When cross-referenced with other medications most frequently used, Sonata has a major interaction with Tramadol and moderate interactions with the following, in addition to alcohol: .
Discuss any other medications you’re taking with your healthcare provider to ensure you don’t have any adverse reactions to Sonata.
Whether you take Sonata or Lunesta depends on your care provider’s instructions and current symptoms. While they are both hypnotics, each has its own unique side effects and recommended doses.
If you experience long-term insomnia symptoms, Lunesta may be the better medication for you. It typically works quickly, is less addictive, and has fewer side effects than other sleep aids. You can start to have sleep issues again if you stop taking Lunesta.
Sonata may be the better choice if you only need help to fall asleep. This hypnotic doesn’t last as long in your body and won’t affect the entire sleep cycle. Sonata may not be a good option for you if you have chronic insomnia or a history of depression, substance misuse, or other mental illnesses.
At Klarity Health, we know that struggling with sleep issues can be excruciating and trying to find the right medication even more so. You deserve accessible insomnia treatment with an empathetic healthcare provider who will determine which, if any, prescription medication is right for you.
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*Appointments are generally available within 24 hours. Free initial consultations are available only with select providers. Prescriptions, particularly for controlled substances, may require an in-person evaluation depending on the state of residence and current federal regulations.
The information provided in this article is for educational purposes only and should not be construed as medical advice. Controlled substances may not be appropriate for all patients and any mention of these medications is for educational purposes only, not for marketing or encouraging self-diagnosis. Always seek the guidance of a qualified healthcare professional with any questions or concerns you have regarding your health. Providers on Klarity Health are independent practitioners with clinical autonomy. Nothing in this article is intended to diagnose or treat any condition, including guaranteeing prescription medication of any kind or dosage. Not all providers on Klarity Health prescribe all medications, particularly medications that are controlled substances.
If you’re having a mental health crisis or experiencing a psychiatric emergency, it’s crucial to seek immediate help from a mental healthcare professional, such as a psychiatrist, psychologist, or therapist. You can also call your local emergency services, visit your nearest emergency room, or contact a crisis hotline, such as the National Suicide Prevention Lifeline, by calling or texting 988 or dialing the Lifeline’s previous phone number, 1-800-273-TALK (1-800-273-8255) in the U.S.
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