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Insomnia
19 min read
Written by Klarity Editorial Team
Published: Dec 21, 2022
Medically Reviewed by Dr. Zoe Russell
While sleep is essential to your overall well-being, it’s not always easy to come by if you struggle with insomnia. A lack of sleep can contribute to various health concerns and mood changes, so it’s important to seek treatment to get the rest you need.
With so many treatment options available, it’s hard to know which one will work best for your symptoms. In this article, we’ll discuss Restoril and Ambien, two sleep aids that could help alleviate your insomnia symptoms.
If you’re navigating sleeplessness and are looking for insomnia treatment, Klarity can help. Find a licensed provider in your state and have an appointment in as little as 24 hours. No insurance needed.
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.
Ambien | Restoril | |
Drug Class | Sedative-hypnotic | Benzodiazepine |
Brand / Generic Status | Brand name for zolpidem | Brand name for temazepam |
Form(s) of the Drug | • Immediate-release tablet • Extended-release tablet • Nasal spray | • Immediate-release capsule |
Standard Dosage | Immediate-release tablet: • 5mg • 10mg Extended-release tablet: • 6.25mg • 12.5mg Nasal spray: • 5mg per metered spray | Capsules: • 7.5 mg • 15 mg • 22.5mg • 30mg |
Conditions Treated | FDA-approved uses: • Insomnia | FDA-approved: • Insomnia Off-label: • Anxiety disorders • Schizophrenia • Seizures • Muscle spasms |
Cost | Brand-name: • $668 for a 30-day supply Generic formula: • $8.30 to $58 for a 30-day supply (with insurance) • $21.64 per pill (without insurance) | Brand name: • $180 to $300 for a 30-day supply (less with coupon codes) Generic (temazepam): • $6.53 to $13 for a 30-day supply |
Side-Effects | Common side effects: • Dizziness Lightheadedness • Loss of coordination or balance • Congestion • Nausea • Dry mouth • Constipation • Diarrhea • Confusion • Stomach ache • Euphoria • Muscle pain • Visual changes • Headaches • Drowsiness Serious side effects: • Memory loss • Changes in behavior • Depression • Anxiety • Aggression • Suicidal ideation • Complex sleep behaviors (Ex. sleep walking/driving) | Common side effects: • Daytime drowsiness • Fatigue • Dizziness • Loss of coordination • Headache • Changes in vision • Muscle weakness • Changes in memory • Increased anxiety or irritability • GI upset, including nausea, vomiting, abdominal pain, and dry mouth • Numbness or “pins and needles” sensation on the skin Serious side effects: • Changes in mental status • Confusion • Hallucinations • New or worsening anxiety or depression • Shortness of breath or difficulty breathing • Suicidal ideation or thoughts of self-harm |
Warnings For Use | Contraindicated conditions: • Alcohol intoxication • Depression • Drug dependence • Liver disease • Glaucoma • Renal dysfunction • Liver disease • Respiratory depression Drug interactions: • Tramadol • Ativan • Clonazepam • Cymbalta • Flexeril • Gabapentin • Klonopin • Lexapro • Lisinopril • Lyrica • Trazodone • Xanax • Zoloft | Contraindicated conditions: • Kidney, liver, or lung disease • History of substance abuse Drug interactions: • Other CNS depressants • Other sleep aids • Certain antihypertensives • Neuropathic pain medications • Psychiatric medications |
Restoril is also known as Temazepam in its generic form. It’s a prescription medication within the benzodiazepine class of drugs, known for its sedative and calming effects. This medication is often used to treat sleep issues so that you can fall asleep faster and stay asleep longer.
Restoril is available in both immediate-release and extended-release capsules. The recommended starting dose of Restoril is 7.5 mg for adults, but your care provider may increase or decrease that dose based on your response to the medication and individual needs.
Restoril works by slowing down the central nervous system and is used to treat insomnia or difficulty falling and staying asleep. Because Restoril is a member of the benzodiazepine family, it can have off-label uses for conditions including generalized anxiety, OCD, schizophrenia, muscle spasms, and seizures.
The cost of Restoril varies depending on the pharmacy you use and your insurance coverage. It is generally more affordable with insurance, but you can find coupons or discounts online to help reduce the cost. Restoril’s most common generic form can cost anywhere from $39.00 to $227.66 monthly.
Like all medications, Restoril can cause side effects. Some common side effects of Restoril include:
More serious side effects may include confusion, hallucinations, suicidal ideation, anxiety, depression, and difficulty breathing. You should immediately contact your care provider if you experience any side effects.
Before taking Restoril, you should tell your healthcare provider if you have any allergies or medical conditions, such as liver or kidney disease, lung disease, or a history of drug or alcohol abuse. You should also tell your care provider if you are pregnant or breastfeeding, as Restoril may not be safe to take in these situations.
Medication Misuse Warning: Restoril is classified as a Schedule IV controlled substance. Meaning that it is regulated by the government due to its potential for misuse and dependency.
Like other benzodiazepines, Restoril can cause physical and psychological dependence if used for an extended period or at higher doses than prescribed. It is important to take Restoril exactly as directed by your healthcare provider and not exceed the recommended dosage.
Long-term use of Restoril should be closely monitored, as it’s more intended for short-term usage, and discontinuation should be done gradually under medical supervision to minimize the risk of withdrawal symptoms.
Restoril can interact with other medications, benzodiazepines, opioids, and alcohol. Of the medications most commonly cross-referenced, Restoril has major interactions with Norco and Tramadol. It is important to tell your healthcare provider about all the medicines you are taking before starting Restoril to avoid any potential interactions.
Moderate interactions occur with the following:
Ambien, also known as Zolpidem, is a prescription medication within the sedative or hypnotic class of drugs. It works by boosting the chemical gamma-aminobutyric (GABA), which blocks some of the neurotransmitters that send messages to your brain, resulting in a calming effect.
Ambien is available in two forms: immediate-release and extended-release tablets. The immediate-release tablets help you fall asleep, while the extended-release tablets assist with falling and staying asleep, releasing the medication slowly over time. Your dose varies from 5 to 12.5 mg daily, depending on the form and your care provider’s recommendation.
An effective treatment for insomnia, Ambien helps you fall asleep and stay asleep throughout the night. It can also be prescribed off-label to treat some neurological disorders.
The cost of Ambien depends on the pharmacy you use, the dose you’re prescribed, and your insurance coverage. For the most common form of generic Ambien, you can expect to pay between $8.19 and $42.71. Speak with your provider about taking the generic form of Ambien for more affordable prices.
Some common side effects of Ambien include the following.
More serious side effects may include:
You should contact your care provider immediately if you experience any of these side effects.
Before taking Ambien, you should tell your healthcare provider if you have any allergies or medical conditions, such as liver or kidney disease, lung disease, or a history of drug or alcohol misuse. Additionally, if you experience mental health issues or sleep apnea, it’s important to let your provider know before taking Ambien.
Medication Misuse Warning: Ambien is classified as a Schedule IV controlled substance. It is subject to strict regulations to prevent misuse and abuse. These regulations ensure that Ambien is prescribed, dispensed, and monitored under specific guidelines.
While its medical benefits are recognized, there is still a risk of dependency associated with the use of Ambien. To avoid this, as well as other negative effects, it is crucial to take Ambien exactly as prescribed by your healthcare provider and only for the recommended duration.
Abruptly stopping Ambien after long-term use, even though it’s often recommended for short-term use, can result in withdrawal symptoms, so it is important to consult your healthcare provider for a gradual tapering schedule if discontinuing the medication.
Ambien interacts with 435 drugs, with 28 major interactions, 405 moderate interactions, and two minor interactions. Of the medications most frequently checked, Ambien has major interactions with Tramadol.
Moderate interactions include:
Whether you take Restoril, Ambien, or another sleep aid depends on your health history, current symptoms, and your care provider’s recommendation. Both medications can help you fall asleep. If you’re specifically looking to target staying asleep, Ambien might be the better option, as it can reduce the number of times you wake up throughout the night.
No, Restoril and Ambien are not the same class of drug. Restoril is a benzodiazepine and Ambien is a sedative-hypnotic.
The best option for treating insomnia depends on your needs and medical history. Ambien is more effective in helping you fall and stay asleep, but it may not be the right choice for everyone.
Ambien and Restoril should be taken exactly as prescribed, no more or less, since they can create harmful dependency. These medications should be taken before bed with a full glass of water for the best results. Additionally, if you abruptly stop taking either drug, you could experience withdrawal, so it’s important to taper off with your provider’s guidance.
Restoril and Ambien can cause a depressed mood, worsen current depression, or contribute to other symptoms of depression. If you are taking Restoril or Ambien and experiencing symptoms of depression, such as a loss of interest in activities you used to enjoy, feelings of hopelessness, or changes in appetite and sleep patterns, speak with your provider.
You should not drive while taking Restoril or Ambien, as these medications can cause drowsiness, dizziness, and impaired coordination. Complex sleep behaviors are a serious side effect of Ambien as it can be dangerous for not only the person taking the medication but those around them if, for example, they unknowingly sleepwalk and drive.
Do not drink alcohol while taking Restoril or Ambien. Alcohol can increase the sedative effects of these medications, which can cause excessive drowsiness and increase the risk of other side effects, such as dizziness and difficulty breathing. If you are taking these medications, it’s best to avoid alcohol altogether.
Take Restoril and Ambien immediately before bedtime. By taking these medications at the same time each day, you can establish a consistent sleep-wake cycle. You should always follow the instructions of your healthcare provider when taking these medications, as using them at the wrong time of day can increase the risk of adverse side effects.
Getting a good night’s rest shouldn’t be up for debate. Klarity’s telehealth platform allows you to quickly access treatment without the long wait times and inconvenient commutes of a traditional office.
Learn more about insomnia treatment and take a quick self-evaluation to get started with your insomnia treatment today!
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