MedicationOnset of action (minutes)Half-life (hours)Dose (mg)Main indicationsCommon adverse effectsCost*
Benzodiazepine receptor agonists
Eszopiclone (Lunesta)105 to 71 to 3Sleep maintenance insomniaMetallic taste in the mouth, nausea and vomiting, dizziness, somnolence, rebound insomniaNA ($60)
Zaleplon (Sonata)3015 to 20Sleep onset insomnia; can be given upon waking during nightDizziness, headache, rebound insomnia$9 to $12 ($40 to $80)
Zolpidem (Ambien)7 to 272 to 35 to 10Sleep onset insomniaSomnolence, fatigue, drugged state, dizziness$5 ($62)
Occasionally sleep walking, talking, or eating; amnesia; increased fall risk in older persons; rebound insomnia
Zolpidem CR (Ambien CR)303 to 4.56.25 to 12.5Sleep onset and maintenance insomniaSimilar to zolpidem$33 ($65)
Benzodiazepines
Estazolam12010 to 240.5 to 2Sleep onset and maintenance insomniaSomnolence, dizziness, ataxia, asthenia, rebound insomnia$7 (NA)
Flurazepam15 to 4540 to 11415 to 30Sleep onset and maintenance insomniaTaste disorder, somnolence, ataxia, dizziness, hangover, blurred vision, rarely leukopenia$5 (NA)
Quazepam (Doral)3039 to 757.5 to 15Sleep onset and maintenance insomniaDyspepsia, xerostomia, dizziness, hangover, headache, fatigueNA ($32)
Temazepam (Restoril)30 to 608 to 157.5 to 30Sleep onset and maintenance insomniaSomnolence, blurred vision, hypotension, rebound insomnia$4 to $43 ($90)
Triazolam (Halcion)15 to 302 to 50.125 to 0.25Sleep onset and maintenance insomniaSomnolence, amnesia, ataxia, nausea and vomiting, dizziness, hepatotoxicity, rebound insomnia$6 ($23)
Melatonin receptor agonist
Ramelteon (Rozerem)452 to 58Sleep onset insomniaDizziness, somnolence, fatigue, nausea, exacerbation of insomnia, hallucinationsNA ($52)