| Drug | General adult population | Adults 55 years and older | ||
|---|---|---|---|---|
| Global outcomes | Sleep outcomes* | Global outcomes | Sleep outcomes* | |
| Nonbenzodiazepine hypnotics | ||||
| Eszopiclone | May improve ● ○ ○ | Improves sleep onset latency and total sleep time ● ● ○ | May improve ● ○ ○ | May improve some outcomes ● ○ ○ |
| May reduce time awake after sleep onset ● ○ ○ | ||||
| Zolpidem† | May improve ● ○ ○ | Improves sleep onset latency, total sleep time, and sleep quality ● ● ○ | ○ ○ ○ | May improve sleep onset latency ● ○ ○ |
| May reduce time awake after sleep onset ● ○ ○ | ||||
| Zolpidem, extended release | May improve ● ○ ○ | May improve some outcomes ● ○ ○ | ○ ○ ○ | ○ ○ ○ |
| Zaleplon | ○ ○ ○ | Improves sleep quality ● ● ○ | ○ ○ ○ | ○ ○ ○ |
| Probably has no effect on total sleep time ● ○ ○ | ||||
| Orexin receptor antagonists | ||||
| Suvorexant | Improves ● ● ○ | Improves sleep onset latency and total sleep time ● ● ○ | ○ ○ ○ | ○ ○ ○ |
| Reduces time awake after sleep onset ● ● ○ | ||||
| Melatonin agonists | ||||
| Ramelteon | ○ ○ ○ | May improve sleep quality ● ○ ○ | ○ ○ ○ | May improve sleep onset latency ● ○ ○ |
| Probably has no effect on other outcomes ● ○ ○ | ||||
| Antidepressants | ||||
| Doxepin | ○ ○ ○ | May improve some outcomes ● ○ ○ | May improve ● ○ ○ | Improves totalsleep time ● ● ○ May improve other outcomes ● ○ ○ |
| Others‡ | ○ ○ ○ | ○ ○ ○ | ○ ○ ○ | ○ ○ ○ |
| Benzodiazepines | ||||
| Temazepam | ○ ○ ○ | ○ ○ ○ | ○ ○ ○ | ○ ○ ○ |
| Others§ | ○ ○ ○ | ○ ○ ○ | ○ ○ ○ | ○ ○ ○ |
| Over-the-counter sleep medications and supplements | ||||
| Diphenhydramine, doxylamine, melatonin | ○ ○ ○ | ○ ○ ○ | ○ ○ ○ | ○ ○ ○ |