Medications for Insomnia that Work

Prescription medications

  • Benzodiazepines: These are the most commonly prescribed medications for insomnia. They work by slowing down the central nervous system, which can help you fall asleep faster and sleep more soundly. However, benzodiazepines can be addictive, so they should only be used for short-term treatment. Examples of benzodiazepines include temazepam (Restoril), triazolam (Halcion), and zolpidem (Ambien).
  • Non-benzodiazepines: These medications are also known as Z-drugs. They work similarly to benzodiazepines, but they are less likely to be addictive. Examples of non-benzodiazepines include eszopiclone (Lunesta) and zaleplon (Sonata).
  • Antidepressants: Some antidepressants, such as trazodone and mirtazapine, can be used to treat insomnia. They work by increasing the levels of certain neurotransmitters in the brain, which can help improve sleep.
  • Melatonin: Melatonin is a hormone that helps regulate sleep-wake cycles. It is available over-the-counter and can be taken to help you fall asleep.
  • Other medications: There are a number of other medications that can be used to treat insomnia, such as gabapentin, pregabalin, and ramelteon. These medications work by different mechanisms and may be prescribed for specific types of insomnia.

Over-the-counter medications

  • Antihistamines: Antihistamines are often used to treat allergies, but they can also have a sedating effect. Diphenhydramine (Benadryl) and doxylamine (Unisom) are two examples of antihistamines that can be used as sleep aids.
  • Melatonin: Melatonin is also available over-the-counter. It is important to note that melatonin supplements are not regulated by the FDA, so the quality and effectiveness of different brands can vary.

It is important to talk to your doctor before taking any medication for insomnia. They can help you determine the best medication for you and discuss the risks and side effects of each medication.

It is also important to note that medications are not the only treatment for insomnia. There are a number of non-medicinal treatments that can also be effective, such as:

  • Cognitive behavioral therapy (CBT): CBT is a type of therapy that can help you change your thoughts and behaviors that contribute to insomnia.
  • Sleep hygiene: Sleep hygiene refers to the practices that promote good sleep. These include establishing a regular sleep schedule, creating a relaxing bedtime routine, and avoiding caffeine and alcohol before bed.

If you are struggling with insomnia, talk to your doctor about the best treatment options for you.