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Two medicines, side by side

Temazepam vs zolpidem

Temazepam and zolpidem are both labeled for insomnia. Drugs@FDA records approvals of temazepam since 1981 and of zolpidem since 1992. Pharmacies paid $0.0767 per temazepam 15 mg capsule and $0.0344 per zolpidem tartrate 5 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, temazepam is a benzodiazepine and zolpidem a gamma-aminobutyric acid a receptor positive modulator.

Check it at the source: the temazepam FDA label on DailyMed (effective June 9, 2026); the zolpidem FDA label on DailyMed (effective August 15, 2022).

Highlights of the temazepam record

Temazepam (Restoril) · label of June 9, 2026

Boxed warning

RISKS FROM CONCOMITANT USE WITH OPIOIDS; ABUSE, MISUSE, AND ADDICTION; and DEPENDENCE AND WITHDRAWAL REACTIONS Concomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing of these drugs in patients for whom alternative treatment options are inadequate. Limit dosages and durations to the minimum required.

Used for

From the label: indications

Restoril ® (temazepam) is indicated for the short-term treatment of insomnia (generally 7 to 10 days). For patients with short-term insomnia, instructions in the prescription should indicate that Restoril ® (temazepam) should be used for short periods of time (7 to 10 days). […]

On the market

Earliest approval on file
February 27, 1981
Generic labelers
20 labelers
Pharmacy cost
$0.0767 per capsule

Supply and safety

Shortage
No current entry
Recalls
1

Highlights of the zolpidem record

Zolpidem (Ambien) · label of August 15, 2022

Boxed warning

COMPLEX SLEEP BEHAVIORS Complex sleep behaviors including sleep-walking, sleep-driving, and engaging in other activities while not fully awake may occur following use of Edluar. Some of these events may result in serious injuries, including death. Discontinue Edluar immediately if a patient experiences a complex sleep behavior [see Contraindications (4) and Warnings and Precautions (5.1) ]. WARNING: COMPLEX SLEEP BEHAVIORS See full prescribing information for complete boxed warning.

Used for

From the label: indications

Edluar (zolpidem tartrate) sublingual tablets are indicated for the short-term treatment of insomnia characterized by difficulties with sleep initiation [see Clinical Studies (14) ]. The clinical trials performed with zolpidem tartrate in support of efficacy were 4-5 weeks in duration with the final formal assessments of sleep latency performed at the end of treatment. […]

On the market

Earliest approval on file
December 16, 1992
Generic labelers
39 labelers
Pharmacy cost
$0.0344 per tablet

Supply and safety

Shortage
No current entry
Recalls
6

Source: FDA drug labels via openFDA (Temazepam label of June 9, 2026, Zolpidem label of August 15, 2022); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do temazepam and zolpidem differ on the record?

In FDA's classes, temazepam is a benzodiazepine and zolpidem a gamma-aminobutyric acid a receptor positive modulator.

Half-life, in each label's words: Temazepam, “The blood level decline of the parent drug was biphasic with the short half-life ranging from 0.4 to 0.6 hours and the …”; Zolpidem, “Elimination: When Edluar administered as a single 5 or 10 mg dose in healthy adult subjects, the mean zolpidem …”

Both labels carry a boxed warning; the records quote them.

Generics: temazepam since 1986; zolpidem since 2007 (Drugs@FDA).

TemazepamZolpidem
Labeled forInsomniaInsomnia
Pharmacologic classBenzodiazepinegamma-Aminobutyric Acid A Receptor Positive Modulator, gamma-Aminobutyric Acid-ergic Agonist
How it works (label)n/aZolpidem is a GABA A receptor positive modulator presumed to exert its therapeutic effects in the short-term treatment of insomnia through binding to the benzodiazepine site of α 1 subunit containing GABA A receptors, increasing the …
Half-life (label)The blood level decline of the parent drug was biphasic with the short half-life ranging from 0.4 to 0.6 hours and the terminal half-life from 3.5 to 18.4 hours (mean 8.8 hours), depending on the study population and …Elimination: When Edluar administered as a single 5 or 10 mg dose in healthy adult subjects, the mean zolpidem elimination half-life was 2.85 hours (range: 1.57-6.73 hr) and 2.65 hours (range: 1.75 to 3.77 hr) …
Earliest approval on file (Drugs@FDA)February 27, 1981December 16, 1992
First generic approvedJuly 10, 1986April 23, 2007
Generic labelers (NDC)20 labelers39 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0767 per capsule (Temazepam 15 mg capsule)$0.0344 per tablet (Zolpidem tartrate 5 mg tablet)
12-month price change+0.5%-0.3%
Boxed warningYesYes
Shortage nowNo current entryNo current entry
Recalls recorded16
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)37,475134,363
DEA scheduleCIVCIV

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Temazepam label, drug interactions

The benzodiazepines, including temazepam, produce additive CNS-depressant effects when co-administered with other CNS depressants such as alcohol, barbiturates, antipsychotics, sedative/hypnotics, anxiolytics, antidepressants, narcotic analgesics, sedative antihistamines, anticonvulsants, and anesthetics.

Zolpidem label, drug interactions

CNS-active Drugs CNS Depressants Co-administration of zolpidem with other CNS depressants increases the risk of CNS depression [see Warnings and Precautions (5.1 , 5.2) ].

Source: FDA drug labels via openFDA

What next?

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