Compare Ambien vs. Rozerem

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Ambien
(zolpidem)

Rozerem
(ramelteon)

Helps you sleep. Ambien (zolpidem) aids in falling asleep and staying asleep, but it can be habit-forming and might be more likely than other sleep medicines to cause side effects.Helps you fall asleep. Rozerem (ramelteon) is a good sleep medicine that's not addictive, but it can be expensive.
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
5.1Ambien
Reviews for Ambien
67%
of people (All ages) say Ambien is worth it
50%
say it works well
16%
say it's a big hassle
1375 reviews
Have you used Ambien (zolpidem)?
Worth itNot sureNot worth it

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Have you used Rozerem (ramelteon)?
Worth itNot sureNot worth it
Side effects
AmbienRozerem
  • Drowsiness 3%
  • Headache 1%
  • Dizziness 4%
  • Allergic reactions 3%
  • Sinus infection 2%
  • Sore throat 2%
  • Dry mouth 2%
  • Lack of energy 2%
  • Back pain 1%
  • Diarrhea 1%
More Ambien side effects »
  • Dizziness 1%
  • Sleepiness 1%
  • Fatigue 1%
  • Nausea 1%
  • Worsening insomnia 1%
More Rozerem side effects »
How it works
AmbienRozerem
Ambien (zolpidem) is in a class of drugs called sedative-hypnotics. It interacts with your brain to make you relaxed and sleepy.Rozerem (ramelteon) is a melatonin receptor agonist. Melatonin is a chemical the body uses to maintain a normal sleeping cycle; Rozerem (ramelteon) helps you fall asleep and stay asleep.
Type of medication
AmbienRozerem
Prescription onlyPrescription only
Available as
AmbienRozerem
  • Pill
  • Oral spray
  • Sublingual pill
  • Pill
Used for
AmbienRozerem
Risk factors for serious side effects
AmbienRozerem
  • Continuous use of Ambien (zolpidem) for 2 weeks or more
  • Alcohol
  • Taking other medications that make you less alert
  • Less than 8 hours of sleep.
  • Undiagnosed psychiatric conditions
Detailed Ambien (zolpidem) risks & warnings »
  • Alcohol
  • Taking narcotics, tranquilizers, or antihistamines
Detailed Rozerem (ramelteon) risks & warnings »
Pregnancy

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Alcohol
AmbienRozerem
  • Avoid alcohol and drugs when taking Ambien (zolpidem).
  • While taking Rozerem (ramelteon), don't drink alcohol or take other medicines that can make you sleepy, like opioids for pain relief, or benzodiazepines for anxiety.
Kidneys and liver
AmbienRozerem
  • Might not be safe if you have problems with your liver, kidneys, lungs, or if you have a history of depression.
No kidneys and liver related info.
Pain
AmbienRozerem
No pain related info.
  • If you’re taking Rozerem (ramelteon), you need to be very careful about drinking alcohol, or taking medicines such as narcotics for pain relief, tranquilizers for anxiety, or antihistamines. Taking Rozerem (ramelteon) with alcohol or these medicines can slow down your central nervous system to the point where you stop breathing. Talk to your doctor to see if you should change your other medicines while you take Rozerem (ramelteon).
Sleep
AmbienRozerem
  • Ambien (zolpidem) makes you feel drowsy and sleepy, potentially leading to falls and severe injuries. This is especially a risk if you're older. Falls from sleep medicines like Ambien (zolpidem) have caused severe injuries such as hip fractures and head injury. You may need a lower dose if you're taking other medications that also cause drowsiness. Check with your doctor first.
  • Only take it if you have time to sleep for at least 8 hours.
  • Effective at helping people fall asleep faster and sleep longer.
  • Don't take Rozerem (ramelteon) if you're not able to sleep for at least 8 hours.
  • If you're not sleeping better after taking Rozerem (ramelteon) for 7 to 10 days, talk to your doctor.
Upsides and benefits
AmbienRozerem
  • Effective at helping people fall asleep faster and sleep longer.
  • Extended release form is particularly good for staying asleep, and you can use it for longer than the immediate release form.
  • Generic is available.
  • Rozerem (ramelteon) isn't a controlled medicine, and it's safe to use in people age 65 or older.
  • If you stop taking Rozerem (ramelteon) suddenly, your insomnia won't come back.
  • Rozerem (ramelteon) won't make you feel hungover or groggy the next day.
Downsides and risks
AmbienRozerem
  • Not typically used for long-term treatment because it can be habit-forming.
  • Some people find that Ambien (zolpidem) becomes less effective over time.
  • More likely to cause sleep-walking, sleep-driving, and sleep-eating.
  • Might not be safe if you have problems with your liver, kidneys, lungs, or if you have a history of depression.
  • Rozerem (ramelteon) is only available as a brand name.
  • Rozerem (ramelteon) is only available in 1 strength.
  • If you take Rozerem (ramelteon) on a full stomach, it won't work as well.
  • Not recommended for children.
  • Rozerem (ramelteon) can't be used if you have sleep apnea.
Tips from our pharmacists for people taking the medication
AmbienRozerem
  • Take 30 to 45 minutes before bedtime.
  • Only take it if you have time to sleep for at least 8 hours.
  • Can be addictive. Meant for short-term treatment. Dependence can form after daily use for 2 weeks.
  • Avoid alcohol and drugs when taking Ambien (zolpidem).
  • Withdrawal symptoms can occur if you abruptly stop the drug and you've been regularly using it. The symptoms usually resolve in 1 to 2 nights.
  • Report any confusion or changes in thoughts or behavior.
  • Take Rozerem (ramelteon) on an empty stomach 30 minutes before you sleep.
  • Don't take Rozerem (ramelteon) if you're not able to sleep for at least 8 hours.
  • Swallow the Rozerem (ramelteon) tablet whole; don't break or crush it.
  • While taking Rozerem (ramelteon), don't drink alcohol or take other medicines that can make you sleepy, like opioids for pain relief, or benzodiazepines for anxiety.
  • If you're not sleeping better after taking Rozerem (ramelteon) for 7 to 10 days, talk to your doctor.
Learn more
More about AmbienSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Ambien (zolpidem)?
Worth itNot sureNot worth it
More about RozeremSide effectsAlternativesFDA package insert
Have you used Rozerem (ramelteon)?
Worth itNot sureNot worth it