Compare Lunesta vs. Belsomra

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

Lunesta
(eszopiclone)

Belsomra
(suvorexant)

Helps you sleep. Lunesta (Eszopiclone) is good for falling asleep and staying asleep. Not as habit-forming as some sleep medicines, but more likely to cause withdrawal symptoms if you stop suddenly.Helps you sleep. Belsomra (suvorexant) helps you fall asleep, but is only avaliable as a brand name so can be expensive.
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Coupons for Lunesta
Best available price for 30 (3mg) tablets of lunesta
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.47Lunesta
Reviews for Lunesta
55%
of people (All ages) say Lunesta is worth it
36%
say it works well
17%
say it's a big hassle
592 reviews
Have you used Lunesta (eszopiclone)?
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Have you used Belsomra (suvorexant)?
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Side effects
LunestaBelsomra
  • Headache 8%
  • Unpleasant taste 14%
  • Drowsiness 7%
  • Dizziness 1%
  • Nausea 1%
  • Infection 2%
  • Dry mouth 2%
  • Nervousness 2%
  • Low mood disorder 4%
More Lunesta side effects »
  • Headache 1%
  • Sleepiness 4%
  • Dizziness 1%
  • Diarrhea 1%
  • Dry mouth 1%
  • Cold and flu 1%
  • Abnormal dreams 1%
  • Cough 1%
More Belsomra side effects »
How it works
LunestaBelsomra
Lunesta (Eszopiclone) is in a class of drugs called sedative-hypnotics. Researchers don't know exactly how it works, but it interacts with your brain to make you relaxed and sleepy.Belsomra (suvorexant) is a newer, non-benzodiazepine option that reduces wakefulness and help with sleep by inhibiting the orexin receptors in the brain.
Type of medication
LunestaBelsomra
Prescription onlyPrescription only
Available as
LunestaBelsomra
  • Pill
  • Pill
Used for
LunestaBelsomra
Risk factors for serious side effects
LunestaBelsomra
  • Continuous use for 2 weeks or more
  • Alcohol
  • Taking other medicines that make you less alert
  • Less than 7 hours of sleep.
  • Undiagnosed psychiatric conditions
Detailed Lunesta (eszopiclone) risks & warnings »
  • Uncontrolled psychiatric conditions
  • Alcohol
  • Other medicines that make you sleepy or dizzy
  • Taking other medicines that make you less alert
Detailed Belsomra (suvorexant) 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
LunestaBelsomra
  • Avoid alcohol and drugs.
  • Might not be safe if you have a history of drug or alcohol abuse, depression, lung disease, or a condition that affects metabolism.
  • Not safe to take with alcohol or sleeping medications.
Sleep
LunestaBelsomra
  • Lunesta (Eszopiclone) make you feel drowsy and sleepy, leading to falls and severe injuries. This is especially a risk if your older. Falls from sleep medicines like Lunesta (Eszopiclone) have caused severe injuries such as hip fractures and head injury. You may need a lower dose if you're taking other medicine that affects your nervous system or have issues with falls in the past. Check with your doctor first.
  • Only take it if you have time to sleep for at least 7 hours.
  • Can cause headache, drowsiness, and dizziness.
  • Effective at helping people fall asleep faster and sleep longer.
  • If you have COPD or sleep apnea, talk to your doctor first about Belsomra (suvorexant) before starting it. Belsomra (suvorexant) can make it hard to breathe.
  • Only take if you plan to sleep at least 7 hours.
  • May be helpful if other sleep aids don't work.
  • Not recommended if you do not plan to sleep for at least 7 hours.
Upsides and benefits
LunestaBelsomra
  • Effective at helping people fall asleep faster and sleep longer.
  • Not as habit-forming, so you can use it for longer than most other sleep medicines.
  • May be helpful if other sleep aids don't work.
  • Works quickly, especially on an empty stomach.
  • Might be a good option for the elderly.
Downsides and risks
LunestaBelsomra
  • More likely to cause withdrawal symptoms if you stop taking it suddenly.
  • Might not be safe if you have a history of drug or alcohol abuse, depression, lung disease, or a condition that affects metabolism.
  • It's easy to become reliant on sleep medicines. In the long run, it's better to learn good sleeping habits and behavior so that you can sleep better naturally.
  • Not usually used for long-term treatment since it can be habit-forming.
  • Belsomra (suvorexant) is likely expensive since it's only available as a brand name, but coupon savings program could be available.
  • Not recommended if you do not plan to sleep for at least 7 hours.
  • Belsomra (suvorexant) may cause sleep paralysis.
Tips from our pharmacists for people taking the medication
LunestaBelsomra
  • Take 30 to 45 minutes before bedtime.
  • Only take it if you have time to sleep for at least 7 hours.
  • Very addictive. Meant for short-term treatment. Dependence can form after daily use for 2 weeks.
  • Can cause headache, drowsiness, and dizziness.
  • Can cause sleep-walking, sleep-driving, and sleep-eating.
  • Works best if taken without food.
  • Avoid alcohol and drugs.
  • Withdrawal symptoms usually resolve in 1 to 2 nights.
  • Report any confusion or changes in thoughts or behavior.
  • Take Belsomra (suvorexant) 30 minutes before bedtime.
  • Only take if you plan to sleep at least 7 hours.
  • Taking Belsomra (suvorexant) on an empty stomach will quicken the effects.
  • Belsomra (suvorexant) can be addictive and is meant for short-term treatment.
  • Can cause headaches and/or dizziness.
  • Not safe to take with alcohol or sleeping medications.
  • If Belsomra (suvorexant) does not help you sleep after taking it for 10 days, consider talking to your doctor/pharmacist about other potential causes of insominia.
Learn more
More about LunestaSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Lunesta (eszopiclone)?
Worth itNot sureNot worth it
More about BelsomraSide effectsAlternativesFDA package insert
Have you used Belsomra (suvorexant)?
Worth itNot sureNot worth it