Zolpidem vs Melatonin

Prescription sleep medication versus natural sleep hormone for insomnia

ZolpidemPharmaceutical

Brands: Ambien

Drug Class

Sedative-Hypnotic

Effectiveness Rating

4/10

Safety Rating

3/10

Mechanism of Action

Selectively binds to GABA-A receptors to induce sleep

Common Uses

  • Short-term insomnia treatment
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MelatoninNatural

Endogenous hormone

Research Quality

strong

Effectiveness Rating

4/10

Safety Rating

4/10

Active Compounds

N-acetyl-5-methoxytryptamine

Modern Uses

  • Insomnia
  • Sleep disorders
  • Jet lag
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Effectiveness Comparison

Zolpidem more effective for severe insomnia and sleep initiation. Melatonin best for circadian-related sleep issues and provides modest sleep benefits.

Safety Comparison

Zolpidem has dependence risk and unusual side effects (sleep-walking, etc). Melatonin very safe with minimal side effects.

Cost Comparison

Melatonin extremely affordable OTC. Zolpidem expensive and requires prescription and doctor visits.

Convenience Comparison

Zolpidem requires prescription but works first night. Melatonin available OTC and ideal for travel or shift work.

Research & Evidence

Both well-researched. Zolpidem proven for insomnia. Melatonin strongest evidence for jet lag and circadian disorders.

Expert Recommendation

Use zolpidem for severe insomnia when natural methods fail, short-term only. Choose melatonin for jet lag, circadian rhythm issues, mild insomnia, or long-term use.

⚠️ Medical Disclaimer

This comparison is for informational purposes only. Always consult with a qualified healthcare provider before making decisions about medications or supplements.