Call 866-521-4950
Home › Medications › Lunesta and Sonata Addiction: Risks and Treatment

Lunesta and Sonata Addiction: Risks and Treatment

How these Z-drug sleeping pills lead to dependence, and how people get off them safely.

Lunesta and Sonata Addiction: Risks and TreatmentPrescription Drug Addiction Treatment

Lunesta (eszopiclone) and Sonata (zaleplon) are Schedule IV sleeping pills that can be habit-forming, especially at high doses, with long-term use, or for people with a past drug or alcohol problem. Dependence can build quietly over weeks or months. The good news is that a slow, supervised taper and treatment for the underlying sleep problem help most people get off them safely.

What Lunesta and Sonata Are

Lunesta and Sonata belong to the same group of sleep medicines as Ambien, often called "Z-drugs." They are not benzodiazepines, but they act on the brain in a similar calming way. The Lunesta label notes that eszopiclone, zaleplon and zolpidem share the same Schedule IV classification as benzodiazepines under federal law.

  • Lunesta (eszopiclone) helps people fall asleep and stay asleep. It is meant to be taken only when you can stay in bed for a full 7 to 8 hours.
  • Sonata (zaleplon) works quickly and wears off fast. MedlinePlus describes it as a short-term treatment, with sleep usually improving within 7 to 10 days.

If you or a family member also uses Ambien, our guide to Ambien addiction covers the closest cousin of these drugs.

Is Lunesta or Sonata Habit-Forming?

Yes. MedlinePlus states directly that zaleplon can be habit-forming, and both drugs are controlled substances with refill limits. The Lunesta label reports that in people with a history of sedative misuse, high doses of eszopiclone produced euphoria similar to diazepam. The label also says the risk of abuse and dependence rises with dose, length of use, use of other mind-altering drugs, and a history of alcohol, drug or psychiatric problems.

Many people never set out to misuse a sleeping pill. A common path looks like this: the pill stops working as well, so the person takes a second one, then starts taking it earlier in the evening, then cannot sleep at all without it. For more on this pattern, see Is Lunesta Addictive?

Serious Risks to Know About

Complex sleep behaviors

The FDA added a boxed warning, its strongest kind, to Lunesta, Sonata and Ambien after reports of people sleepwalking, sleep-driving, cooking, eating and making phone calls while not fully awake. These episodes have caused falls, burns, drowning, car crashes and deaths, and they can happen after a single dose. People usually do not remember them. If this happens, the FDA says to stop the medicine and contact a health care professional right away.

Next-day impairment

The Lunesta label warns that it can impair driving and alertness the next day, even at prescribed doses and even when you feel fine. The risk grows if you take more than prescribed, take it without a full night left to sleep, or combine it with other sedatives.

Alcohol and other sedatives

Alcohol adds to the sedating effects of these drugs. The FDA advises against drinking before taking them, and the Lunesta label says not to take it on any evening you drank alcohol. Mixing sleeping pills with opioids, benzodiazepines or other sedatives is dangerous and can slow breathing. If someone is very hard to wake, has slow or troubled breathing, or collapses, call 911.

Mood changes

The label also warns about worsening depression, including suicidal thoughts, in people who are already depressed. If you or someone you love is in crisis, call or text 988.

Warning Signs of Lunesta or Sonata Addiction

  • Taking more pills than prescribed or taking them more often
  • Using them during the day or to calm down rather than to sleep
  • Running out early, using more than one prescriber, or buying pills without a prescription
  • Feeling unable to sleep at all without the drug
  • Memory gaps, confusion or strange nighttime behavior you do not recall
  • Mixing the pills with alcohol or other sedatives
  • Anxiety, shakiness or sweating when a dose is late

Our page on signs of sleeping pill addiction goes deeper on what families often notice first.

Not sure where to start?

Talk with an independent helpline about detox and rehab options and what your insurance covers. Available 24/7.

Call 866-521-4950

How to Stop Lunesta or Sonata Safely

Do not stop these drugs suddenly after long-term or high-dose use without talking to a doctor. MedlinePlus lists withdrawal symptoms after abrupt stopping that include anxiety, unusual dreams, stomach and muscle cramps, nausea, vomiting, sweating, shakiness and, rarely, seizures. The Lunesta label says rapid dose cuts can cause symptoms like those seen with other sedative drugs.

Two different things can happen when you stop:

Rebound insomniaWithdrawal
What it isSleep temporarily gets worse than beforePhysical and emotional symptoms as the body adjusts
Typical courseUsually a night or two, according to MedlinePlus and the Lunesta labelVaries with dose and how long the drug was used
SignsTrouble falling or staying asleepAnxiety, sweating, shakiness, cramps, nausea; rarely seizures

Your prescriber sets the taper schedule and adjusts it based on how you feel. Do not change your dose on your own. For a closer look at symptoms, see Lunesta withdrawal and our overview of sleeping pill withdrawal.

Treatment Options

NIDA's guidance on sedative and sleep drug addiction is clear: people should not quit on their own when they are dependent, and a medically supervised taper is the safer route, often paired with counseling. NIDA notes there are no FDA-approved medications for this type of addiction, so care focuses on safe tapering and therapy.

Medical detox

In sleeping pill detox, a medical team lowers the dose over time, watches for seizures and severe anxiety, and treats symptoms. This matters most for people on high doses, people mixing sleeping pills with alcohol or other sedatives, and anyone with a history of seizures.

Therapy and fixing the sleep problem

Cognitive behavioral therapy helps people change the habits and thinking that keep them reliant on pills. Programs also look at what caused the insomnia in the first place, such as anxiety, depression, pain or alcohol use. When more than one substance is involved, NIDA advises treating all of them together.

Levels of care

  • Outpatient: regular visits while you taper at home with your prescriber
  • Intensive outpatient or partial hospitalization: several sessions a week for more support
  • Residential: live-in care for heavy use, mixed drug use or repeated relapse

Finding Help Near You

Our sleeping pill rehab directory lists programs that treat Lunesta, Sonata and Ambien dependence. You can search by state, for example Florida or Texas, or by city, such as sleeping pill rehab in Chicago. To check what your health plan may pay for, see our insurance guides. SAMHSA also offers a free, confidential national helpline, open around the clock, for treatment referrals.

Sources

Talk to someone today

Free, confidential help finding treatment. Independent helpline, 24/7.

Call 866-521-4950

Related guides

Find treatment

Ambien & Sleeping Pill Rehab by stateAmbien & Sleeping Pill Detox by state

Call 866-521-4950Free, confidential helpline