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Restoril (Temazepam): Uses, Dosage, Side Effects, Warnings & FAQ

Restoril (RES-tor-il)

Restoril® (temazepam) is a prescription benzodiazepine medication used for the short-term treatment of insomnia (difficulty falling asleep or staying asleep). It works by slowing activity in the brain, helping people fall asleep faster and sleep longer. Because Restoril can cause dependence, misuse, and serious sedation, it should only be used exactly as prescribed and typically for short periods.

Pronunciation

Restoril – RES-tor-il

Generic Name

Temazepam

Brand Names

Restoril®
Generic temazepam

Dosage Forms

Restoril is available as:

Oral capsules

Common strengths include:

7.5 mg
15 mg
22.5 mg
30 mg

Availability may vary by country.

Drug Class

Benzodiazepine
Sedative-hypnotic
Central nervous system (CNS) depressant

What Is Restoril?

Restoril is a prescription medication used to treat short-term insomnia. It helps improve sleep by enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that reduces brain activity and promotes relaxation.

It is generally recommended for short-term use, often for 7 to 10 days, while the cause of insomnia is evaluated and addressed.

What Is Restoril FDA-Approved For?

Restoril is FDA-approved for:

Short-term treatment of insomnia characterized by difficulty falling asleep, frequent nighttime awakenings, or early morning awakening.

How Does Restoril Work?

Temazepam increases the effects of GABA, an inhibitory neurotransmitter in the brain. This slows nerve activity, helping to:

Fall asleep faster
Stay asleep longer
Improve overall sleep quality

Important Information

Before taking Restoril:

Take only exactly as prescribed.
Use it only when you can remain in bed for a full night’s sleep (about 7–8 hours).
Avoid alcohol.
Never share your medication.
Do not increase your dose without medical advice.

Boxed Warning

Restoril carries FDA boxed warnings regarding:

Risks of abuse, misuse, and addiction
Physical dependence and withdrawal reactions
Serious risks when combined with opioids, including profound sedation, respiratory depression, coma, and death

Warnings

Restoril may cause:

Sleepwalking or other complex sleep behaviors (such as sleep-driving or preparing food while not fully awake)
Daytime drowsiness
Memory impairment
Falls, particularly in older adults
Respiratory depression when combined with other CNS depressants

Seek medical advice immediately if unusual sleep behaviors occur.

Before Taking This Medicine

Tell your healthcare provider if you have:

Depression
Anxiety disorders
Sleep apnea
COPD or other breathing problems
Liver disease
Kidney disease
History of substance misuse
Pregnancy
Breastfeeding

Also provide a complete list of prescription medicines, over-the-counter products, vitamins, and herbal supplements.

How Should I Take Restoril?

Take Restoril exactly as prescribed.

General recommendations:

Take immediately before bedtime.
Only take it when you can sleep for at least 7–8 hours.
Swallow the capsule whole with water.
Do not take additional doses during the same night.

Dosing Information

Typical adult doses:

7.5 mg
15 mg
22.5 mg
30 mg

Healthcare providers usually prescribe the lowest effective dose for the shortest appropriate duration.

Older adults often require lower doses because they are more sensitive to sedative effects.

What Happens If I Miss a Dose?

Because Restoril is generally taken at bedtime as needed:

Skip the missed dose if you cannot get a full night’s sleep.
Never take an extra dose the next morning.

What Happens If I Overdose?

A Restoril overdose is a medical emergency.

Symptoms may include:

Extreme drowsiness
Confusion
Slurred speech
Poor coordination
Slow breathing
Loss of consciousness
Coma

Seek emergency medical attention immediately.

What Should I Avoid While Taking Restoril?

Avoid:

Alcohol
Opioid medications unless specifically prescribed together
Sleeping pills or sedatives without medical advice
Driving or operating heavy machinery the next morning if you still feel sleepy

Restoril Side Effects

Common Side Effects

Drowsiness
Dizziness
Headache
Fatigue
Dry mouth
Weakness
Nausea

Serious Side Effects

Seek emergency medical attention if you develop:

Difficulty breathing
Severe allergic reaction
Sleep-driving or other complex sleep behaviors
Hallucinations
Severe mood changes
Suicidal thoughts
Loss of consciousness

What Other Drugs Will Affect Restoril?

Drug interactions may occur with:

Opioids
Other benzodiazepines
Sleeping medications
Alcohol
Muscle relaxants
Certain antidepressants
Antipsychotic medications
Sedating antihistamines

Combining multiple CNS depressants increases the risk of dangerous sedation and respiratory depression.

Storage

Store Restoril:

At room temperature
Away from heat and moisture
In a secure location
Out of reach of children and pets

Because Restoril is a controlled substance, store it securely to reduce the risk of misuse.

Frequently Asked Questions

What Is Restoril Used For?

Restoril is used for the short-term treatment of insomnia, particularly when people have trouble falling asleep or staying asleep.

Is Restoril a Controlled Substance?

Yes.

Restoril (temazepam) is classified as a Schedule IV controlled substance in the United States because it has a recognized potential for misuse, dependence, and abuse.

Is Restoril a Narcotic?

No.

Restoril is not a narcotic or opioid. It is a benzodiazepine.

How Long Does Restoril Take to Work?

Most people begin feeling sleepy within 30 to 60 minutes after taking Restoril.

How Long Does Restoril Stay in Your System?

Temazepam has an elimination half-life of approximately 8 to 20 hours, depending on the individual.

It may remain detectable for:

Urine: up to several days
Blood: about 1–2 days
Saliva: about 1–2 days
Hair: up to 90 days

Detection times vary among individuals.

Can You Stop Restoril Cold Turkey?

No.

Stopping Restoril suddenly after regular use may cause withdrawal symptoms, including anxiety, insomnia, tremors, and in severe cases, seizures. Your healthcare provider can recommend a gradual taper if discontinuation is appropriate.

Does Restoril Make You Sleepy the Next Day?

It can.

Some people experience:

Morning drowsiness
Slowed reaction time
Reduced concentration

These effects may be more noticeable in older adults or after higher doses.

Can Restoril Be Taken Every Night?

Restoril is generally intended for short-term use. Long-term nightly use may increase the risk of tolerance, dependence, and withdrawal. Ongoing sleep problems should be discussed with a healthcare provider.

Does Restoril Cause Weight Gain?

Weight gain is not considered a common side effect of Restoril. However, changes in appetite or weight can occur for various reasons and should be discussed with a healthcare provider if they become concerning.

Can You Drink Alcohol While Taking Restoril?

No.

Combining alcohol with Restoril significantly increases the risk of excessive sedation, breathing problems, accidents, overdose, and death.

Does Restoril Help Anxiety?

Restoril is approved for insomnia, not for the long-term treatment of anxiety disorders. While benzodiazepines may have anxiolytic effects, treatment decisions depend on the specific condition and should be guided by a healthcare provider.

What Are the Strongest Sleeping Pills?

There is no single “strongest” sleeping pill that is appropriate for everyone. Prescription sleep medications include several different classes, such as:

Benzodiazepines (for example, temazepam)
Non-benzodiazepine “Z-drugs” (such as zolpidem, eszopiclone, and zaleplon)
Dual orexin receptor antagonists (such as suvorexant, lemborexant, and daridorexant)
Melatonin receptor agonists (such as ramelteon)

The best choice depends on the cause of insomnia, a person’s age, medical conditions, other medications, and the balance of benefits and risks. A healthcare provider can help determine the most appropriate treatment.

Restoril vs. Ambien – What’s the Difference?

Restoril

Generic name: Temazepam
Benzodiazepine
Used for short-term insomnia
Higher risk of physical dependence with prolonged use

Ambien

Generic name: Zolpidem
Non-benzodiazepine sedative-hypnotic (“Z-drug”)
Also used for insomnia
Different mechanism of action but similar goal of improving sleep

Both medications can cause next-day drowsiness and complex sleep behaviors.

Restoril vs. Xanax

Although both belong to the benzodiazepine class:

Restoril

Primarily prescribed for insomnia
Taken at bedtime

Xanax (alprazolam)

Primarily prescribed for anxiety and panic disorder
Usually taken during the day in divided doses

Does Restoril Cause Memory Problems?

Yes.

Restoril may cause:

Short-term memory impairment
Difficulty concentrating
Reduced alertness

These effects are more likely at higher doses or when combined with alcohol or other sedatives.

Can Restoril Cause Sleepwalking?

Yes.

Rarely, Restoril may cause complex sleep behaviors such as:

Sleepwalking
Sleep-driving
Preparing or eating food while not fully awake
Making phone calls while asleep

Stop the medication and contact your healthcare provider immediately if these occur.

Is Restoril Addictive?

Restoril has the potential to cause misuse, physical dependence, and addiction, especially with prolonged use or higher-than-prescribed doses. Using it exactly as directed helps reduce these risks.

Can Older Adults Take Restoril?

Older adults may be more sensitive to the sedative effects of Restoril and may have an increased risk of falls, confusion, and daytime drowsiness. Healthcare providers often prescribe lower doses or consider alternative treatments in this population.

Can Restoril Be Taken With Food?

Yes.

Restoril may be taken with or without food. However, taking it immediately after a heavy meal may delay the onset of its effects in some people.

How Can I Improve My Sleep Without Medication?

Good sleep habits can improve insomnia and may reduce the need for medication in some people. Helpful strategies include:

Keeping a consistent sleep schedule
Limiting caffeine later in the day
Avoiding alcohol before bedtime
Reducing screen time before sleep
Creating a quiet, dark, and comfortable sleep environment
Discussing persistent insomnia with a healthcare provider to identify and treat underlying causes

Final Thoughts

Restoril (temazepam) is a benzodiazepine used for the short-term treatment of insomnia, helping people fall asleep faster and stay asleep longer. While it can be highly effective when used appropriately, it also carries important risks, including daytime drowsiness, complex sleep behaviors, dependence, and withdrawal if stopped abruptly after regular use. Taking Restoril exactly as prescribed, avoiding alcohol and other sedating medications unless approved by your healthcare provider, practicing good sleep hygiene, and using the medication for the shortest appropriate duration can help maximize its benefits while minimizing potential risks.