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daridorexant; nemorexant (Quviviq)

Indications: - insomnia [1] including insomnia in elderly [2] * comorbidities that interfere with sleep such as obstructive sleep apnea, restless legs syndrome, excessive caffeine use, & prolonged daytime naps have not been studied Dosage: 5, 10, 25, or 50 mg Adverse effects: - headache, somnolence, diarrhea, & fatigue Mechanism of action: - orexin receptor antagonist

Interactions

drug adverse effects of psychotropic agents

General

sedative/hypnotic (tranquilizer)

Database Correlations

PUBCHEM correlations

References

  1. Dauvilliers Y, Zammit G, Fietze I et al. Daridorexant, a new dual orexin receptor antagonist to treat insomnia disorder. Ann Neurol 2020 Mar; 87:347. PMID: 31953863 https://onlinelibrary.wiley.com/doi/full/10.1002/ana.25680
  2. Zammit G, Dauvilliers Y, Pain S, et al. Daridorexant, a new dual orexin receptor antagonist, in elderly subjects with insomnia disorder. Neurology 2020 May 26; 94:e2222 PMID: 32341187 https://n.neurology.org/content/94/21/e2222
  3. Greb E FDA OKs New Adult Insomnia Med. Medscape. January 10, 2022 https://www.medscape.com/viewarticle/966295
  4. Mignot E, Mayleben D, Fietze I et al Safety and efficacy of daridorexant in patients with insomnia disorder: results from two multicentre, randomised, double-blind, placebo-controlled, phase 3 trials. Lancet Neurology. 2022. Volume 21, ISSUE 2, P125-139, Feb 1. PMID: 35065036 https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(21)00436-1/fulltext