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At a glance

Suvorexant is an orexin receptor antagonist used for the treatment of insomnia, particularly difficulty with sleep onset and/or sleep maintenance. It works by blocking the action of wake-promoting neuropeptides orexin.

Indications
  • Insomnia (difficulty with sleep onset and/or sleep maintenance)
Pharmacology

Suvorexant selectively antagonizes orexin receptors OX1R and OX2R. The orexin neuropeptide signaling system is a central promoter of wakefulness. Receptor blockade suppresses wake drive, making it easier to initiate and maintain sleep.

Dosage

Adult Dose (Oral):

  • Recommended: 10 mg once nightly (30 minutes before bedtime)
  • At least 7 hours remaining before planned awakening
  • If tolerated but not effective, dose may be increased to 20 mg
  • Use the lowest effective dose
Side effects

Common Side Effects:

  • Daytime sleepiness
  • Not thinking clearly
  • Strange behavior, confusion, or upset
  • Sleep-walking or complex behaviors
Use in pregnancy

Use in Pregnancy: No adequate controlled studies; use only if clearly needed; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Risk of daytime somnolence (especially at 20 mg dose); avoid driving
  • Re-evaluate if insomnia persists after 7-10 days of treatment
  • Depression or suicidal thinking may worsen
  • Risk increases with alcohol and CNS depressants
Overdose effects

No specific overdose information; provide symptomatic and supportive treatment.

Storage conditions

Store in a cool and dry place, protected from light; keep out of reach of children.

Suvorexant — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.