Suvorexant: a promising, novel treatment for insomnia

Joyce K Lee-Iannotti,1 James M Parish2 1Division of Neurology, Sleep Disorders Center, Banner University Medical Center, Phoenix, AZ, USA; 2Division of Pulmonary Medicine, Center for Sleep Medicine, Mayo Clinic, Phoenix, AZ, USA Abstract: Suvorexant a novel, orexin receptor antagonist was recently...

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Main Authors: Lee-Iannotti J, Parish J
Format: Article
Language:English
Published: Dove Medical Press 2016-02-01
Series:Neuropsychiatric Disease and Treatment
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Online Access:https://www.dovepress.com/suvorexant-a-promising-novel-treatment-for-insomnia-peer-reviewed-fulltext-article-NDT
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author Lee-Iannotti J
Parish J
author_facet Lee-Iannotti J
Parish J
author_sort Lee-Iannotti J
collection DOAJ
description Joyce K Lee-Iannotti,1 James M Parish2 1Division of Neurology, Sleep Disorders Center, Banner University Medical Center, Phoenix, AZ, USA; 2Division of Pulmonary Medicine, Center for Sleep Medicine, Mayo Clinic, Phoenix, AZ, USA Abstract: Suvorexant a novel, orexin receptor antagonist was recently approved by the US Food and Drug Administration for the treatment of sleep onset and sleep maintenance insomnia in August 2014. Multiple animal and human studies support the efficacy, safety, and tolerability of suvorexant for patients of various profiles. Current recommendations advocate for a starting dose of 10 mg and a maximum dose of 20 mg, with cautious use in women, obese patients, and patients taking other CYP3A4 inhibitors. More head-to-head studies comparing suvorexant to other sedative-hypnotic therapies are needed to further delineate which patients will benefit the most from this medication over others. Keywords: insomnia, orexin-receptor antagonist, CYP3A4, benzodiazepan receptor antagonist, MK-4305 
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spelling doaj-art-8c332469d6794605b7cdef120e75dc2d2025-08-20T03:30:03ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-02-01Volume 12Issue 149149525738Suvorexant: a promising, novel treatment for insomniaLee-Iannotti J0Parish J1Department of NeurologySleep Disorders CenterJoyce K Lee-Iannotti,1 James M Parish2 1Division of Neurology, Sleep Disorders Center, Banner University Medical Center, Phoenix, AZ, USA; 2Division of Pulmonary Medicine, Center for Sleep Medicine, Mayo Clinic, Phoenix, AZ, USA Abstract: Suvorexant a novel, orexin receptor antagonist was recently approved by the US Food and Drug Administration for the treatment of sleep onset and sleep maintenance insomnia in August 2014. Multiple animal and human studies support the efficacy, safety, and tolerability of suvorexant for patients of various profiles. Current recommendations advocate for a starting dose of 10 mg and a maximum dose of 20 mg, with cautious use in women, obese patients, and patients taking other CYP3A4 inhibitors. More head-to-head studies comparing suvorexant to other sedative-hypnotic therapies are needed to further delineate which patients will benefit the most from this medication over others. Keywords: insomnia, orexin-receptor antagonist, CYP3A4, benzodiazepan receptor antagonist, MK-4305 https://www.dovepress.com/suvorexant-a-promising-novel-treatment-for-insomnia-peer-reviewed-fulltext-article-NDTSuvorexantBelsomraMK-305insomniaorexin
spellingShingle Lee-Iannotti J
Parish J
Suvorexant: a promising, novel treatment for insomnia
Neuropsychiatric Disease and Treatment
Suvorexant
Belsomra
MK-305
insomnia
orexin
title Suvorexant: a promising, novel treatment for insomnia
title_full Suvorexant: a promising, novel treatment for insomnia
title_fullStr Suvorexant: a promising, novel treatment for insomnia
title_full_unstemmed Suvorexant: a promising, novel treatment for insomnia
title_short Suvorexant: a promising, novel treatment for insomnia
title_sort suvorexant a promising novel treatment for insomnia
topic Suvorexant
Belsomra
MK-305
insomnia
orexin
url https://www.dovepress.com/suvorexant-a-promising-novel-treatment-for-insomnia-peer-reviewed-fulltext-article-NDT
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