Mr. Ibrahem/Suvorexant
Clinical data
Trade namesBelsomra
Other namesMK-4305
AHFS/Drugs.comMonograph
MedlinePlusa614046
License data
Routes of
administration
By mouth
Drug classDual orexin receptor antagonist (DORA)[1]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • US: IV
Pharmacokinetic data
Bioavailability82% (at 10 mg)
Protein binding>99%
Metabolismhepatic, CYP3A, CYP2C19
Elimination half-life~12 hours
ExcretionFeces (66%), urine (23%)
Identifiers
  • [(7R)-4-(5-chloro-1,3-benzoxazol-2-yl)-7-methyl-1,4-diazepan-1-yl][5-methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone
Chemical and physical data
FormulaC23H23ClN6O2
Molar mass450.93 g·mol−1
3D model (JSmol)
  • C[C@@H]1CCN(CCN1C(=O)C2=C(C=CC(=C2)C)N3N=CC=N3)C4=NC5=C(O4)C=CC(=C5)Cl
  • InChI=1S/C23H23ClN6O2/c1-15-3-5-20(30-25-8-9-26-30)18(13-15)22(31)29-12-11-28(10-7-16(29)2)23-27-19-14-17(24)4-6-21(19)32-23/h3-6,8-9,13-14,16H,7,10-12H2,1-2H3/t16-/m1/s1 ☒N
  • Key:JYTNQNCOQXFQPK-MRXNPFEDSA-N ☒N
 ☒NcheckY (what is this?)  (verify)

Suvorexant, sold under the trade name Belsomra, is a medication used to treat trouble sleeping, including trouble falling asleep and staying asleep.[1] It may be effective for at least a year.[1] It is taken by mouth, half an hour before bed.[1]

Common side effects include sleepiness, headache, unusual dreams, cough, and dry mouth.[1] Other side effects include abuse, sleep paralysis, suicide, anxiety, and a decreased ability to drive.[1] Safety in pregnancy and breastfeeding is unclear.[3] It is a dual orexin receptor antagonist (DORA).[1]

Suvorexant was approved for medical use in the United States in 2014,[1] and Canada in 2018.[4] In the United States it costs about 380 USD per month as of 2021.[5] In the United States it is a Schedule IV controlled substance.[6]

References edit

  1. ^ a b c d e f g h i j k "Suvorexant Monograph for Professionals". Drugs.com. Archived from the original on 7 March 2016. Retrieved 15 October 2021.
  2. ^ "Suvorexant (Belsomra) Use During Pregnancy". Drugs.com. 9 September 2019. Archived from the original on 24 January 2021. Retrieved 30 January 2020.
  3. ^ "Suvorexant (Belsomra) Use During Pregnancy". Drugs.com. Archived from the original on 24 January 2021. Retrieved 15 October 2021.
  4. ^ "Regulatory Decision Summary - Belsomra - Health Canada". hpr-rps.hres.ca. Government of Canada. Archived from the original on 6 July 2020. Retrieved 6 February 2020.
  5. ^ "Suvorexant Prices, Coupons & Savings Tips - GoodRx". GoodRx. Retrieved 15 October 2021.
  6. ^ "Rules - 2014 - Final Rule: Placement of Suvorexant into Schedule IV". www.deadiversion.usdoj.gov. Archived from the original on 2016-04-17. Retrieved 2016-04-03.