Hypnotic (Orexin antagonist)

  • hypnotic
  • deepen sleep
  • hypnotic safe elderly

Dosing

5mg 1 qhs prn insomnia (do not take within 30min of eating) (max 10mg/night)

Management

Improves next-day cognition. No known abuse/dependence. Studied in elderly with safe results, no fall risk. Blocks oxerin (involved in wakefullness). Interactions may be possible (e.g. diltiazem) through CYP3A.

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