Suvorexant

Alternative Names: Belsomra

Suvorexant is a prescription medication used for insomnia, particularly for both difficulty falling asleep and staying asleep. It is an orexin receptor antagonist that works by blocking wake-promoting signals in the brain, helping facilitate the natural transition to sleep.

It has a relatively longer duration of action, which can improve sleep maintenance, though some patients may experience next-day drowsiness. It is generally well tolerated, with side effects including fatigue, dizziness, and rare sleep-related behaviors. Compared to traditional sedatives, it has a lower risk of dependence, but it is still used cautiously and typically after or alongside CBT-I.

Treatment Type: N/A

Treatment Class: Other

Treatment Modality: Oral

Review Summary

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Breakdown by Category

Each categories are rated on a 1–5 scale, with 5 being the most favorable outcome and 1 being the least. These scores are averaged across all user reviews to provide a clear sense of how this treatment typically performs in each area.

Cost
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1 = Very Expensive 5 = Very Affordable

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Very Expensive
Relief Speed
0
1 = No Relief 5 = Immediate Relief

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No Relief
Side Effects
0
1 = Intolerable Effect 5 = No Effect

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Intolerable Effect
Treatment Line
0
1 = Third-line or more 5 = First-line

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Third-line or more

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Reviews

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Cost
Very Expensive
$1000+
Expensive
$501 to $1000
Moderate Cost
$101 to $500
Affordable
$25 to $100
Very Affordable
$25
Relief Speed
No Relief
No noticeable improvement
Slow Relief
Several days to weeks
Moderate Relief
Within 1 - 3 days
Fast Relief
Within hours
Immediate Relief
Within minutes
Side Effect
Intolerable Side Effect
Caused treatment to stop or required hospitalization
Severe Side Effect
Difficult to tolerate, may require intervention
Moderate Side Effect
Noticeable, but manageable
Mild Side Effect
Minor, not bothersome
No Side Effect
Without any adverse effects
Treatment Line
Third-line or more
Used after second-line failed or multiple prior treatment
Second-line
Used after first-line treatment failed or was unsuitable
First-line
First treatment tried

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