A Comprehensive Review of Lemborexant to Treat Insomnia

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Purpose of Review: This is a comprehensive review of the literature regarding Lemborexant for the treatment of insomnia. It covers the background and management of insomnia and then reviews the body of existing evidence evaluating the use of Lemborexant for this purpose.

Recent Findings: Insomnia leads to significant decreased in quality of life and economic burden due to decreased workplace performance and increased health care costs. Insomnia manifests as a single common pathway of hyperarousal due to a highly complex network of interactions between activation of the sympathetic system and the endocrine system. Lemborexant is a dual orexin 1/2 antagonist that blocks cortical arousal and promotes sleep state transition. Lemborexant was approved by the FDA in 2019 for use in insomnia. It belongs to a class of orexin neuropeptide inhibitors that is growing in popular clinical application.

Summary: Insomnia is a crippling disorder of the sleep wake cycle that drives significant morbidity and mortality in the United States. It carries a high societal and economic toll due to direct and indirect effects to the healthcare system. Lemborexant is a new addition to the orexin antagonist class of drugs that already includes Almorexant and Suvorexant that has superior pharmacokinetic properties. While Lemborexant does have a mild side effect profile, its clinical safety and efficacy make it a promising insomnia drug of the future.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Psychopharmacology bulletin - 54(2024), 1 vom: 04. März, Seite 43-64

Sprache:

Englisch

Beteiligte Personen:

Fuller, Mitchell C [VerfasserIn]
Carlson, Samuel F [VerfasserIn]
Grant, Chris [VerfasserIn]
Berry, Vince [VerfasserIn]
Ivancich, Marko [VerfasserIn]
Cornett, Elyse M [VerfasserIn]
Kaye, Adam M [VerfasserIn]
Viswanath, Omar [VerfasserIn]
Urits, Ivan [VerfasserIn]
Shekoohi, Sahar [VerfasserIn]
Kaye, Alan D [VerfasserIn]

Themen:

0K5743G68X
Efficacy
Insomnia
Journal Article
Lemborexant
OX1/OX2 receptor
Orexin
Orexins
Pyridines
Pyrimidines
Review
Safety
Sleep

Anmerkungen:

Date Completed 08.03.2024

Date Revised 08.03.2024

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36939240X