Quviviq

— THERAPEUTIC CATEGORIES —
  • Sleep-wake disorders

Quviviq Generic Name & Formulations

General Description

Daridorexant 25mg, 50mg; tabs.

Pharmacological Class

Orexin receptor antagonist.

How Supplied

Tabs—30

Generic Availability

NO

Quviviq Indications

Indications

Treatment of insomnia characterized by difficulties with sleep onset and/or sleep maintenance.

Quviviq Dosage and Administration

Adult

Take within 30mins of bedtime (with ≥7hrs remaining prior to planned awakening). 25–50mg once per night. Concomitant moderate CYP3A4 inhibitors or moderate hepatic impairment (Child-Pugh score 7–9): max 25mg once per night. Effect may be delayed if taken with or soon after a meal.

Children

Not established.

Quviviq Contraindications

Contraindications

Narcolepsy.

Quviviq Boxed Warnings

Not Applicable

Quviviq Warnings/Precautions

Warnings/Precautions

CNS depression. Daytime impairment (including impaired driving w. 50mg dose). Monitor for somnolence. Discontinue immediately if complex sleep behaviors develop. Compromised respiratory function (eg, severe COPD [FEV1 <40% of predicted], moderate obstructive sleep apnea [OSA] requiring CPAP, or severe OSA). Suicidal ideation or behavior. Depression. Monitor for worsening insomnia or new cognitive/behavioral abnormalities. Reevaluate if unresponsive after 7–10 days of treatment. Drug or alcohol abusers. Severe hepatic impairment: not recommended. Elderly. Pregnancy. Nursing mothers.

Quviviq Pharmacokinetics

See Literature

Quviviq Interactions

Interactions

Avoid alcohol. Potentiates CNS depression with other CNS depressants (eg, benzodiazepines, opioids, tricyclic antidepressants, alcohol); may need to adjust doses. Concomitant strong CYP3A4 inhibitors (eg, itraconazole), other drugs to treat insomnia: not recommended. Concomitant moderate CYP3A4 inhibitors (eg, diltiazem): reduce dose (see Adult). Antagonized by strong or moderate CYP3A4 inducers (eg, rifampin, efavirenz); avoid.

Quviviq Adverse Reactions

Adverse Reactions

Headache, somnolence, fatigue; complex sleep behaviors (eg, sleep-walking, sleep-driving), sleep paralysis, hypnagogic/hypnopompic hallucinations, cataplexy-like symptoms.

Quviviq Clinical Trials

See Literature

Quviviq Note

Not Applicable

Quviviq Patient Counseling

See Literature

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