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lemborexant

Orexin Receptor Antagonist · Hypnotic

Orexin Receptor AntagonistHypnotic
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AlfentanilSevereDatabaseDDInter
  • AmiodaroneSevereDatabaseDDInter
  • AmlodipineSevereDatabaseDDInter
  • AmprenavirSevereDatabaseDDInter

Mechanism

Lemborexant is another orexin 1/2 receptor antagonist, which promotes sleep by antagonizing wakefulness-promoting orexin signaling.

Indications

Insomnia

Dosing

Adult
Doses ranging from 2.5 to 10 mg

Pharmacokinetics

Half-life
17 to 19 h

Side effects

Common
Somnolence (especially at higher doses)Morning sedation
Serious
  • Hypnagogic hallucinations
  • Sleep paralysis

Drug interactions

Alfentanil
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amiodarone
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Amlodipine
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Amprenavir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Aprepitant
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Atazanavir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Benzhydrocodone
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Berotralstat
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Bicalutamide
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Boceprevir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Buprenorphine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Butorphanol
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Other Orexin Receptor Antagonist drugs

Ask House about lemborexant

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Sources: Goodman & Gilman 14e, Harrison 22e·Verified: 2026-05-10 · House clinical team