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CC BY-NC-ND 4.0 · Sleep Sci 2023; 16(02): 256-264
DOI: 10.1055/s-0043-1770805
Overview Article

Daridorexant, a Recently Approved Dual Orexin Receptor Antagonists (DORA) in Treatment of Insomnia

Dwaipayan Sarathi Chakraborty
1   Department of Cardiology & Critical Care Medicine, Belle Vue Clinic, Kolkata, West Bengal, India
,
Shouvik Choudhury
2   Burdwan Medical College, Pharmacology, Burdwan, West Bengal, India
,
Sandeep Lahiry
3   Independent Research Scholar, Barasat, Kolkata, West Bengal, India
› Institutsangaben Funding Not applicable
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Abstract

Insomnia is one of the major challenges in medical science nowadays as it leads to great socio-economic burden by impairing daytime function as well as the development of exhaustion, depression, and memory disturbance in affected individuals. Several important classes of drugs have been tried, including the BZDs and non-BZD hypnotics. Available drugs to combat this disease have the limitations of abuse potential, tolerance, and cognitive impairment. In some instances, withdrawal symptoms have been observed upon the abrupt cessation of those drugs. The Orexin system has been very recently targeted as a therapeutic option to overcome those limitations. Treatment of insomnia with Daridorexant as a Dual Orexin Receptor Antagonist (DORA) has been evaluated in several preclinical and clinical studies. Available information obtained from those studies has shown a promising future for this drug in the management of insomnia. Beyond its effectiveness in insomnia, it has been successfully used in patients suffering from obstructive sleep apnoea, chronic obstructed airway disease (COAD), Alzheimer's disease (AD), hypertension, and cardiovascular disorders. Larger studies need to address the safety issues as well as obtain robust pharmacovigilance information to safeguard the risk-benefit aspect of this drug in insomniac adults.

Keywords

Insomnia - Daytime - Orexin - Tolerance - Withdrawal - Hypnotics

Consent for Publication

Not applicable


Authors' Contributions

We all have equally contributed in planning, formatting and preparing the manuscript




Publikationsverlauf

Artikel online veröffentlicht:
06. Juli 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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