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Suvorexant

Brand names: Belsomra

Suvorexant (Belsomra) helps you fall and stay asleep by blocking a brain chemical that keeps you awake.

Brand namesBelsomra
Type of medicineOrexin blocker (sleep medicine)
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

It's a controlled substance with lower misuse risk than many sleep medicines.

What it's used for

  • Insomnia

How to take it

  • Take within 30 minutes of bed, only if you can stay in bed at least 7 hours.
  • It may work more slowly after a meal.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Next-day drowsiness
  • Headache
  • Abnormal dreams
Call 911Sleep-driving or other activities you don't remember
Call your provider todayBrief inability to move or talk when falling asleep or waking (sleep paralysis)
Call 911Thoughts of suicide or harming yourself. Call or text 988 any time.

Warnings

  • Not for people with narcolepsy.
  • Don't drive the next day if you feel drowsy.

Other medicines, foods, and alcohol

  • Alcohol and sedating medicines add to drowsiness.
  • Strong CYP3A blockers like ketoconazole raise its level.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Talk with your provider.

Missed doses, overdose, and storage

If you miss a dose

Only take it at bedtime. If you forget, skip it that night.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.