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

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, inclu...

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Main Authors: Dwaipayan Sarathi Chakraborty, Shouvik Choudhury, Sandeep Lahiry
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2023-06-01
Series:Sleep Science
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770805
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author Dwaipayan Sarathi Chakraborty
Shouvik Choudhury
Sandeep Lahiry
author_facet Dwaipayan Sarathi Chakraborty
Shouvik Choudhury
Sandeep Lahiry
author_sort Dwaipayan Sarathi Chakraborty
collection DOAJ
description 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.
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spelling doaj.art-5b48a7d33a7c43b19ced8ca2bf99d0e42024-10-24T07:47:38ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-00632023-06-01160225626410.1055/s-0043-1770805Daridorexant, a Recently Approved Dual Orexin Receptor Antagonists (DORA) in Treatment of InsomniaDwaipayan Sarathi Chakraborty0Shouvik Choudhury1Sandeep Lahiry2Department of Cardiology & Critical Care Medicine, Belle Vue Clinic, Kolkata, West Bengal, IndiaBurdwan Medical College, Pharmacology, Burdwan, West Bengal, IndiaIndependent Research Scholar, Barasat, Kolkata, West Bengal, IndiaInsomnia 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770805InsomniaDaytimeOrexinToleranceWithdrawalHypnotics
spellingShingle Dwaipayan Sarathi Chakraborty
Shouvik Choudhury
Sandeep Lahiry
Daridorexant, a Recently Approved Dual Orexin Receptor Antagonists (DORA) in Treatment of Insomnia
Sleep Science
Insomnia
Daytime
Orexin
Tolerance
Withdrawal
Hypnotics
title Daridorexant, a Recently Approved Dual Orexin Receptor Antagonists (DORA) in Treatment of Insomnia
title_full Daridorexant, a Recently Approved Dual Orexin Receptor Antagonists (DORA) in Treatment of Insomnia
title_fullStr Daridorexant, a Recently Approved Dual Orexin Receptor Antagonists (DORA) in Treatment of Insomnia
title_full_unstemmed Daridorexant, a Recently Approved Dual Orexin Receptor Antagonists (DORA) in Treatment of Insomnia
title_short Daridorexant, a Recently Approved Dual Orexin Receptor Antagonists (DORA) in Treatment of Insomnia
title_sort daridorexant a recently approved dual orexin receptor antagonists dora in treatment of insomnia
topic Insomnia
Daytime
Orexin
Tolerance
Withdrawal
Hypnotics
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770805
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AT sandeeplahiry daridorexantarecentlyapproveddualorexinreceptorantagonistsdoraintreatmentofinsomnia