Belsomra 20mg – 30 Tablets per box


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Belsomra 20mg is a prescription medication that acts on the brain to reduce wakefulness and enhance sleep.

Name: Belsomra

Generic name: Suvorexant

Package: 30 Tablets per box




Definition of Belsomra 20mg

Belsomra 20mg is a prescription medication that acts on the brain to reduce wakefulness and enhance sleep. It causes drowsiness and is effective for initiating and maintaining sleep.

Belsomra 20mg is used primarily to treat insomnia. It seems to have modest benefits for most people with research suggesting that takers fall asleep 6 minutes faster and sleep only 16 minutes longer, compared to placebo.

What Are Common or Serious Side Effects of Belsomra?

There are many potential side effects of any drug. The most common side effect of Belsomra 20mg is sleepiness. Although an individual likely won’t experience most serious side effects associated with the drug – and may indeed not have any of them – some that may occur with Belsomra include:

  • Drowsiness, lethargy, or a “drugged” feeling
  • Impaired alertness and coordination, including the risk of drowsy driving
  • Abnormal thinking and behavioral changes (outgoing or aggressive behavior, confusion, agitation, memory loss, anxiety, and hallucinations)
  • Worsening depression and suicidal thoughts
  • Complex sleep-related behaviors (driving, eating, sleep sex, etc.)
  • Sleep paralysis (inability to move during sleep transitions)
  • Temporary leg weakness (similar to cataplexy without a trigger)
  • Compromised breathing


The recommended dose for Belsomra is 10 mg, taken no more than once per night and within 30 minutes of going to bed, with at least 7 hours remaining before the planned time of awakening. If the 10 mg dose is well-tolerated but not effective, the dose can be increased. The maximum recommended dose of Belsomra is 20 mg once daily.

How Does Belsomra 20mg Work to Treat Insomnia?

Belsomra is unique among sleeping pills in how it works. Approved by the U.S. Food and Drug Administration in 2014, it is the first in a class of medications that act as orexin antagonists. Orexin is a neurotransmitter, or chemical messenger, within the brain that promotes wakefulness. When it is blocked, as occurs with antagonists, sleep can result.

Belsomra 20mg is highly selective for signal receptors called OX1R and OX2R within the brain. By engaging with these receptors, it is able to block wake-promoting substances called orexin A and orexin B, which in turn suppresses the ability to stay awake. The symptoms of narcolepsy occur due to the permanent loss of these orexin-containing cells.


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