Quviviq (daridorexant) is FDA-approved for the treatment of insomnia in adults who have trouble falling asleep and staying asleep. It works by blocking orexin, a brain chemical that keeps you awake.
Could Quviviq help you get a restful night’s sleep? Talk to a qualified provider on Klarity Health about your sleep issues and find out if Quviviq or an alternative insomnia medication is right for you.
Providers on Klarity Health are independent practitioners with clinical autonomy; a diagnosis, treatment, or prescription is not guaranteed.
Providers on Klarity Health are independent practitioners with clinical autonomy; a diagnosis, treatment, or prescription is not guaranteed.
Quviviq (daridorexant) was approved by the U.S. Food and Drug Administration for the treatment of insomnia disorder in adults in 2022. It’s made by Idorsia Pharmaceuticals and is in a class of drugs called dual orexin receptor antagonists (DORAs). There’s no generic version of daridorexant.
Quviviq blocks orexin, a brain chemical that helps you stay awake. It’s used to help people fall asleep (sleep onset) and stay asleep (sleep maintenance) throughout the night.
Quviviq is different than other medications used to treat insomnia, like Ambien, because it doesn’t act as a sedative. Instead, it works on the orexin system in the brain, which promotes wakefulness.
Quviviq is a dual orexin receptor antagonist (DORA). It works by attaching to 2 orexin receptors (OX1R and OX2R), blocking the activity of orexin, a neurotransmitter (brain chemical) responsible for wakefulness. Orexin helps keep you awake and alert. Inhibiting orexin signals decreases overactive wakefulness without sedating you too much, which encourages a more natural sleep cycle.
Clinical studies found that Quviviq can help adults get a full night of sleep and function better the next day. In 1 study, adults taking Quviviq reduced the amount of time they spent awake each night by an average of 29 minutes. People who received the placebo saw a reduction of 11 minutes. After 3 months, the study showed that adults taking a 50-milligram dose fell asleep 35 minutes faster than they did before starting Quviviq.
By blocking orexin, Quviviq works to not only reduce wakefulness and address a cause of insomnia but also improve sleep onset and reduce potential drowsiness or daytime sleepiness the next day.
Quviviq works differently than other medications, like sedatives or benzodiazepines, that are commonly prescribed for sleep. Benzodiazepines and some sedatives affect how much gamma-aminobutyric acid (GABA) is in your central nervous system (CNS), which can lead to sleep. GABA is a brain chemical that promotes calm and relaxation.
Quviviq is FDA-approved for the treatment of insomnia disorder in adults who struggle to fall asleep and stay asleep (medically termed sleep onset and sleep maintenance).
Quviviq isn’t approved for use with children or people with conditions affecting their sleep-wake cycles like narcolepsy.
Only a licensed healthcare provider can determine if Quviviq is medically necessary for insomnia or an off-label use.
To get a Quviviq prescription online, start by consulting with a healthcare provider who specializes in insomnia treatment and is qualified to prescribe medications. Licensed providers may include physician assistants/associates (PAs), psychiatrists and medical doctors (MDs), and nurse practitioners or psychiatric nurse practitioners (NPs).
Sharing information about your sleep hygiene can help your provider determine if Quviviq is medically necessary for you. Find a board-certified provider on Klarity Health to start your journey to better sleep.
Quviviq is available as a tablet in 25- and 50-milligram strengths. The starting dose is typically 25 milligrams taken once a night within 30 minutes of bedtime when you have at least 7 hours available to sleep. The maximum recommended dose per night is 50 milligrams. Your provider may prescribe a higher dose based on your unique needs.
For Quviviq to be effective for sleep, take it within 30 minutes of bedtime. Don’t take it if you have less than 7 hours of total sleep time available. Taking Quviviq with food may delay its taking effect.
If you miss a dose of Quviviq, don’t take it if you need to wake up in less than 7 hours. If you have 7 hours to allow for sleep, you can take your dose. Don’t double your dose. Follow the prescribing information and instructions of your healthcare provider.
You want to store Quviviq at room temperature, away from moisture and heat. Talk to your provider or pharmacists or check the medication guide for additional storage and usage information.
The most common side effects of Quviviq include headache, somnolence (drowsiness), dizziness, and nausea. Serious side effects are daytime impairment due to how Quiviviq affects your central nervous system, worsening depression, suicidal thoughts, sleep paralysis, hypnagogic/hypnopompic hallucinations, and cataplexy-like symptoms like muscle weakness, sleepwalking, or compromised respiratory function.
Quviviq is contraindicated (not recommended for use) for people with narcolepsy and people with a hypersensitivity to daridorexant.
Quviviq can have drug interactions with other medications or substances. Talk to your doctor if you take strong or moderate CYP3A4 inhibitors that can decrease the levels of Quiviviq in your bloodstream, CYP3A4 inducers, other central nervous system depressants, or liver enzymes. Your provider may recommend avoiding alcohol while taking Quviviq to reduce impairment.
Let your provider know if you’re pregnant, planning to become pregnant, or breastfeeding before starting Quviviq, as it may show up in breast milk. To date, there’s no data on how Quviviq impacts pregnant people or their unborn babies.
It’s important to know that Quviviq is a controlled substance, meaning it’s federally regulated. It’s a Schedule IV drug that has a low potential for abuse or dependence.
The side effects and warnings of Quviviq can sound scary. But it can be effective for managing insomnia. It can help you fall asleep and stay asleep while reducing daytime sleepiness and impairment the next morning.
If you take Quviviq and have any side effects, work with your provider and consider reporting negative side effects to the FDA by visiting MedWatch or calling 1-800-FDA-1088.
According to drugs.com, Quviviq costs $529.95 for a supply of 30 25- or 50-milligram tablets. This is the cost you pay before insurance. There’s no lower-priced generic version of Quviviq.
If your insurance covers Quviviq, you may be able to lower your Quviviq cost by paying your co-pay or your co-pay after you meet your deductible.
Whether you have insurance or not, you can find prescription savings cards on discount sites like drugs.com, GoodRx, SingleCare Rx, NeedyMeds, WellRx, and more.
If you have insurance, visit the Quviviq savings page to see if you qualify to get a savings card and pay $0 for your first prescription and $25 for refills.
When compared with other sleep medications like benzodiazepines, research shows that Quviviq has a better safety profile and may not cause as much drowsiness the next day. There is a lower risk of tolerance, dependence, misuse, and withdrawal effects. It’s also well-tolerated. So you may have fewer side effects like fatigue, dizziness, or falls.
Quviviq works differently than other sleep medications. Ambien (zolpidem) is a sedative/hypnotic medication that’s FDA-approved for short-term (7 to 10 days) insomnia treatment. It slows your brain activity to induce drowsiness. Trazodone is an antidepressant that’s approved for the treatment of major depressive disorder (MDD) and is often prescribed off-label for sleep because it can have a sedative effect.
Silenor (doxepin) is an FDA-approved tricyclic antidepressant for depression, anxiety, insomnia, and skin pruritus (itchy skin). It works by increasing brain chemicals that can help regulate sleep. The brand name is specifically used for the treatment of insomnia for people who have difficulty with sleep maintenance. The generic doxepin is used for the same reason but is also approved to treat depression.
The side effects of Ambien, trazodone, and Silenor are similar and commonly include headache, drowsiness, dizziness, and nausea. They may also include gastrointestinal issues like constipation. Silenor doesn’t have a boxed warning, but Ambien and trazodone do. Trazodone has an FDA-boxed warning because it can increase the risk of suicidal thoughts. Quviviq and Ambien have a boxed warning because they may lead to complex sleep behaviors like sleepwalking as a serious side effect.
The medication that will work best for you depends on a number of factors, including your needs, medical history, and how well you tolerate it.
The best way to find out which insomnia medication, if any, is best for you is to talk to an insomnia specialist.
Reviews from real patients who received treatment from healthcare providers on Klarity Health.
Providers on Klarity Health are licensed and board-certified. They offer a personalized approach to your unique medical needs. See a detailed profile and services for each provider and find the one best suited for your needs. Providers run their own private practice, and their service options can vary and tailor to your unique needs.
Your journey to better sleep starts with an initial appointment. Your provider will go over your goals and medical history to recommend a treatment plan that’s right for you. Your plan may or may not include prescription medication.
After your initial appointment, you and your provider stay connected to make sure you’re doing okay and reaching your goals. You stay on track with follow-up appointments, medication refills, and ongoing support from your provider. You’re encouraged to regularly check in with your providers.
If you have questions or need assistance, the Klarity Health Patient Support team is here to help. Along with your provider, they’re committed to making sure you have the best care and support possible.
*Appointments are generally available within 24 hours. Free initial consultations are available only with select providers. Prescriptions, particularly for controlled substances, may require an in-person evaluation depending on the state of residence and current federal regulations.
The information provided in this article is for educational purposes only and should not be construed as medical advice. Controlled substances may not be appropriate for all patients and any mention of these medications is for educational purposes only, not for marketing or encouraging self-diagnosis. Always seek the guidance of a qualified healthcare professional with any questions or concerns you have regarding your health. Providers on Klarity Health are independent practitioners with clinical autonomy. Nothing in this article is intended to diagnose or treat any condition, including guaranteeing prescription medication of any kind or dosage. Not all providers on Klarity Health prescribe all medications, particularly medications that are controlled substances.
If you’re having a mental health crisis or experiencing a psychiatric emergency, it’s crucial to seek immediate help from a mental healthcare professional, such as a psychiatrist, psychologist, or therapist. You can also call your local emergency services, visit your nearest emergency room, or contact a crisis hotline, such as the National Suicide Prevention Lifeline, by calling or teTrazodoneting 988 or dialing the Lifeline’s previous phone number, 1-800-273-TALK (1-800-273-8255) in the U.S.