Shirah Vollmer MD

The Musings of Dr. Vollmer


Posted by Dr. Vollmer on April 7, 2015


We have a new sleeper on the market which antagonizes a chemical called Orexin. Orexin is a wake promoting chemical which is stimulated by the drugs Provigil and Nuvigil. Nope. I have not used it yet. Yep. I am excited to have a new tool for those sometimes stubborn symptoms of initial, middle and late insomnia, meaning the type of sleeplessness which could be trouble initiating or maintaining sleep. Provigil and Nuvigil I do use and really appreciate. Those two drugs increase wakefulness which is handy for those with chronic fatigue from a variety of sources. It is exciting to prescribe medication and watch people get better. It is even more exciting to bear witness to a new generation of medication which helps people who could never be helped before. Prozac did that for some individuals with irritable dysthymia and severe OCD. Belsomra could also be revolutionary. We will see.

2 Responses to “Belsomra”

  1. Shelly Tannenbaum said

    How is this medication different than the other sleep aids on the market? Why is this one better than say, Ambien? Why do you need another tool when others ard available?

    • It works on a different chemical in the brain.
      It is not clear if it is better, but theoretically it will have less impact on memory.
      This could be a better medication, as Ambien has been associated with serious memory issues resulting in accidents.

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