Parasomnia induced by lemborexant: a case report.


Journal

International clinical psychopharmacology
ISSN: 1473-5857
Titre abrégé: Int Clin Psychopharmacol
Pays: England
ID NLM: 8609061

Informations de publication

Date de publication:
11 Mar 2024
Historique:
medline: 11 3 2024
pubmed: 11 3 2024
entrez: 11 3 2024
Statut: aheadofprint

Résumé

Lemborexant, an orexin receptor antagonist, is effective not only for sleep disorders but also for preventing and treating delirium. To date, no complex sleep-related behaviors due to lemborexant have been reported. Herein, we present the case of a 69-year-old male patient who was hospitalized for oral floor and tongue cancer and developed delirium after surgery; however, upon lemborexant dosage increase, used to treat insomnia, he developed abnormal nocturnal behavior. This symptom rapidly improved when lemborexant was discontinued. Distinguishing parasomnia from delirium is important because the treatment of these two conditions differs. Although rapid eye movement sleep behavior or sleepwalking was the cause of this parasomnia, a definitive diagnosis could not be established. If qualitatively distinct abnormal behavior is observed compared to delirium after increasing lemborexant dosage, the possibility of parasomnia should be considered.

Identifiants

pubmed: 38465918
doi: 10.1097/YIC.0000000000000546
pii: 00004850-990000000-00132
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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Auteurs

Toshinori Nakamura (T)

Departments of Psychiatry.

Yusuke Arai (Y)

Departments of Psychiatry.

Tetsuya Hagiwara (T)

Departments of Psychiatry.

Ryosuke Kitoh (R)

Otorhinolaryngology, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.

Daimei Sasayama (D)

Departments of Psychiatry.

Shinsuke Washizuka (S)

Departments of Psychiatry.

Classifications MeSH