Tasimelteon

DEA Class;  Rx

Common Brand Names; Hetlioz

  • Sedative/Hypnotics; 
  • Melatonin Receptor Agonists

Melatonin receptor agonist
Used for non-24-hour sleep-wake disorder and nighttime sleep disturbances in Smith-Magenis Syndrome
May take weeks or months for drug effect to occur in non-24 due to variable circadian rhythms

Indicated for the treatment of non-24-hour sleep-wake disorder.

For the treatment of nighttime sleep disturbances in patients with Smith-Magenis syndrome.

Headache (17%)

Increased ALT (10%)

Nightmares/abnormal dreams (10%)

Upper respiratory infections (7%)

Urinary tract infections (7%)

Nighttime Sleep Disturbances in Smith-Magenis Syndrome (SMS)

After administration, advise patients to limit activity to prepare for going to bed

May potentially impair performance of activities requiring complete mental alertness

Available postmarketing case reports use in pregnant females are not sufficient to evaluate drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes

No data available on drug presence or its metabolites in human or animal milk, effects on breastfed infants, effects on milk production

Adults

20 mg/day PO.

Geriatric

20 mg/day PO.

Adolescents

16 to 17 years: 20 mg/day PO.
13 to 15 years weighing more than 28 kg: 20 mg/day PO.
13 to 15 years weighing 28 kg or less: 0.7 mg/kg/day PO.

Children

3 to 12 years weighing more than 28 kg: 20 mg/day PO.
3 to 12 years weighing 28 kg or less: 0.7 mg/kg/day PO.
1 to 2 years: Safety and efficacy have not been established.

Infants

Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Tasimelteon

capsule

  • 20mg (Hetlioz)

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