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Dayvigo long term
I have bipolar insomnia and nothing works except for dayvigo. Can it be taken for long term like few years? I stopped taking it after six months and went back to insomnia
Answers (10)
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Thank you for your question. Living with bipolar insomnia can indeed be extremely challenging, and it's encouraging to hear that Dayvigo (lemborexant) worked well for you.
Dayvigo is a dual orexin receptor antagonist and is approved for long-term use. Clinical trials have demonstrated its safety and efficacy even beyond 6–12 months. However, in patients with bipolar disorder, long-term use needs individualized assessment—especially considering potential interactions with mood stabilizers and the risk of destabilizing mood cycles.
💡 Important to remember: Insomnia in bipolar disorder is not just a sleep issue—it can also precipitate mood episodes, so optimizing both sleep and mood stability is essential.
Next Steps
Next Steps (What should the patient do next?):
✅ Consult your psychiatrist again to:
1. Re-evaluate the possibility of reintroducing Dayvigo safely with mood stabilizer cover.
2. Explore sleep hygiene + adjunct cognitive-behavioral therapy for insomnia (CBT-I).
3. Rule out mixed features or subtle hypomania causing pseudo-insomnia.
📅 If Dayvigo was truly effective, long-term use might be justified—but always under close monitoring.
Health Tips
Helpful Tips / Word of Caution (Optional):
⚠️ Avoid self-medication or abrupt discontinuation—this can worsen both sleep and mood in bipolar spectrum.
📵 Reduce screen time 1 hour before bed, follow fixed sleep-wake timing, and avoid late caffeine.
🧠 Pairing medication with CBT-I gives the most sustainable long-term results.
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🌟 If you’re struggling with similar issues, you can consult me directly via [Dr. Shivam Bhandari Jain | Psychiatrist | Bhopal]. I specialize in insomnia and mood disorders. Let's personalize a plan that works for you
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Thank you for your question.
It's not uncommon for individuals with bipolar disorder to struggle with chronic insomnia. Dayvigo (lemborexant), an orexin receptor antagonist, is approved for long-term use in insomnia, including cases with underlying mood disorders, but it must be used cautiously in bipolar disorder due to the risk of mood destabilization.
Since you report Dayvigo is the only agent that has consistently helped, long-term use may be considered- but only under close psychiatric supervision, ideally along with a mood stabilizer (like lithium, valproate, or lamotrigine), to prevent manic or hypomanic switches.
Next Steps
1. Consult your psychiatrist to discuss long-term use of Dayvigo within a comprehensive mood-stabilizing regimen.
2. Have your mood symptoms, sleep patterns, and functioning reviewed thoroughly.
3. Ensure regular follow-up every few months to assess for adverse effects, tolerance, or mood destabilization.
Health Tips
a. Avoid using Dayvigo without concurrent mood stabilizers, as sleep medications alone can sometimes precipitate mood episodes in bipolar patients.
b. Non-pharmacologic strategies like CBT for Insomnia (CBT-I), sleep hygiene, and routine mood monitoring apps can be helpful adjuncts.
c. Self-discontinuation of helpful medications can often lead to relapse; always consult your doctor before making changes.
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Current evidence suggests it is safe for long term use
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Hello, thank you for sharing your concern.
Dayvigo (lemborexant) is a relatively new sleep medication that works by regulating the brainâs wake-sleep cycle.
Please consult your psychiatrist to discuss the risks and benefits of continued use and explore an integrated approach for sustained sleep and mood stability. It may also be worth exploring a long-term plan â which could include a combination of medication and psychotherapy.
Next Steps
Consult a Psychiatrist and a Psychologist
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Heyy
I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.
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Hi.. you can consider following sleep hygiene techniques and may be try melatonin. Consult online for further evaluation and management
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Take therapy along with it
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Dr. Niharika Singh
Psychiatrist
5 yrs exp
Delhi
Long term studies are not available as such. I hope you are taking it under doctors recommendation, as long as you are doing that and being monitored there is no problem
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Maintain Sleep hygiene
Next Steps
yoga and mediation
Health Tips
connect
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Dr. Amit Kumar Patel
Psychiatrist
7 yrs exp
Rewa
Thank you for reaching out and sharing your concern. I understand how challenging bipolar-related insomnia can be, especially when sleep feels dependent on one particular medication like Dayvigo (lemborexant).
Dayvigo is approved for treating insomnia and has been shown to be effective in the short and long term in clinical trials. However, in the context of bipolar disorder, long-term use of any sleep aid should be carefully monitored — particularly to avoid triggering mood episodes or developing dependence.
Since you've experienced a return of insomnia after stopping Dayvigo, it’s important to reassess your overall treatment plan — including mood stability, sleep hygiene, and adjunct options.
I’d strongly recommend a detailed consultation with me so I can evaluate your current condition and guide you on the safest and most effective long-term approach tailored to your needs.
Feel free to book a session at your convenience.
Next Steps
consult me here at: https://www.practo.com/rewa/doctor/amit-kumar-patel-generalphysician
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