Reported Reactions

Drugs › Orexin receptor antagonist

Brand name · Lemborexant

Dayvigo: adverse event reports filed with FDA

1,005 reports list it as a suspect or interacting product, 2020–2026. Class: Orexin receptor antagonist.

1,005
reports as suspect product
0% of all reports · about 165 a year
133
reports, 12 months to June 2026
138 in the 12 months before
50.2%
marked serious by the reporter
22% across the class
4.9%
record death among outcomes, as reported
49 reports · not verified by FDA

1,005 adverse event reports received by FDA list the brand name Dayvigo (lemborexant) as a suspect or interacting product, from June 2020 to June 2026. A further 1,343 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 133 reports listed it, close to the 138 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 165 reports a year and 0% of the 20,646,523 reports in the database, and 7.9% of the reports for the orexin receptor antagonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are drug ineffective (20.9%), somnolence (9.7%) and sleep paralysis (8.7%). A report can list several reactions, so shares add to more than 100%; 204 different terms appear across these reports. Drug ineffective is recorded in 20.9% of these reports, about the same share as in the median orexin receptor antagonist drug (20.9%).

50.2% of the reports are marked serious by the reporter (22% across the class); 4.9% record death among the outcomes and 25.4% record hospitalisation, as reported. 36.9% of the reports came from physicians, and the largest patient age group is 45 to 64 (18.4%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01020Jul 2021: 13Aug 2021: 9Sep 2021: 17Oct 2021: 11Nov 2021: 16Dec 2021: 132022Jan 2022: 12Feb 2022: 17Mar 2022: 9Apr 2022: 6May 2022: 8Jun 2022: 13Jul 2022: 14Aug 2022: 8Sep 2022: 12Oct 2022: 9Nov 2022: 8Dec 2022: 82023Jan 2023: 9Feb 2023: 14Mar 2023: 8Apr 2023: 11May 2023: 8Jun 2023: 8Jul 2023: 4Aug 2023: 8Sep 2023: 12Oct 2023: 12Nov 2023: 15Dec 2023: 92024Jan 2024: 13Feb 2024: 13Mar 2024: 13Apr 2024: 12May 2024: 12Jun 2024: 14Jul 2024: 16Aug 2024: 7Sep 2024: 9Oct 2024: 13Nov 2024: 10Dec 2024: 142025Jan 2025: 8Feb 2025: 14Mar 2025: 12Apr 2025: 12May 2025: 4Jun 2025: 19Jul 2025: 11Aug 2025: 8Sep 2025: 12Oct 2025: 10Nov 2025: 14Dec 2025: 202026Jan 2026: 9Feb 2026: 7Mar 2026: 17Apr 2026: 10May 2026: 8Jun 2026: 7

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01152292020: 18620202021: 22920212022: 12420222023: 11820232024: 14620242025: 14420252026: 582026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Dayvigo reports recording the termmedian drug in orexin receptor antagonist

  1. Drug ineffectivethe medicine did not work as expected20.9%210
  2. Somnolencedrowsiness9.7%97
  3. Sleep paralysis8.7%87
  4. Suicide attempta suicide attempt8.1%81
  5. Nightmarenightmares7.4%74
  6. Suicidal ideationthoughts of suicide6.4%64
  7. Condition aggravatedthe condition being treated got worse5.8%58
  8. Adverse drug reactiona harmful or unpleasant reaction reported to a medicine5%50
  9. Headachehead pain4.3%43
  10. Off label useused for a purpose or in a way not on the label4.1%41
  11. Dizzinesslight-headedness or unsteadiness3.8%38
  12. Intentional overdosea deliberate overdose3.5%35
  13. Underdoseless than the intended dose3.4%34
  14. Abnormal dreamsunusual dreams3.3%33
  15. Therapy non-responderthe treatment did not work3.3%33
  16. Hallucinationseeing or hearing things that are not there3%30
  17. Nauseafeeling sick2.9%29
  18. Falla fall2.8%28
  19. Drug interactionan interaction between medicines2.7%27
  20. Anxietyanxiety2.5%25
  21. Sedationdrowsiness from a medicine2.5%25
  22. Seizurea fit or convulsion2.4%24
  23. Dyspnoeashortness of breath2%20
  24. Fatiguetiredness2%20
  25. Insomniadifficulty sleeping2%20
  26. Loss of consciousnesspassing out1.7%17
  27. Tremorshaking1.7%17
  28. Feeling abnormalfeeling odd or not right1.6%16

Top 30 of 204 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 3 drugs in the orexin receptor antagonist class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death4.9%49
Life-threatening3.8%38
Hospitalisation (initial or prolonged)25.4%255
Disability1.9%19
Congenital anomaly0.2%2
Other serious27%271
Not serious49.8%500

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 12,711 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.4%4
2 to 110%0
12 to 170.4%4
18 to 4413.1%132
45 to 6418.4%185
65 to 7415.9%160
75 and over12.6%127
Age not given39.1%393

Patient sex

Female54.8%551
Male34.1%343
Not given11%111

Who reported

Physician36.9%371
Pharmacist13.4%135
Other health professional19.3%194
Lawyer0%0
Consumer or non-health professional30%301
Not given0.4%4

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 48.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Insomnia53052.7%
Depression505%
Sleep disorder323.2%
Suicide attempt30.3%
Dementia alzheimer's type20.2%
Initial insomnia20.2%

The indication field is filled in by the reporter and is often blank; shares are of all 1,005 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Dayvigo reports
Gabapentin757.5%
Lorazepam717.1%
Risperidone636.3%
Mirtazapine616.1%
Zopiclone595.9%
Apixaban565.6%
Quetiapine555.5%
Bupropion545.4%
Olanzapine535.3%
Zolpidem535.3%

Other products listed in reports where Dayvigo is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureDayvigoOrexin receptor antagonistAll reports
Reports as suspect product1,00512,71120,646,523
Share of that pool—7.9%0%
Reports, latest 12 months133—1,332,454
Marked serious50.2%22%57.4%
Death recorded among outcomes, per 1,000 reports492191
Hospitalisation recorded, per 1,000 reports25474213
Consumer-filed share30%69.4%45.8%
Top term, share of reportsDrug ineffective 20.9%median 20.9%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the orexin receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Belsomrabrand9,39117817.9%
Quviviqbrand2,31538126.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Dayvigo reports

How many adverse event reports has FDA received for Dayvigo?

1,005 reports list Dayvigo as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 133 of them arrived in the latest 12 months. Another 1,343 list it only as a concomitant medication.

What reactions are recorded in Dayvigo reports?

drug ineffective (20.9%), somnolence (9.7%), sleep paralysis (8.7%), suicide attempt (8.1%) and nightmare (7.4%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Dayvigo was responsible.

How serious are the reports?

50.2% are marked serious by the reporter. Among the outcomes recorded, 4.9% of reports include death and 25.4% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

physician (36.9%), consumer or non-health professional (30%) and other health professional (19.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Dayvigo rising?

133 reports in the 12 months to June 2026, close to the 138 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Dayvigo was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Dayvigo?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Dayvigo as a suspect or interacting product; reports listing it only as a concomitant medication (1,343) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.