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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)