Why do young people and middle-aged and elderly people choose different medications for insomnia?

1. Young people vs. middle-aged and elderly people: The physiological manifestations of insomnia are completely different

Age Group	Common manifestations	The mechanism behind it
Young people ( 18-40 years old)	Difficulty falling asleep, tossing and turning, and unable to stop thinking	Mostly due to anxiety, stress, active arousal system, and delayed falling asleep
Middle-aged and elderly people (over 50 years old)	Light sleep, easy to wake up, early morning awakening, still tired after waking up	Reduced deep sleep, early biological clock, frequent nighttime awakenings

📌 They both suffer from insomnia, but the root causes are completely different :

•       Young people ca n’t sleep

•       Middle-aged and elderly people cannot sleep

 

2. Different symptoms require drugs with different mechanisms to respond

🟦 Common conditions among young people: difficulty falling asleep + nighttime anxiety

✅ Recommended drug: Lemborexant

•       The effect takes effect quickly, shortening the average time to fall asleep by 20 to 25 minutes

•       Gently regulates the wakefulness system without inhibiting cognitive function

•       Suitable for users who have " too active brains " and " can't stop at night "

📌 Applicable people : high-pressure workers, young mothers, students, anxiety-related sleep disorders

 

🟨 Common conditions among middle-aged and elderly people: light sleep, easy awakening, difficulty falling asleep again after waking up in the early morning

✅ Recommended drug: Daridorexant

•       The sleep structure is highly protective and significantly increases the proportion of deep sleep in stage N3

•       The half-life is moderate (about 8 hours), and does not affect wakefulness the next day

•       Improve morning fatigue, suitable for middle-aged and elderly people who need to maintain cognitive and emotional stability

📌 Applicable people : People over 50 years old, with memory loss, frequent night awakenings, or those at risk of cognitive decline

 

🟩 People with significant difficulty falling asleep + frequent nighttime awakenings (all ages)

✅ Recommended drug: Suvorexant

•       Long half-life ( 12 hours), suitable for sleep maintenance disorders

•       Can cover the awakening system all night long to reduce the number of night awakenings

•       Suitable for insomniacs with " anxiety before bedtime + easy waking up at night "

📌 Applicable people : People with rhythm disorder, frequent nighttime awakening, and frequent early awakening

 

3. The stronger the drug, the better. It is effective only when it is effective for the right disease .

Many users mistakenly believe that " sedatives are necessary for insomnia " , which results in:

•       Young people feel drowsy during the day and become more and more afraid the more they eat

•       Elderly people still wake up at night, and rebound is severe after stopping medication

ORAs (orexin receptor antagonists) are more suitable for classification matching because they:

•       Start with the " awakening system " , no forced sedation, no cognitive side effects

•       Can precisely act on delayed sleep onset or sleep maintenance disorders

•       No addiction, can be used for a long time, no rebound after stopping the drug

 

Conclusion: Using the right medicine is more important than taking it

The truly scientific way to aid sleep is not to calm you blindly, but to find out what type of insomnia you have and then treat it accordingly.
Young people and middle-aged and elderly people have different physiological bases, different stress sources, and different sleep structures, so naturally the way they use medication should also be different.
Suvorexan, Lebrexan and Dalirexan are customized solutions for different types of insomniacs:
It’s not about forcing yourself to fall asleep, but about helping you regain the ability to sleep .

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