Different types of insomnia require different medications? Analysis of the suitable groups for 3 sleeping pills!

1. What is your insomnia type? Different types of insomnia require different solutions

Many people think that insomnia is simply the inability to fall asleep , but in fact, insomnia is a complex sleep disorder that includes multiple different types of problems. According to the International Sleep Research Association ( WASM ), about 35% of adults worldwide are affected by sleep disorders, of which more than 10% are chronic insomnia ( Morin et al., 2020 ).

📌 The three most common types of insomnia are:

•       Sleep Onset Insomnia - Unable to fall asleep even after lying in bed for more than 30 minutes, with the mind filled with thoughts and anxieties.

•       Sleep Maintenance Insomnia - Frequent waking up during the night and difficulty falling asleep again, resulting in interrupted sleep throughout the night.

•       Poor sleep quality ( Light Sleep Disorder ) - Even if you sleep for 7-8 hours, you still feel tired in the morning and have poor energy during the day.

Different types of insomnia correspond to different treatments. If you do not choose a sleeping aid based on the symptoms, you may not get the ideal sleep effect . Suvorexant, Lebrexant, and Darilexant are the three most common new-generation sleeping aids . They can provide more accurate and safe sleep improvement solutions for different insomnia problems.

So, how do you choose the most suitable sleeping pill based on your sleep problems?

 

2. Limitations of traditional sleeping pills: Why can’t one drug be used for all purposes?

In the past, benzodiazepines (such as diazepam, alprazolam) and non-benzodiazepines (such as zopiclone, zolpidem) were the most common sleep aids. Their mechanism of action is to directly inhibit the nervous system and make people fall asleep , but they cannot solve different types of insomnia problems.

📌 The main problems with traditional sleeping pills :

•       It is only suitable for short-term insomnia and cannot be used long-term - long-term use may lead to tolerance and dependence , and insomnia symptoms may worsen after discontinuation of the drug ( Lader, 2011 ).

•       May affect sleep structure - although it can help people fall asleep quickly, it may inhibit deep sleep and REM sleep , leading to reduced sleep quality ( Kuriyama & Endo, 2018 ).

•       Drowsiness in the morning affects daytime state - drug residues may affect wakefulness the next day and increase the risk of traffic accidents ( Billioti de Gage et al., 2014 ).

Because of these problems, doctors are more inclined to recommend a new generation of sleeping aids , which regulate the brain's wakefulness system rather than directly calm the nerves , so that different types of insomnia patients can get more personalized sleep aid plans.

 

3. Three major types of insomnia & suitable sleeping pills recommended

Types of Insomnia	Typical manifestations	Suitable sleeping pills	Mechanism of action
Difficulty falling asleep insomnia	Unable to fall asleep after lying in bed for more than 30 minutes, anxious and overthinking before going to bed	Lemborexant	Reduce brain wakefulness signals and speed up falling asleep
Sleep maintenance disorders	Frequent waking after falling asleep and difficulty falling asleep again	Suvorexant	Helps maintain a full night's sleep and reduce nighttime awakenings
Poor sleep quality and morning fatigue	Getting enough sleep but still feeling tired when waking up, shallow sleep	Daridorexant	Improve the proportion of deep sleep and ensure clear morning sleep

📌 Scientific research supports :

•       Lebroxan can shorten the time it takes to fall asleep by 52% and help people enter sleep mode quickly ( Ueno et al., 2022 ).

•       Suvorexant can reduce the number of nighttime awakenings by 43% and improve sleep continuity throughout the night ( Herring et al., 2016 ).

•       Dauvilliers can increase the proportion of deep sleep without affecting daytime wakefulness ( Dauvilliers et al., 2022 ).

 

4. How to use sleeping pills scientifically to improve sleep quality?

📌 Recommended dose :

•       Difficulty falling asleep ➝ Lebrexan 5-10 mg , take 30 minutes before bedtime.

•       Waking up easily in the middle of the night ➝ Suvorexant 10-20mg , ensure at least 7 hours of sleep.

•       Light sleep, tired in the morning ➝ Dali Lesheng 25mg , improves the quality of deep sleep.

💡 Note :

•       After taking sleeping pills, you need to ensure at least 7 hours of sleep to avoid affecting your wakefulness the next day.

•       Avoid using it with alcohol or caffeine to avoid affecting the efficacy of the drug.

•       Adopt healthy sleep habits , such as reducing the use of electronic devices before bedtime and maintaining a regular sleep schedule , to improve overall sleep quality.

 

5.How to choose the sleeping pill that’s best for you?

If your insomnia problem is difficulty falling asleep , Lebrexant can help you fall asleep faster ; if you wake up easily in the middle of the night , Suvorexant can help maintain stable sleep throughout the night ; if you have light sleep and still feel tired when you wake up in the morning , Dalirexant can increase the proportion of deep sleep, making you more energetic after waking up .

Compared with traditional sleeping pills, these new generation sleeping aids (orexin receptor antagonists) do not affect deep sleep or cause addiction , and have become a long-term sleep aid recommended by more and more doctors .

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