Selected Risk Information 

• Do not take more BELSOMRA than prescribed.
• Do not take BELSOMRA unless you are able to stay in bed a full night (at least 7 hours) before you must be active again.
• Take BELSOMRA within 30 minutes of going to bed.

• BELSOMRA may cause serious side effects that you may not know are happening to you. These side effects include:

  • sleepiness during the day
  • not thinking clearly
  • acting strangely, confused, or upset
  • “sleep-walking” or doing other activities when you are asleep like eating, talking, having sex, or driving a car.
  • Call your doctor right away if you find out that you have done any of these activities after taking BELSOMRA.
• Do not take BELSOMRA if you fall asleep often at unexpected times (narcolepsy).
• BELSOMRA is a controlled substance because it can be abused or cause dependence.

• Before taking BELSOMRA, tell your doctor about all of your medical conditions, including if you:  

  • have a history of depression, mental illness, or suicidal thoughts
  • have a history of drug or alcohol abuse or addiction
  • have a history of a sudden onset of muscle weakness (cataplexy)
  • have a history of falling asleep often at unexpected times (narcolepsy) or daytime sleepiness
  • have lung or breathing problems
  • have liver problems
  • are pregnant or plan to become pregnant
  • are breastfeeding or plan to breastfeed.
• Medicines can interact with each other, sometimes causing serious side effects. Do not take BELSOMRA with other medicines that can make you sleepy unless your doctor tells you to.
• Call your doctor if your insomnia (sleep problem) worsens or is not better within 7 to 10 days. This may mean that there is another condition causing your sleep problem.
• Do not drink alcohol while taking BELSOMRA. It can increase your chances of getting serious side effects.
• Do not drive, operate heavy machinery, do anything dangerous, or do other activities that require clear thinking after taking BELSOMRA.
• You may still feel drowsy the next day after taking BELSOMRA. Do not drive or do other dangerous activities until you feel fully awake.

• BELSOMRA may cause serious side effects, including:

  • abnormal thoughts and behavior. Symptoms include more outgoing or aggressive behavior than normal, confusion, agitation, hallucinations, worsening of depression, and suicidal thoughts or actions
  • memory loss
  • anxiety
  • temporary inability to move or talk (sleep paralysis) for up to several minutes while you are going to sleep or waking up
  • temporary weakness in your legs that can happen during the day or at night.
• The most common side effects of BELSOMRA include drowsiness the next day after you take BELSOMRA.