Digoxin and Suvorexant interaction

Digoxin and Suvorexant: the Suvorexant prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Suvorexant (BELSOMRA) label · effective 2025-03-10

Moderate

Digoxin: Monitor digoxin concentrations ( 7.3 ).

Drug interactionsnames DigoxinView label on DailyMed
Moderate

Effects of BELSOMRA on Other Drugs Digoxin Concomitant administration of BELSOMRA with digoxin slightly increased digoxin levels due to inhibition of intestinal P-gp.

Drug interactionsnames DigoxinView label on DailyMed
Moderate

Digoxin concentrations should be monitored when co-administering BELSOMRA with digoxin [see Clinical Pharmacology (12.3) ].

Drug interactionsnames DigoxinView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.