DAYVIGO: Package Insert and Label Information (Page 4 of 4)

16 HOW SUPPLIED/STORAGE AND HANDLING

16.1 How Supplied

DAYVIGO tablets are available as:

  • 5 mg, pale yellow, round, biconvex, film-coated tablets, and debossed with “5” on one side and “LЄM” on the other side.

NDC 62856-405-30, bottle of 30 with child-resistant closure

NDC 62856-405-90, bottle of 90 with child-resistant closure

  • 10 mg, orange, round, biconvex, film-coated tablets, and debossed with “10” on one side and “LЄM” on the other side.

NDC 62856-410-30, bottle of 30 with child-resistant closure

NDC 62856-410-90, bottle of 90 with child-resistant closure

16.2 Storage and Handling

Store at 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C and 30°C (59°F and 86°F) [See USP Controlled Room Temperature].

17 PATIENT COUNSELING INFORMATION

Advise the patient to read the FDA-approved patient labeling (Medication Guide).

Administration Instructions

Advise patients to take DAYVIGO only when preparing for or getting into bed and only if they can stay in bed for a full night (at least 7 hours) before being active again [see Dosage and Administration ( 2.1)].

Advise patients that the effect of DAYVIGO may be delayed if taken with or soon after a meal [see Dosage and Administration ( 2.1), Clinical Pharmacology ( 12.3)].

CNS Depressant Effects and Daytime Impairment

Advise patients that DAYVIGO can impair daytime wakefulness even when used as prescribed. The risk of daytime impairment is increased if DAYVIGO is taken with less than a full night of sleep remaining or if a higher than recommended dose is taken. If DAYVIGO is taken in these circumstances, caution patients against driving and other activities requiring complete mental alertness. Advise patients that increased drowsiness may increase the risk of falls in some patients [see Warnings and Precautions ( 5.1)].

Sleep Paralysis, Hypnagogic/Hypnopompic Hallucinations, and Cataplexy-Like Symptoms

Advise patients and their families that DAYVIGO may cause sleep paralysis, which is an inability to move or speak for several minutes during sleep-wake transitions, despite being aware of surroundings; hypnagogic/hypnopompic hallucinations, including vivid and disturbing perceptions; and symptoms similar to mild cataplexy [see Warnings and Precautions ( 5.2)].

Complex Sleep Behaviors

Instruct patients and their families that DAYVIGO may cause complex sleep behaviors, including sleep-walking, sleep-driving, preparing and eating food, making phone calls, or having sex while not being fully awake. Tell patients to discontinue DAYVIGO and notify their healthcare provider immediately if they develop any of these symptoms [see Warnings and Precautions ( 5.3)].

Worsening of Depression/Suicidal Ideation

Tell patients to report any worsening of depression or suicidal thoughts immediately [see Warnings and Precautions ( 5.4)].

Pregnancy

Advise patients that there is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to DAYVIGO during pregnancy [see Use in Specific Populations ( 8.1)].

Concomitant Medications

Ask patients about alcohol consumption, medicines they are taking, and drugs they may be taking without a prescription. Advise patients not to consume alcohol in combination with DAYVIGO [see Drug Interactions ( 7.1), Clinical Pharmacology ( 12.3)].

Tolerance, Abuse, and Dependence

Tell patients not to increase the dose of DAYVIGO on their own, and to inform you if they believe the drug “does not work” [see Drug Abuse and Dependence ( 9)].

Distributed by: Eisai Inc. Nutley, NJ 07110

DAYVIGO® is a registered trademark of Eisai R&D Management Co., Ltd. and is licensed to Eisai Inc.

© 2019-2023 Eisai Inc.

MEDICATION GUIDE DAYVIGO ® (daye-vi’-goe) (lemborexant) tablets, for oral use , CIV
What is the most important information I should know about DAYVIGO? DAYVIGO may cause serious side effects including:
  • Decreased awareness and alertness. The morning after you take DAYVIGO, your ability to drive safely and think clearly may be decreased. You may also have sleepiness during the day. ○ Do not take more DAYVIGO than prescribed. ○ Do not take DAYVIGO unless you are able to stay in bed for a full night (at least 7 hours) before you must be active again. ○ Take DAYVIGO right before going to bed.
See “What are the possible side effects of DAYVIGO?” for more information about side effects.
What is DAYVIGO?
  • DAYVIGO is a prescription medicine for adults who have trouble falling or staying asleep (insomnia).
  • It is not known if DAYVIGO is safe and effective in children under the age of 18 years.
DAYVIGO is a federally controlled substance (CIV) because it can be abused or cause dependence. Keep DAYVIGO in a safe place to prevent misuse and abuse. Selling or giving away DAYVIGO may harm others and is against the law. Tell your doctor if you have ever abused or have been dependent on alcohol, prescription medicines or street drugs.
Who should not take DAYVIGO? Do not take DAYVIGO if you fall asleep often at unexpected times (narcolepsy).
Before taking DAYVIGO, tell your healthcare provider 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 daytime sleepiness.
  • have lung problems or breathing problems.
  • have liver problems.
  • are pregnant or plan to become pregnant. It is not known if DAYVIGO can harm your unborn baby.
Pregnancy Registry: There is a pregnancy registry for women who are exposed to DAYVIGO during pregnancy. The purpose of this registry is to collect information about the health of you and your baby. For more information or to participate in the registry, call 1-888-274-2378. Talk with your healthcare provider about the risk to your unborn baby if you take DAYVIGO during pregnancy.
  • are breastfeeding or plan to breastfeed. DAYVIGO passes into your breastmilk. Talk to your healthcare provider about the best way to feed your baby during treatment with DAYVIGO.
Tell your healthcare provider about all of the medicines you take , including prescription and over-the-counter medicines, vitamins and herbal supplements.
  • Taking DAYVIGO with certain other medicines can cause serious side effects. DAYVIGO may affect the way other medicines work and other medicines may affect the way DAYVIGO works.
  • Do not take DAYVIGO with other medicines that can make you sleepy unless your healthcare provider tells you to.
  • Know the medicines you take. Keep a list of your medicines with you to show your healthcare provider and pharmacist each time you get a new medicine.
How should I take DAYVIGO?
  • Take DAYVIGO exactly as your healthcare provider tells you to take it.
  • Only take DAYVIGO one time each night, right before going to bed.
  • Only take DAYVIGO when you can stay in bed for a full night (at least 7 hours).
  • DAYVIGO may take longer to work if you take it with or soon after a meal.
  • Do not increase your dose of DAYVIGO without talking to your healthcare provider first. Call your healthcare provider if your insomnia (sleep problem) worsens or is not improved within 7 to 10 days. This may mean that there is another condition causing your sleep problem.
  • If you take too much DAYVIGO, call your healthcare provider or go to the nearest hospital emergency room right away.
What should I avoid while taking DAYVIGO?
  • Do not drink alcohol while taking DAYVIGO. 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 if you take DAYVIGO and have had less than a full night of sleep (at least 7 hours) or if you have taken more DAYVIGO than prescribed by your healthcare provider.
  • You may still feel drowsy the next day after taking DAYVIGO. Do not drive or do other dangerous activities until you feel fully awake.
What are the possible side effects of DAYVIGO? See “What is the most important information I should know about DAYVIGO?” DAYVIGO may cause serious side effects, including:
  • 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.
  • complex sleep behaviors such as sleep-walking, sleep-driving, preparing and eating food, making phone calls, having sex or doing other activities while not fully awake that you may not remember the next morning. Call your healthcare provider right away if you experience a complex sleep behavior.
  • worsening depression and suicidal thoughts have happened during treatment with DAYVIGO. Call your healthcare provider right away if you have any worsening depression or thoughts of suicide or dying.
The most common side effect of DAYVIGO is sleepiness.These are not all of the possible side effects of DAYVIGO. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store DAYVIGO?
  • Store DAYVIGO at room temperature between 68°F to 77°F (20°C to 25°C).
  • Keep DAYVIGO and all medicines out of the reach of children.
General information about the safe and effective use of DAYVIGO. Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use DAYVIGO for a condition for which it was not prescribed. Do not give DAYVIGO to other people, even if they have the same symptoms that you have. It may harm them. You can ask your healthcare provider or pharmacist for information about DAYVIGO that is written for healthcare professionals.
What are the ingredients in DAYVIGO? Active ingredient: lemborexantInactive ingredients: hydroxypropyl cellulose, lactose monohydrate, low-substituted hydroxypropyl cellulose, and magnesium stearate. The tablet film coating contains: hypromellose 2910, polyethylene glycol 8000, talc, titanium dioxide, and either ferric oxide yellow for the 5 mg tablet; or both ferric oxide yellow and ferric oxide red for the 10 mg tablet.
Distributed by: Eisai Inc. Nutley, NJ 07110DAYVIGO® is a registered trademark of Eisai R&D Management Co., Ltd. and is licensed to Eisai Inc.© 2019-2023 Eisai Inc. For more information, go to www.DAYVIGO.com or call 1-888-274-2378

This Medication Guide has been approved by the U.S. Food and Drug Administration. Revised: 04/2023

PRINCIPAL DISPLAY PANEL

NDC 62856-405-30
DAYVIGO
(lemborexant) tablets
5 mg30 Tablets

NDC 62856-405-30
DAYVIGO
(lemborexant) tablets
5 mg
30 Tablets
(click image for full-size original)

PRINCIPAL DISPLAY PANEL

NDC 62856-405-90
DAYVIGO
(lemborexant) tablets
5 mg90 Tablets

NDC 62856-405-90
DAYVIGO
(lemborexant) tablets
5 mg
90 Tablets
(click image for full-size original)

PRINCIPAL DISPLAY PANEL

NDC 62856-410-30
DAYVIGO
(lemborexant) tablets
10 mg30 Tablets

NDC 62856-410-30
DAYVIGO
(lemborexant) tablets
10 mg
30 Tablets
(click image for full-size original)

PRINCIPAL DISPLAY PANEL

NDC 62856-410-90
DAYVIGO
(lemborexant) tablets
10 mg90 Tablets

NDC 62856-410-90
DAYVIGO
(lemborexant) tablets
10 mg
90 Tablets
(click image for full-size original)

PRINCIPAL DISPLAY PANEL

NDC 62856-405-10
DAYVIGO
(lemborexant) tablets
5 mgProfessional Sample: Not for Sale

NDC 62856-405-10
DAYVIGO
(lemborexant) tablets
5 mg
Professional Sample: Not for Sale
(click image for full-size original)

PRINCIPAL DISPLAY PANEL

NDC 62856-405-10
DAYVIGO
(lemborexant) tablets
5 mgProfessional Sample: Not for Sale

NDC 62856-405-10
DAYVIGO
(lemborexant) tablets
5 mg
Professional Sample: Not for Sale
(click image for full-size original)

PRINCIPAL DISPLAY PANEL

NDC 62856-455-10
DAYVIGO
(lemborexant) tablets
5 mgProfessional Sample: Not for Sale

PRINCIPAL DISPLAY PANEL
NDC 62856-455-10
DAYVIGO
(lemborexant) tablets
5 mg
Professional Sample: Not for Sale
(click image for full-size original)
DAYVIGO lemborexant tablet, film coated
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:62856-405
Route of Administration ORAL DEA Schedule CIV
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
LEMBOREXANT (LEMBOREXANT) LEMBOREXANT 5 mg
Inactive Ingredients
Ingredient Name Strength
HYDROXYPROPYL CELLULOSE (45000 WAMW)
LACTOSE MONOHYDRATE
LOW-SUBSTITUTED HYDROXYPROPYL CELLULOSE (11% HYDROXYPROPYL; 120000 MW)
MAGNESIUM STEARATE
HYPROMELLOSE 2910 (6 MPA.S)
POLYETHYLENE GLYCOL 8000
TALC
TITANIUM DIOXIDE
WATER
FERRIC OXIDE YELLOW
Product Characteristics
Color yellow (pale yellow) Score no score
Shape ROUND Size 7mm
Flavor Imprint Code 5;LEM
Contains
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:62856-405-30 30 TABLET, FILM COATED in 1 BOTTLE None
2 NDC:62856-405-90 90 TABLET, FILM COATED in 1 BOTTLE None
3 NDC:62856-405-10 1 BLISTER PACK in 1 CARTON contains a BLISTER PACK
3 10 TABLET, FILM COATED in 1 BLISTER PACK This package is contained within the CARTON (62856-405-10)
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA NDA212028 04/07/2020
DAYVIGO lemborexant tablet, film coated
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:62856-410
Route of Administration ORAL DEA Schedule CIV
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
LEMBOREXANT (LEMBOREXANT) LEMBOREXANT 10 mg
Inactive Ingredients
Ingredient Name Strength
WATER
LACTOSE MONOHYDRATE
LOW-SUBSTITUTED HYDROXYPROPYL CELLULOSE (11% HYDROXYPROPYL; 120000 MW)
HYDROXYPROPYL CELLULOSE (45000 WAMW)
MAGNESIUM STEARATE
HYPROMELLOSE 2910 (6 MPA.S)
TALC
POLYETHYLENE GLYCOL 8000
TITANIUM DIOXIDE
FERRIC OXIDE YELLOW
FERRIC OXIDE RED
Product Characteristics
Color orange Score no score
Shape ROUND Size 7mm
Flavor Imprint Code 10;LEM
Contains
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:62856-410-30 30 TABLET, FILM COATED in 1 BOTTLE None
2 NDC:62856-410-90 90 TABLET, FILM COATED in 1 BOTTLE None
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA NDA212028 04/07/2020
DAYVIGO lemborexant tablet, film coated
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:62856-455
Route of Administration ORAL DEA Schedule CIV
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
LEMBOREXANT (LEMBOREXANT) LEMBOREXANT 5 mg
Inactive Ingredients
Ingredient Name Strength
WATER
LACTOSE MONOHYDRATE
LOW-SUBSTITUTED HYDROXYPROPYL CELLULOSE (11% HYDROXYPROPYL; 120000 MW)
HYDROXYPROPYL CELLULOSE (45000 WAMW)
MAGNESIUM STEARATE
HYPROMELLOSE 2910 (6 MPA.S)
TALC
POLYETHYLENE GLYCOL 8000
TITANIUM DIOXIDE
FERRIC OXIDE YELLOW
Product Characteristics
Color yellow (pale yellow) Score no score
Shape ROUND Size 7mm
Flavor Imprint Code 5;LEM
Contains
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:62856-455-10 5 CARTON in 1 TRAY contains a CARTON
1 1 BLISTER PACK in 1 CARTON This package is contained within the TRAY (62856-455-10) and contains a BLISTER PACK
1 10 TABLET, FILM COATED in 1 BLISTER PACK This package is contained within a CARTON and a TRAY (62856-455-10)
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA NDA212028 04/07/2020
Labeler — Eisai Inc. (189246791)
Establishment
Name Address ID/FEI Operations
Catalent Pharma Solutions, LLC 014167995 analysis (62856-405), analysis (62856-410), analysis (62856-455)
Establishment
Name Address ID/FEI Operations
Eisai Co., Ltd. 695319983 analysis (62856-405), analysis (62856-410), analysis (62856-455), api manufacture (62856-405), api manufacture (62856-410), api manufacture (62856-455)
Establishment
Name Address ID/FEI Operations
Eisai Manufacturing Ltd 219516916 analysis (62856-405), analysis (62856-410), analysis (62856-455), manufacture (62856-405), manufacture (62856-410), manufacture (62856-455)
Establishment
Name Address ID/FEI Operations
Pharma Packaging Solutions, LLC dba Tjoapack, LLC 928861723 label (62856-405), label (62856-410), label (62856-455), pack (62856-405), pack (62856-410), pack (62856-455)

Revised: 05/2023 Eisai Inc.

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