dora?
In India, the most accessible DORA is Lemborexant, sold under the brand name Dayvigo. Unlike the newer Daridorexant (Quviviq), which often requires specialized import, Dayvigo is manufactured and marketed locally by Eisai Pharmaceuticals India.
Since you are diabetic, these are actually a great talking point for your doctor because they don't typically interfere with insulin or cause the morning "hangover" that can lead to missed meals or glucose monitoring.
Where and How to Get Them
DORAs are strictly Schedule H prescription drugs in India. You cannot buy them over the counter.
* Apollo Pharmacy / Netmeds / 1mg: You can find Dayvigo (Lemborexant) on these major platforms. It usually costs around ₹600–₹700 for a strip of 14 tablets (5mg).
* The Process: You will need a valid prescription from a registered medical practitioner (ideally a Neurologist, Psychiatrist, or Sleep Specialist).
* Other Options: Suvorexant (Belsomra) is also technically available but is much harder to find in local pharmacies compared to Dayvigo. Daridorexant (Quviviq) usually has to be sourced through specialized "Named Patient Import" networks (like Indian Pharma Network) and is significantly more expensive.
Why this is a good path for you
Since you've "tried it all," you likely have a hyper-arousal issue. Traditional sleeping pills (Z-drugs) act like a "hammer" to knock you out. DORAs work like a "mute button" for the chemicals in your brain that keep you awake. This is often much more effective for people who have that "tired but wired" feeling.
A Note for your Doctor
When you discuss this with your doctor, you might mention:
* Diabetes: That you are avoiding Melatonin due to its effect on glucose and need something that won't disrupt your metabolic stability.
* The "Awake" Gap: Show them the image you shared with me. That massive block of wakefulness in the middle of the night is exactly what DORAs are designed to treat (improving "Sleep Maintenance").
Would you like me to help you find a Sleep Specialist or a Neurologist in your specific city who would be familiar with prescribing these?
