Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/29/2025

Lemborexant and Taste Disturbances

Comparison with Other Sleep Medications

  • The American Academy of Sleep Medicine notes that zopiclone and eszopiclone are consistently associated with unpleasant bitter/metallic taste, occurring in approximately 7-26% of patients 1
  • Eszopiclone studies have reported unpleasant taste in up to 26.1% of patients versus 5.6% with placebo, as documented by the American Academy of Sleep Medicine 1

Other Medications Associated with Taste Disturbances

  • The American Academy of Otolaryngology-Head and Neck Surgery reports that azelastine nasal spray causes bitter taste in 19.7% of patients 2
  • Olopatadine nasal spray causes bitter taste in 12.8% of patients, according to the American Academy of Otolaryngology-Head and Neck Surgery 2
  • The American Academy of Sleep Medicine documents that nefazodone, used for treatment of PTSD-associated nightmares, has been reported to cause bitter taste 3

Clinical Implications

  • The American College of Clinical Pharmacy suggests that when selecting medications for insomnia treatment, patients with particular sensitivity to taste disturbances may prefer lemborexant over medications like eszopiclone 1

REFERENCES

1

Zopiclone-Associated Taste Disturbance [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

2

clinical practice guideline: allergic rhinitis. [LINK]

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2015

3

best practice guide for the treatment of nightmare disorder in adults. [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2010