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LUMRYZ (sodium oxybate) for extended‑release oral suspension 7.5g

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Discover LUMRYZ™ (sodium oxybate), an extended-release narcolepsy treatment. Learn how it works, its uses, dosing options, and important safety information.

Description

Buy LUMRYZ® (sodium oxybate) 7.5 g for Extended Online

LUMRYZ™ (sodium oxybate) is an extended-release oral suspension designed to help manage key symptoms of narcolepsy, including cataplexy and excessive daytime sleepiness (EDS). It is a once-at-bedtime medication that provides a simplified nighttime dosing approach compared with traditional oxybate treatments that may require multiple doses during the night.

LUMRYZ works by influencing sleep regulation pathways in the central nervous system, helping support improved nighttime sleep quality and reducing daytime lumryz price symptoms associated with narcolepsy. It is approved for patients with narcolepsy and is prescribed based on individual medical needs, treatment response, and healthcare provider guidance.

Available as sodium oxybate extended-release oral suspension, LUMRYZ comes in different dosage strengths to allow personalized treatment adjustments. Patients should follow their healthcare provider’s instructions carefully, as proper dosing and monitoring are important for safe and effective use.

Because LUMRYZ is a central nervous system depressant with potential risks related to misuse and interactions with certain substances, it should only be used under medical supervision. Discuss your medical history, current medications, and any concerns with your healthcare professional before starting treatment.

What Is LUMRYZ?

LUMRYZ (sodium oxybate) for extended-release oral suspension is a prescription central nervous system (CNS) depressant approved for the treatment of cataplexy or excessive daytime sleepiness (EDS) in patients 7 years of age and older with narcolepsy . It is the lumryz medication sodium salt of gamma-hydroxybutyrate (GHB) and is classified as a Schedule III controlled substance under the Controlled Substances Act .

What this means: LUMRYZ is a once-nightly medication that helps manage two of the most disruptive symptoms of narcolepsy: sudden muscle weakness (cataplexy) and overwhelming daytime sleepiness. It is not a cure for narcolepsy but a treatment to help manage symptoms.

Who Is LUMRYZ For?

LUMRYZ is indicated for patients aged 7 years and older with narcolepsy who experience either:

  • Cataplexy: Sudden, brief loss of muscle control triggered by strong emotions

  • Excessive Daytime Sleepiness (EDS): Persistent, overwhelming sleepiness during waking hours 

Who It Is NOT Intended For:

  • Patients under 7 years of age (safety and efficacy not established)

  • Patients with succinic semialdehyde dehydrogenase deficiency

  • Patients taking sedative hypnotics or alcohol

  • Patients with hepatic impairment for initiation of therapy 

Verification from the manufacturer or official documentation is recommended before determining suitability for any individual patient.

What Does LUMRYZ Do?

LUMRYZ works as a CNS depressant that helps consolidate nighttime sleep and reduce symptoms of narcolepsy. The precise mechanism by which sodium oxybate lumryz cost produces its effects is not fully understood, but it is thought to promote slow (delta) wave sleep and improve sleep architecture .

In clinical trials, LUMRYZ demonstrated:

Outcome Finding
Increased wakefulness during the day Statistically significant improvement in sleep latency on the Maintenance of Wakefulness Test (MWT) versus placebo 
Reduced cataplexy attacks Dose-dependent reduction in weekly cataplexy episodes at 6g, 7.5g, and 9g doses 
Improved daytime sleepiness Significant reduction in Epworth Sleepiness Scale (ESS) scores 
Improved nighttime sleep Reduced transitions to wake or light sleep; increased deep (N3) sleep 

What This Means: Clinical data suggest LUMRYZ can meaningfully improve both daytime functioning and nighttime sleep quality for people with narcolepsy. However, individual responses vary, and results seen in clinical trials may not predict individual outcomes.

What Makes LUMRYZ Different From Other Sodium Oxybate Products?

LUMRYZ is the first and only once-nightly extended-release sodium oxybate formulation approved in the United States .

Feature LUMRYZ Twice-Nightly Sodium Oxybate
Dosing frequency Once per night, at bedtime Twice per night (bedtime + 2.5–4 hours later)
Administration Single dose before sleep Two doses; requires waking for second dose
Formulation Extended-release suspension Immediate-release oral solution
Patient burden No middle-of-night awakening required Forced awakening for second dose
Dosing errors Reduced risk of accidental early dosing Increased risk of dosing errors 

What This Means: The once-nightly design may reduce the burden and sleep disruption associated with twice-nightly dosing. In an open-label study, most patients who switched from twice-nightly to once-nightly sodium oxybate preferred the once-nightly formulation .

Key Specifications

Product Specifications Table

Specification Details
Active Ingredient Sodium oxybate
Strength 7.5 g per packet
Dosage Form Powder for extended-release oral suspension
Route of Administration Oral
DEA Schedule CIII
Available Strengths 4.5 g, 6 g, 7.5 g, 9 g
Packaging Cartons of 7 or 30 packets; 28-day starter pack available
FDA Approval Date May 2023
Manufacturer Avadel CNS Pharmaceuticals, LLC

Administration Instructions for 7.5g Dose:

  • Prepare dose before bedtime in the provided mixing cup

  • Suspend in approximately ⅓ cup (80 mL) of water 

  • May use calorie-free drink mix or flavored water enhancer 

  • Allow at least 2 hours after eating before dosing 

  • Take while in bed and lie down immediately after dosing

  • Consume within 30 minutes of mixing

  • Take at the same time each night as prescribed

Important Safety Considerations

Boxed Warning: CNS Depression and Abuse/Misuse

LUMRYZ carries a Boxed Warning for CNS depression and abuse/misuse :

  • LUMRYZ is a CNS depressant; respiratory depression can occur

  • Sodium oxybate is the sodium salt of GHB—abuse or misuse of illicit GHB is associated with seizure, respiratory depression, decreased consciousness, coma, and death

  • LUMRYZ is available only through a restricted program called the LUMRYZ REMS

Contraindications

LUMRYZ is contraindicated for use in :

  • Combination with sedative hypnotics or alcohol

  • Patients with succinic semialdehyde dehydrogenase deficiency

Most Common Adverse Reactions

In clinical trials, the most common adverse reactions in adults (incidence ≥5% and greater than placebo) were :

  • Nausea

  • Dizziness

  • Enuresis (bed-wetting)

  • Headache

  • Vomiting

In pediatric patients, additional reactions included decreased weight, decreased appetite, and sleepwalking .

Additional Warnings 

  • CNS depression: Caution against hazardous activities (driving, operating machinery) within the first 6 hours of dosing

  • Depression and suicidality: Monitor for emergent or increased depression

  • Confusion/Anxiety: May impair motor/cognitive function

  • Parasomnias: Evaluate episodes of sleepwalking

  • High sodium content: Monitor patients with heart failure, hypertension, or renal impairment

Disclaimer: This information is educational only and does not constitute medical advice. Consult a physician for complete prescribing information and to determine if LUMRYZ is appropriate for you or your patient.

How Does LUMRYZ Compare to Twice-Nightly Sodium Oxybate?

Comparison Table

Aspect LUMRYZ Twice-Nightly Sodium Oxybate
Dosing Once nightly Twice nightly (first dose at bedtime; second 2.5–4 hours later)
Sleep disruption No forced awakening for second dose Requires waking for second dose
Dosing accuracy Single dose preparation Two dose preparations
Patient preference Preferred in switching study  Standard of care but burdensome
Approved for pediatric use Yes (7 years and older, ≥45 kg) Yes (varies by product)
REMS program LUMRYZ REMS Separate REMS programs

What to Check Before Considering LUMRYZ

Before discussing LUMRYZ with a healthcare provider:

  • Confirm diagnosis: LUMRYZ is specifically for narcolepsy with cataplexy or EDS

  • Review medical history: Particularly any history of depression, suicidality, substance abuse, or breathing disorders

  • List all medications: Especially other CNS depressants, sedatives, or stimulants

  • Discuss sodium intake: LUMRYZ has high sodium content—relevant for patients with heart failure, hypertension, or renal impairment 

  • Confirm REMS enrollment: LUMRYZ is only available through the LUMRYZ REMS restricted program

  • Verify insurance coverage: As a specialty medication, coverage and costs vary

Red Flags to Discuss With a Physician:

  • Unclear diagnosis or absence of specialist evaluation

  • Prescriber not enrolled in LUMRYZ REMS

  • Recommendations to use with alcohol or sedatives

  • Recommendations to exceed 9g per night (not studied and not ordinarily recommended) 

Question Answer
Is LUMRYZ a controlled substance? Yes. Its active ingredient is a form of gamma hydroxybutyrate (GHB), a controlled substance. Because of the risks of abuse and misuse, it is only available through a restricted program called the LUMRYZ REMS.
How does LUMRYZ work? It is thought to work by binding to specific receptors in the brain, which increases the time a person spends in deeper sleep.
What is LUMRYZ? LUMRYZ is a prescription medicine (sodium oxybate) for extended-release oral suspension. It is a central nervous system (CNS) depressant.
What is LUMRYZ used for? It is used to treat cataplexy (sudden muscle weakness) or excessive daytime sleepiness (EDS) in patients 7 years of age and older with narcolepsy.
Who makes LUMRYZ? LUMRYZ was developed by Avadel Pharmaceuticals and is now part of Alkermes’ sleep portfolio following an acquisition.

Key Points About LUMRYZ

  • Once-Nightly Dosing: LUMRYZ is the first and only once-at-bedtime oxybate treatment for narcolepsy, which avoids the need for patients to wake up in the middle of the night for a second dose.

  • FDA Approval: It was first approved by the FDA in May 2023 for adults and later approved for use in children 7 years and older in October 2024. It has also been granted Orphan Drug Exclusivity.

Common Questions About LUMRYZ

What is LUMRYZ used for?

LUMRYZ is a prescription medication used to treat cataplexy or excessive daytime sleepiness in patients aged 7 years and older with narcolepsy .

How does LUMRYZ differ from XYREM?

While both contain sodium oxybate, LUMRYZ is an extended-release formulation taken once nightly, whereas XYREM is an immediate-release formulation taken twice nightly (at bedtime and 2.5–4 hours later) .

What is the recommended starting dose of LUMRYZ?

For adults, the recommended starting dose is 4.5g once per night, titrated in 1.5g increments weekly to a maintenance dose of 6g to 9g per night .

How is LUMRYZ taken?

Mix the powder from one packet with approximately ⅓ cup of water in the provided mixing cup, shake for 60 seconds, and consume within 30 minutes. Take at least 2 hours after eating, while in bed, and lie down immediately after dosing .

Can I switch from twice-nightly sodium oxybate to LUMRYZ?

Yes. Patients can switch at the nearest equivalent total nightly dose (e.g., 7.5g twice-nightly total to 7.5g LUMRYZ once nightly) .

Is LUMRYZ a controlled substance?

Yes. LUMRYZ is a Schedule III controlled substance because sodium oxybate is the sodium salt of GHB .

What is the LUMRYZ REMS?

The LUMRYZ REMS is a restricted distribution program requiring enrollment of prescribers, pharmacies, and patients because of the risks of CNS depression and abuse/misuse .

Is LUMRYZ approved for children?

LUMRYZ is approved for patients aged 7 years and older. For pediatric patients weighing less than 45 kg, another sodium oxybate product should be used to initiate treatment because the recommended starting dose cannot be achieved with available LUMRYZ strengths .

What are common side effects of LUMRYZ?

The most common side effects in adults include nausea, dizziness, enuresis (bed-wetting), headache, and vomiting .

Is LUMRYZ safe during pregnancy?

Based on animal data, LUMRYZ may cause fetal harm. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus .

Additional information

QUANTITY

7 packets (1 week), 30 packets (1 month)

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