Rankings / Sleep

Sleep

Pharmacological and supplemental sleep aids — melatonin, magnesium, orexin antagonists, z-drugs, trazodone. Ranked on effect size vs. next-day cognitive cost.

# Compound Class Ev Bn Sf Ax Grade · Score
1 DORAs (suvorexant / lemborexant / daridorexant)
Orexin receptor antagonists
Prescription 8.0 8.0 7.0 4.0 B+ 7.4
2 Melatonin
Pineal hormone
Hormone 8.0 3.5 9.0 10.0 B+ 7.3
3 Magnesium (glycinate / threonate / malate)
Mineral cofactor
Supplement 6.0 5.0 9.0 10.0 B 6.9
4 Z-drugs (zolpidem / eszopiclone / zaleplon)
GABA-A alpha-1 positive modulators
Prescription 8.0 8.0 3.5 6.0 B 6.7
5 CBD (cannabidiol)
Non-psychoactive cannabinoid
Prescription 8.0 3.5 7.0 6.0 B 6.4
6 Doxepin (low-dose)
H1 antagonist (low dose)
Prescription 6.0 5.0 9.0 4.0 B- 6.3
7 Trazodone
5-HT2A antagonist / SARI
Prescription 6.0 5.0 7.0 6.0 B- 6.0
8 Glycine
Amino acid / NMDA co-agonist
Supplement 4.5 3.5 9.0 10.0 B- 5.9
9 Valerian (Valeriana officinalis)
Herbal sedative
Herbal 4.5 3.5 9.0 10.0 B- 5.9
10 Apigenin
Flavonoid / GABA-A modulator
Prescription 3.0 3.5 9.0 10.0 C+ 5.3

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