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. 2026 Feb 2;16:1702264. doi: 10.3389/fneur.2025.1702264

Table 2.

Top 30 insomnia risk medications for men and women.

Gender Drug Case Count (n) ROR (95% CI) PRR (χ2) EBGM (EB05) IC (IC025) p-value Adjusted p-value
Male VARENICLINE 2040 6.61 (6.32–6.92) 6.17 (8748.13) 6.05 (5.78) 2.6 (2.53) <0.001 <0.001
QUETIAPINE 1794 4.97 (4.74–5.21) 4.73 (5234.9) 4.65 (4.43) 2.22 (2.14) <0.001 <0.001
PREGABALIN 1,424 3.4 (3.23–3.59) 3.3 (2277.57) 3.26 (3.09) 1.71 (1.63) <0.001 <0.001
DULOXETINE 1,235 7.95 (7.5–8.43) 7.3 (6708.96) 7.21 (6.8) 2.85 (2.76) <0.001 <0.001
OXYBATE SODIUM 1,144 5.4 (5.08–5.73) 5.11 (3781.59) 5.06 (4.76) 2.34 (2.24) <0.001 <0.001
PEGINTERFERON ALFA 2A 971 5.12 (4.8–5.47) 4.86 (2985.03) 4.82 (4.52) 2.27 (2.17) <0.001 <0.001
FINASTERIDE 956 5.66 (5.3–6.05) 5.34 (3378.44) 5.29 (4.95) 2.4 (2.3) <0.001 <0.001
ARIPIPRAZOLE 938 2.99 (2.8–3.19) 2.91 (1180.65) 2.89 (2.71) 1.53 (1.43) <0.001 <0.001
PIMAVANSERIN 770 2.49 (2.32–2.68) 2.45 (660.69) 2.43 (2.26) 1.28 (1.17) <0.001 <0.001
METHYLPHENIDATE 724 2.92 (2.71–3.15) 2.85 (874.32) 2.84 (2.63) 1.5 (1.39) <0.001 <0.001
CIPROFLOXACIN 714 3.8 (3.52–4.1) 3.67 (1392.57) 3.65 (3.38) 1.87 (1.75) <0.001 <0.001
TELAPREVIR 708 4.16 (3.86–4.49) 4 (1600.27) 3.97 (3.68) 1.99 (1.87) <0.001 <0.001
PAROXETINE 708 4.47 (4.14–4.82) 4.28 (1787.69) 4.25 (3.94) 2.09 (1.97) <0.001 <0.001
MONTELUKAST 690 7.05 (6.52–7.63) 6.54 (3257.21) 6.5 (6.01) 2.7 (2.57) <0.001 <0.001
BUPROPION 664 4.86 (4.49–5.26) 4.63 (1,899) 4.6 (4.25) 2.2 (2.08) <0.001 <0.001
SERTRALINE 659 3.23 (2.99–3.49) 3.14 (966.81) 3.12 (2.89) 1.64 (1.52) <0.001 <0.001
FAMPRIDINE 608 3.33 (3.07–3.61) 3.23 (941.22) 3.21 (2.96) 1.68 (1.56) <0.001 <0.001
ATOMOXETINE 565 4.14 (3.81–4.51) 3.98 (1269.86) 3.96 (3.64) 1.99 (1.85) <0.001 <0.001
NALTREXONE 547 3.85 (3.53–4.2) 3.72 (1092.8) 3.7 (3.39) 1.89 (1.75) <0.001 <0.001
LEDIPASVIR SOFOSBUVIR 534 3.55 (3.25–3.87) 3.43 (926.85) 3.42 (3.13) 1.77 (1.64) <0.001 <0.001
OMALIZUMAB 483 2.64 (2.41–2.89) 2.59 (473.37) 2.58 (2.35) 1.37 (1.23) <0.001 <0.001
DASABUVIR OMBITASVIR PARITAPREVIR RITONAVIR 471 7.83 (7.12–8.61) 7.2 (2531.53) 7.16 (6.51) 2.84 (2.68) <0.001 <0.001
VENLAFAXINE 451 3.16 (2.87–3.47) 3.07 (635.09) 3.06 (2.79) 1.61 (1.47) <0.001 <0.001
TASIMELTEON 446 17.99 (16.22–19.95) 14.77 (5768.53) 14.69 (13.25) 3.88 (3.68) <0.001 <0.001
BUPRENORPHINE NALOXONE 429 4.41 (4–4.86) 4.22 (1062.52) 4.2 (3.81) 2.07 (1.92) <0.001 <0.001
LEVOFLOXACIN 426 2.7 (2.45–2.98) 2.64 (438.46) 2.63 (2.39) 1.4 (1.25) <0.001 <0.001
LISDEXAMFETAMINE 424 4.78 (4.33–5.27) 4.56 (1186.42) 4.54 (4.11) 2.18 (2.03) <0.001 <0.001
CLONAZEPAM 397 4.55 (4.11–5.03) 4.35 (1032.22) 4.33 (3.91) 2.12 (1.95) <0.001 <0.001
LEVOTHYROXINE 391 5.99 (5.4–6.64) 5.63 (1499.94) 5.61 (5.06) 2.49 (2.32) <0.001 <0.001
SOFOSBUVIR VELPATASVIR 387 3.27 (2.95–3.62) 3.18 (582.66) 3.17 (2.86) 1.66 (1.51) <0.001 <0.001
Female LEVOTHYROXINE 3,865 6.71 (6.48–6.93) 6.16 (16,556) 6.03 (5.83) 2.59 (2.54) <0.001 <0.001
DULOXETINE 3,800 7.19 (6.95–7.43) 6.55 (17735.46) 6.42 (6.21) 2.68 (2.63) <0.001 <0.001
VARENICLINE 3,654 5.44 (5.26–5.63) 5.09 (11916.68) 4.99 (4.83) 2.32 (2.27) <0.001 <0.001
PREGABALIN 3,426 3.18 (3.07–3.29) 3.07 (4756.27) 3.03 (2.92) 1.6 (1.55) <0.001 <0.001
QUETIAPINE 2,977 4.66 (4.48–4.83) 4.4 (7807.54) 4.34 (4.18) 2.12 (2.06) <0.001 <0.001
FAMPRIDINE 2,175 3.5 (3.35–3.65) 3.36 (3618.93) 3.33 (3.19) 1.74 (1.67) <0.001 <0.001
NIRAPARIB 2048 12.21 (11.64–12.8) 10.37 (17402.71) 10.25 (9.78) 3.36 (3.28) <0.001 <0.001
SERTRALINE 1,527 3.32 (3.15–3.49) 3.2 (2,326) 3.18 (3.02) 1.67 (1.59) <0.001 <0.001
PAROXETINE 1,447 4.26 (4.04–4.49) 4.05 (3349.02) 4.02 (3.81) 2.01 (1.93) <0.001 <0.001
BUPROPION 1,400 3.99 (3.78–4.21) 3.81 (2923.99) 3.79 (3.59) 1.92 (1.84) <0.001 <0.001
VENLAFAXINE 1,327 3.24 (3.07–3.43) 3.13 (1941.16) 3.11 (2.95) 1.64 (1.56) <0.001 <0.001
ARIPIPRAZOLE 1,189 2.38 (2.24–2.52) 2.33 (907.66) 2.32 (2.19) 1.21 (1.13) <0.001 <0.001
LEVOFLOXACIN 1,126 4.09 (3.85–4.34) 3.9 (2445.3) 3.88 (3.65) 1.95 (1.86) <0.001 <0.001
ALENDRONIC ACID 1,116 2.5 (2.35–2.65) 2.44 (954.53) 2.43 (2.29) 1.28 (1.19) <0.001 <0.001
CIPROFLOXACIN 1,042 3.34 (3.14–3.55) 3.22 (1609.3) 3.2 (3.01) 1.68 (1.59) <0.001 <0.001
DESVENLAFAXINE 994 5.45 (5.11–5.81) 5.09 (3298.6) 5.06 (4.75) 2.34 (2.24) <0.001 <0.001
MONTELUKAST 886 5.12 (4.78–5.48) 4.81 (2698.68) 4.78 (4.47) 2.26 (2.15) <0.001 <0.001
CLONAZEPAM 883 5.57 (5.19–5.96) 5.19 (3017.83) 5.17 (4.82) 2.37 (2.26) <0.001 <0.001
PEGINTERFERON ALFA 2A 843 3.85 (3.59–4.13) 3.68 (1664.88) 3.67 (3.42) 1.88 (1.77) <0.001 <0.001
LORATADINE PSEUDOEPHEDRINE 671 10.64 (9.8–11.55) 9.23 (4981.86) 9.19 (8.47) 3.2 (3.06) <0.001 <0.001
LEUPRORELIN 653 2.44 (2.25–2.64) 2.38 (530.46) 2.38 (2.2) 1.25 (1.13) <0.001 <0.001
ALPRAZOLAM 638 2.3 (2.12–2.49) 2.25 (449.78) 2.25 (2.08) 1.17 (1.05) <0.001 <0.001
ANASTROZOLE 588 2.81 (2.59–3.05) 2.73 (652.68) 2.72 (2.51) 1.45 (1.32) <0.001 <0.001
ESCITALOPRAM 530 2.7 (2.48–2.95) 2.63 (542.24) 2.62 (2.41) 1.39 (1.26) <0.001 <0.001
CITALOPRAM 507 2.37 (2.17–2.59) 2.32 (384.37) 2.31 (2.12) 1.21 (1.08) <0.001 <0.001
LEFLUNOMIDE 468 2.74 (2.5–3.01) 2.67 (495.44) 2.67 (2.43) 1.41 (1.27) <0.001 <0.001
LEDIPASVIR SOFOSBUVIR 461 3.25 (2.96–3.57) 3.14 (680.21) 3.13 (2.85) 1.65 (1.5) <0.001 <0.001
FEXOFENADINE 448 2.59 (2.35–2.84) 2.52 (416.88) 2.52 (2.29) 1.33 (1.19) <0.001 <0.001
CLARITHROMYCIN 447 3.04 (2.77–3.35) 2.95 (582.42) 2.94 (2.67) 1.56 (1.41) <0.001 <0.001
ATOMOXETINE 406 4.56 (4.12–5.04) 4.32 (1048.07) 4.31 (3.89) 2.11 (1.95) <0.001 <0.001