Hello Most of the times sleep disturbances have some other underlying cause, and if that's treated, sleep will improve on its own. Furthermore ramilteon won't be available easily as it's not used much because there are more effective drugs available for sleeplessness.

it needs consultation again with a psychiatrist

Need to consult

Hi there, A detailed medical and psychiatric history is important for every patient. In addition, a detailed mental status examination is also recommended for every patient to make a diagnosis and its management accordingly. First of all, don’t self -medicate your self. Let the mental health professional to understand your problems. Sleep impairment can be Primary or Secondary. There are plenty of cause for both of them. May be, the primary disorders is not targeted and only symptoms of impairment is being targeted. You will also need some investigations too.

Ramelteon is available in India as Ramitax. See if you can get it in this name. But it is quite difficult to get as most chemists don't keep it.

Yes not that easily available,because use is not much in practice.You are saying that you have taken all types of sleep medications,may be you need combination medications then or detailed evaluation to know the cause of Insomnia. You also need to know sleep hygiene techniques.