Ramelteon

Description

Ramelteon is used for the treatment of insomnia in patients who have difficulty falling asleep. This medicine is not recommended for use in children and adolescents.

Side effects

Major & minor side effects for Ramelteon

  • Dizziness
  • Unusual drowsiness
  • Body pain
  • Chills
  • Cough
  • Fatigue
  • Difficulty in breathing
  • Fever
  • Joint pain
  • Runny Nose

Uses of Ramelteon

What is it prescribed for?

  • Insomnia
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Concerns

Commonly asked questions

  • Onset of action
    The effect of this medicine can be observed within 30 minutes of administration of the dose.
  • Duration of effect
    The amount of time for which this medicine remains active in the body is not clinically established.
  • Safe with alcohol?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as daytime drowsiness, motor impairment, amnesia, anxiety, and hallucinations.
  • Is it habit forming?
    No habit forming tendency has been reported.
  • Usage in pregnancy?
    This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
  • Usage while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. If the medicine is used, the infant should be monitored closely for any adverse effects.

Allergy

This medicine is not recommended for use in patients with a known allergy to ramelteon.

Severe liver impairment

Ramelteon is contraindicated in patients with severe liver impairment due to the increased risk of worsening of the patient's condition.

Fluvoxamine

Ramelteon is contraindicated in patients receiving fluvoxamine due to the increased risk of serious adverse effects.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. If the medicine is used, the infant should be monitored closely for any adverse effects.
General warnings

Moderate hepatic impairment

This medicine should be used with caution in patients with a known history of moderate hepatic impairment (Child-Pugh B) due to the increased risk of worsening of the patient's condition.

Drowsiness

Ramelteon makes you drowsy and induces sleepiness. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating heavy machinery after consumption of this medicine.

Use in children

This medicine is not recommended for use in children and adolescents since the safety and efficacy of use are not clinically established.

Missed Dose

If you miss a dose of this medicine, take it as soon as you remember only if you want to sleep for 6-8 hours. Do not take the dose if you are not willing to sleep.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as daytime drowsiness, motor impairment, amnesia, anxiety, and hallucinations.
Interaction with Medicine

Fluvoxamine

Tramadol

Amiodarone

Codeine

Morphine

Disease interactions

Severe renal impairment

Ramelteon is not recommended for use in patients with a known history of severe renal impairment due to the increased risk of serious adverse effects.

Depression

This medicine is not recommended for use in patients with a known history of depression due to the increased risk of worsening of the patient's condition. Close monitoring of the patient for any changes in behavior or mood is recommended. Replacement with a suitable alternative may be required based on the clinical condition.
Food interactions
It is advised that you avoid consumption of caffeine during treatment with Ramelteon since it may increase the risk of side effects such as daytime drowsiness, motor impairment, amnesia, anxiety, and hallucinations.
Taking this medicine with or immediately after a heavy meal may delay the effects of Ramelteon. It is advised that you take this medicine within 1 to 30 minutes before bedtime.
Lab interactions
Information not available.
Take Ramelteon as instructed by your doctor. Do not take in larger or smaller amounts than advised. Consult the doctor if you experience any undesirable side effects. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous

Usage does not depend on food timings

To be taken at bedtime only

Causes sleepiness

How it works
Ramelteon induces sleepiness by acting like melatonin, a natural substance responsible for the regulation of the normal sleep-wake cycle.
Legal Status

Approved

Approved

Unknown

Approved

Classification

Category

Miscellaneous anxiolytics, sedatives and hypnotics

Schedule

N/A

DailyMed - Rozerem - ramelteon tablet, film coated [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 24 August 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7a51d289-2013-4d37-adf2-91ea49df7932

Ramelteon - DrugBank [Internet]. Drugbank.ca. 2017 [cited 24 August 2017]. Available from:

https://www.drugbank.ca/drugs/DB00980

Ramelteon: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 24 August 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a605038.html

Rozerem (ramelteon) dosing, indications, interactions, adverse effects, and more [Internet]. Reference.medscape.com. 2017 [cited 24 August 2017]. Available from:

http://reference.medscape.com/drug/rozerem-ramelteon-342928#

Toxnet [Internet]. Toxnet.nlm.nih.gov. 2017 [cited 24 August 2017]. Available from:

https://toxnet.nlm.nih.gov/cgi-bin/sis/search2

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Information on this page was last updated on 9 Sep 2017

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