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.
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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 actionThe effect of this medicine can be observed within 30 minutes of administration of the dose.
- Duration of effectThe 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
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
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:
Ramelteon - DrugBank [Internet]. Drugbank.ca. 2017 [cited 24 August 2017]. Available from:
Ramelteon: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 24 August 2017]. Available from:
Rozerem (ramelteon) dosing, indications, interactions, adverse effects, and more [Internet]. Reference.medscape.com. 2017 [cited 24 August 2017]. Available from:
Toxnet [Internet]. Toxnet.nlm.nih.gov. 2017 [cited 24 August 2017]. Available from:
Information on this page was last updated on 9 Sep 2017
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.