man sleeping profoundly thanks to Ramelteon

Ramelteon FAQ: Questions and Answers About Ramelteon (Rozerem)

If you have trouble falling asleep, you may have considered taking supplements and medications to improve your sleep and quality of life. Ramelteon is an FDA-approved medication that may help you with your insomnia. [Español]

Following are answers to the questions we hear most often about ramelteon.

Q: What is ramelteon?

A: Ramelteon is a sleep aid used to treat insomnia. It mimics the action of melatonin, a hormone that regulates sleep-wake cycles. It specifically targets melatonin receptors in the brain to help you fall asleep more quickly.

Q: What is Rozerem?

A: Rozerem is a name-brand medication featuring ramelteon as its active ingredient.

Q: Is ramelteon a prescription medication?

A: Yes, ramelteon is available only by prescription. You’ll need to consult a healthcare provider for an evaluation before obtaining this medication.

Q: How does ramelteon work on insomnia?

A: Ramelteon targets the part of the brain that controls the body’s sleep-wake cycle. Ramelteon works as a sleep aid by helping you relax, fall asleep, and stay asleep.

Q: How quickly does ramelteon take effect?

A: It generally takes effect within 30 minutes to an hour. It’s advisable to take it only when you are ready to go to bed.

Q: I have heard that some sleep aids can be addictive. Is ramelteon habit-forming?

A: Unlike some other sleep aids, ramelteon is not a controlled substance, which means it is not subject to government restrictions that apply to drugs that can cause addiction. There is no scientific evidence to suggest that ramelteon leads to abuse or dependence. Still, ramelteon should be used with care under the guidance of a licensed physician.

Q: Will I feel groggy or tired the morning after taking ramelteon?

A: Most people who take ramelteon do not experience morning-after tiredness or grogginess.

Q: What should I discuss with my doctor before taking ramelteon?

A: Make sure to discuss your complete medical history with your healthcare provider before taking ramelteon, including the following:

  • How long you have had insomnia and what might have prompted the condition
  • All drug allergies, especially to any ingredient contained in ramelteon
  • All other medications you are taking, including another sleep aid, prescription and over-the-counter medicines, vitamins, and herbal supplements
  • If you have a history of alcohol or drug addiction
  • If you have liver disease
  • If you suffer from sleep apnea — a condition where you stop breathing temporarily during sleep
  • If you have lung problems such as asthma, chronic obstructive pulmonary disease (COPD), bronchitis, or emphysema
  • If you have a history of depression or mental illness
  • If you are pregnant, planning to become pregnant, or breastfeeding
  • If you are 65 years or older

Q: How should I take ramelteon?

A: Observe the following precautions before and while you take ramelteon:

  • Only take ramelteon under the supervision of your healthcare provider, regardless of whether you have used this sleep aid or another sleep aid before.
  • Before you start taking ramelteon, read the patient information that comes with the medicine. But be aware that it is not a substitute for the advice of a licensed physician.
  • Take ramelteon orally, with a full glass of water. You can take it with or without food, as directed by your doctor. However, do not take ramelteon with or soon after a high-fat meal.
  • Take ramelteon half an hour before going to bed.
  • Inform your doctor if your insomnia symptoms do not improve (or if they worsen) after using ramelteon for 7 to 10 nights.
  • Ramelteon is intended for use as a short-term sleep aid only. Do not take ramelteon for more than two weeks without consulting a doctor, even if it does not help your insomnia.

doctor providing a medical prescription for Ramelteon

Q: What are the possible side effects of ramelteon?

A: Most people who use ramelteon as a sleep aid do not experience any serious side effects. Some of the more common ramelteon side effects include dizziness, tiredness, daytime drowsiness, diarrhea, and nausea. These ramelteon side effects are typically mild and normally do not result in the patient discontinuing treatment. 

Some people have reported that after using ramelteon, they engaged in activities that they later did not remember. If this occurs, or if you develop any ramelteon side effects that concern you, seek medical attention immediately.

Q: What are the possible allergic reactions to ramelteon?

A: If you are allergic to ramelteon or any other ingredient in Rozerem, make sure you inform your doctor before taking this medication. A very serious allergic reaction to ramelteon is unlikely, but talk to your doctor immediately if one develops. 

Possible symptoms of an allergic reaction include:

  • Difficulty breathing.
  • Rash, itching, or hives.
  • Swelling of the lips, tongue, or face.
  • Severe dizziness.

Q: Are there any other drugs I should avoid while taking ramelteon?

A: Before you begin taking ramelteon, inform your doctor about all other prescription and over-the-counter medications you take, including vitamins and herbal supplements. 

Ramelteon side effects may be aggravated and could become more dangerous if the sleep aid is used along with any of the following medications.

  • Cimetidine (Tagamet)
  • Fluvoxamine (Luvox)
  • Rifampin (Rifadin, Rifater, Rifamate, Rimactane)
  • Antifungals such as Diflucan (fluconazole), Sporanox (itraconazole), or Nizoral (ketoconazole)
  • Other sleep aids, narcotic pain medications, muscle relaxants, seizure medications, or anti-anxiety medications
  • Certain cold medications that contain ingredients that can cause drowsiness

Q: Are there any activities that I should avoid while taking ramelteon?

A: Ramelteon can make you drowsy and impair your reflexes and reactions. Avoid the following activities after taking ramelteon:

  • Driving or operating machinery or engaging in activities that require alertness
  • Drinking alcohol, or taking tranquilizers or other medicines that cause drowsiness, as ramelteon can compound the effects of alcohol and other depressants

Q: Is it safe to take ramelteon when I’m pregnant?

pregnant lady lying on a sofa

A: Ramelteon may be harmful to your unborn baby. Talk to your healthcare provider if you are pregnant or plan to become pregnant and want to take ramelteon.

Q: Is it safe to take ramelteon when I’m breastfeeding?

A: Ramelteon may pass into breast milk. Consult with your doctor about breastfeeding before taking ramelteon or any other sleep aid.

Q: Is ramelteon safe for long-term use?

A: The safety of long-term use has not been well studied, so consult your healthcare provider for guidance. Periodic evaluations may be necessary if you’re using it for an extended period.

Q: Is ramelteon safe for kids?

A: The safety and effectiveness of ramelteon in children have not been established. It’s crucial to consult a pediatrician for alternative treatment options.

female doctor talking with a child

Q: Is ramelteon more effective than melatonin for insomnia?

A: Some studies suggest ramelteon may be more effective for certain types of insomnia, but individual responses can vary. It’s important to consult a healthcare provider for a diagnosis and treatment plan.

Check out our ramelteon vs. melatonin comparison to see how ramelteon stacks up against this popular sleep supplement.

Q: What do healthcare professionals recommend: ramelteon or melatonin?

A: Recommendations vary based on individual needs and medical history. Consult your healthcare provider for personalized advice, as one may be more suitable for you than the other.

Q: Can ramelteon and melatonin be taken together safely?

A: Because of potential interactions, combining the two is generally not recommended without consulting a healthcare provider. Taking them together could amplify effects or cause other unforeseen issues.

Q: How do I choose between ramelteon and melatonin for my specific needs?

A: Consider factors like the type of sleep issue you have and potential side effects, and consult your healthcare provider for personalized advice. Your healthcare provider can help you weigh the pros and cons of each option.

Q: Is ramelteon or melatonin better for older adults?

A: Ramelteon is often preferred for older adults due to a lower risk of dependency. However, consult your healthcare provider for personalized advice, especially if you have other medical conditions.

Q: Are there any special considerations for men when taking ramelteon?

A: No gender-specific considerations have been well documented for ramelteon. However, always disclose your full medical history to your healthcare provider for tailored advice.

Q: What are the dosage recommendations for ramelteon?

A: The standard dosage is 8 milligrams taken 30 minutes before bedtime, but consult your healthcare provider for personalized advice. Dosages may vary based on individual needs and medical history.

Q: What should I do if I miss a dose of ramelteon?

A: If you miss a dose of ramelteon and you are taking one dose daily at bedtime, skip the missed dose. Do not take the dose in the morning and do not take two doses at once. Do not take this sleep aid if you do not have a full seven to eight hours to devote to sleep before you need to be active again.

Q: What should I do in case of an accidental overdose of ramelteon?

A: If you suspect an overdose of ramelteon, contact your local poison control center or emergency room immediately. U.S. residents can call the National Poison Hotline at 1-800-222-1222.

Q: How should I store ramelteon?

A: Store ramelteon in an airtight container at room temperature. As with any medication, keep Rozerem away from children and pets.

Q: How do I get ramelteon?

A: Unlike melatonin, ramelteon is an FDA-approved, prescription-only medication. At eDrugstore, we carry ramelteon and have in-house doctors who offer a free medical consultation and can write the prescriptions you need.

Get your ramelteon prescription today. With eDrugstore, shipping is always fast and free.



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