Question 1

how do i stop taking ramelteon? i tried to break it in half and couldn't sleep. can this medication cause rebound insomnia at first when stopping?

Accepted Answer

: Go to Drugs.com and look up your exact brand and enter any other meds into their interaction checker. Then discuss with Dr. Some long acting pills should not be broken as that destroying the casing that makes then release meds over a long time.

Question 2

why would md prescribe lunesta instead of rozerem (ramelteon)? besides the mechanism of action and lunesta being a controlled drug. which one is better  per se?

Accepted Answer

Better/Worse: I do not believe i would look at this from a better or worse standpoint.  It is which medication is most effective and is most tolerable.

Question 3

hi there. i am having trouble sleeping. i have read online about a drug called ramelteon, or packaged as rozerem.
does this drug exist in south africa?

Accepted Answer

Trouble sleeping: The solution is to have a sleep study to see what is going on. Can be many things but without a sleep study you have no idea.

Question 4

what side effects are associated with rozerem (ramelteon)?

Accepted Answer

Rozerem (ramelteon): This sleep medicine works when taken on empty stomach within half hour before bedtime. Once taken, lay down &amp; do not engage in any physical activity. It is for some comparable to Ambien (zolpidem).
Can cause drowsiness, dizziness, nausea, sometimes aches &amp; chills.

Question 5

rozerem (ramelteon) side effects including depression?

Accepted Answer

Yes, rozerem (ramelteon): Can cause depression in up to 2% of patients who take it.

Question 6

does rozerem (ramelteon) affect the melatonin receptor, or your ability to produce melatonin naturally?

Accepted Answer

Melatonin receptors: Ramelteon (rozerem) selectively binds to specific melatonin receptors (the mt1 and mt2 receptors) in the part of the brain that controls circadian rhythm (called the suprachiasmatic nucleus), thus promoting sleep the way our body's own melatonin would.

Question 7

is ramelteon recommended for elderly people with vascular dementia?

Accepted Answer

Not my first choice: Feel more comfortable  with lunesta, (eszopiclone) which seems safe in the elderly population.  But would prefer to not have older folks rely on sleep meds.  Maybe melatonin is the safest otc choice here.

Question 8

which would you rather have a patient take for insomnia, rozerem (ramelteon) or an otc melatonin supplement?

Accepted Answer

Evaluate first: Before medicating at all, i would rather the patient have a thorough evaluation of the insomnia.  It has many possible causes, many of which can be eliminated with healthy sleep hygiene alone.  In the right situations, melatonin can be very helpful (like disrupted sleep cycle due to traveling through time zones, etc.   Rozerem (ramelteon) is a melotonin receptor agonist, not melatonin itself.

Question 9

hello! i tried belsomra 20 mg. i could not sleep even with two tablets. why didn't belsomra help? diagnosis: chronic insomnia with anxiety disorder. i am taking escitalopram in the morning 10 mg. should i try rozerem before bedtime?

Accepted Answer

All are different: Everyone is a little different in what helps them.  Staying on a regular sleep schedule with a wind down routine can be quite helpful, and necessary for some people I suggest trying 4-500mg magnesium glucoonate citrate or threonate-are most absorbable, often melatonin can help if mg not enough or effective

Question 10

hello! melatonin does not help me. zaleplon helps to sleep, but it can not be taken for a long time, since it causes dependence. diagnosis: chronic insomnia with anxiety disorder. i take escitalopram in the morning. can rozerem replace zaleplon?

Accepted Answer

Anxiety Disorder: I understand your need for good sleep.
Becoming aware of your Anxiety Disorder, let the Wise person in you ask:
•Is it causing insomnia?
•stresses causing insomnia?
•Use of Alcohol, drugs,  Caffeine?
•Need for medication for insomnia-Melatonin, Zaleplon or Rozerem
Side effects, Dependence
Please see a Psychiatrist for:
Diagnosis 
Therapy for stresses 
Breathing Relaxation
Medication

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Doctor answers about:

Ramelteon medication

A member asked:

How do i stop taking ramelteon? i tried to break it in half and couldn't sleep. can this medication cause rebound insomnia at first when stopping?

A member asked:

Why would md prescribe lunesta instead of rozerem (ramelteon)? besides the mechanism of action and lunesta being a controlled drug. which one is better per se?

A member asked:

Hi there. i am having trouble sleeping. i have read online about a drug called ramelteon, or packaged as rozerem. does this drug exist in south africa?

A member asked:

What side effects are associated with rozerem (ramelteon)?

A member asked:

Rozerem (ramelteon) side effects including depression?

A member asked:

Does rozerem (ramelteon) affect the melatonin receptor, or your ability to produce melatonin naturally?

A member asked:

Is ramelteon recommended for elderly people with vascular dementia?

A member asked:

Which would you rather have a patient take for insomnia, rozerem (ramelteon) or an otc melatonin supplement?

A member asked:

Hello! i tried belsomra 20 mg. i could not sleep even with two tablets. why didn't belsomra help? diagnosis: chronic insomnia with anxiety disorder. i am taking escitalopram in the morning 10 mg. should i try rozerem before bedtime?

A member asked:

Hello! melatonin does not help me. zaleplon helps to sleep, but it can not be taken for a long time, since it causes dependence. diagnosis: chronic insomnia with anxiety disorder. i take escitalopram in the morning. can rozerem replace zaleplon?

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