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

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.