Doctor insights on:
For some, yes: A frequent answer to questions on the Internet, and one which I think applies here, is "YMMV" ("your mileage may vary"). As with many medicines, which are helpful for some and not helpful for others, it often comes down to a "therapeutic trial" to see how it might help, and also to see what kind of side effects it might cause. Melatonin, similar in action to Rozerem, (ramelteon) might be worth a try. ...Read moreSee 1 more doctor answer
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?
Everyone is differen: Rozerem (ramelteon) is a melatonin analog and sometimes takes days to work. Lunesta works quickly, sometimes too fast. Lunesta, like Ambien can cause someone to go from awake to asleep without feeling tired btn. Therefore go to bed right after taking. Some have had sleep walking and fallen. ...Read moreSee 1 more doctor answer
What milligram doses of melatonin, ramelteon, and tasimelteon are equivalent, and how much of each is usually taken?
Does rozerem (ramelteon) affect the melatonin receptor, or your ability to produce melatonin naturally?
Yes: It is an excellent choice for elderly people with or without vascular dementia who have sleep onset insomnia. It does not have the high fall risks associated with the other sedative hypnotics. It also can strengthen the circaidian rhythm that is weakened in dementia patients. ...Read moreSee 1 more doctor answer
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. ...Read more
I am bipolar and I have severe insomnia. I have been taking rozerem, (ramelteon) but I ran out on Friday and I can't more until Tuesday. I need a prescription.
Contact provider: Please contact your health care provider to possibly get you a refill early as we are requested not to fill sleeping medicine on HealthTap. ...Read more
What sedatives work best Ambien cr, sonata, (zaleplon) lunesta, rozerem or silenor?I take restoril but doesn't work.I can't sleep unless i take an extra seroquel.
Don't get dependent: Taking more and more sleep meds is a dangerous path. Figure out why you can't sleep; see your primary care md first. Eliminate caffeine; don't exercise too late in the evening; stay away from your cell phone and other bright screens just before going to bed. Don't go to bed until you're sleepy. May need referral to sleep lab. Try to get off all sleep meds. Good luck! ...Read more
I noticed when i took rozerm that had an expiration date of a yr and half on it didn't work. When i took the same drug but newer, it worked. ?
Question?: So what's your question? You experience argues for not taking expired rozarem. ...Read more
How safe is rozerm to take every night? It raises prolactin levels and that can't be good. What other negative affects does it have that is not told?
What are the downfalls of taking rozerm seldomly? I read it raises your prolactin levels but dr's don't tell patients this.
Very mild: The doses needed for it to raise your prolactin levels are very high and really the side effect profile of rozerem (ramelteon) is very good. Like melatonin, though, it can lead to vivid dreams or nightmares in some individuals (a more common side effect than prolactin elevations). ...Read moreSee 1 more doctor answer
Is it safe or addicting to take the sleeping pill"rozerm"every
single night? I don't want to become addicted, sleep issues
chronic without diagnosis.
Consider this: Rozerem (ramelteon) is not addictive, but like other sleep meds, you can develop tolerance, and the med will no longer work. So, maybe best you do use only occasionally. But do you have a sleep disorder such as sleep apnea, or periodic limb movements of sleep? Is your insomnia a medication rxtn, or perhaps a circadian rhythm disorder, or even a shift work issue? ?Do a sleep study? ...Read moreSee 2 more doctor answers
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
So call your doc: This is the HT public information site.We are thousands of volunteer docs based primarily in the US who answer medical questions.We do not offer treatments. State medical boards require a physician/patient relationship,a retrievable record,recent exam with vital signs for prescribing.Failure to do so can lead to loss or restriction of license. It may seem minor to you but it is not. ...Read moreSee 1 more doctor answer
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isnt good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc..It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read moreSee 2 more doctor answers
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read moreSee 1 more doctor answer
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Clarify, please!: Do you want to know how to treat addiction? There are many addicting drugs out there and the medical treatment is different for all of them. But for all of them Narcotics Anonymous or Alcoholics Anonymous are extremely helpful and can often be the only treatment required. Often these programs, which are free, have success rates equal to many inpatient and outpatient costly rehab programs. ...Read moreSee 1 more doctor answer