ramelteon, Rozerem

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

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What is Rozerem, and how does it work (mechanism of action)?

Ramelteon is an oral drug that promotes falling asleep and is used for treating insomnia. It acts by stimulating receptors for melatonin in the brain. Melatonin and its receptors control the circadian rhythm of the body which controls the sleep/wake cycle. Unlike many drugs used for treating insomnia, ramelteon is not addictive, and it is not a controlled substance. Ramelteon also does not cause withdrawal symptoms or rebound insomnia when it is stopped. Ramelteon was approved by the FDA in July 1995.

What brand names are available for Rozerem?

Rozerem

Is Rozerem available as a generic drug?

GENERIC AVAILABLE: No.

Do I need a prescription for Rozerem?

Yes.

What are the side effects of Rozerem?

Side effects associated with ramelteon include:

Rare cases of severe allergic reactions involving swelling of the tongue and closure of the throat have been reported.

Other important side effects include:

What is the dosage for Rozerem?

The recommended dose of ramelteon is 8 mg taken 30 minutes before bedtime. Ramelteon should not be taken with or immediately after a high fat meal because fat increases its absorption from the intestine.

Which drugs or supplements interact with Rozerem?

Doxepin (Sinequan, Adapin), donepezil (Aricept), fluvoxamine (Luvox, Luvox CR), ketoconazole (Nizoral, Extina, Xolegel, Kuric), and fluconazole (Sporanox) increase blood levels of ramelteon, possibly increasing side effects of ramelteon. Rifampin may decrease blood levels of ramelteon, possibly reducing the effect of ramelteon. Alcohol increases the sedative effects ramelteon.

Is Rozerem safe to take if I'm pregnant or breastfeeding?

Ramelteon has not been evaluated in pregnant women. Animal studies show that it may cause harm. Therefore, ramelteon should not be used in pregnant women unless it is absolutely necessary.

Ramelteon has not been evaluated in nursing mothers.

What else should I know about Rozerem?

What preparations of Rozerem are available?

How should I keep Rozerem stored?

Ramelteon should be store at room temperature, between 15 C - 30 C (59 F - 86 F).

Reference: FDA Prescribing Information

Last Editorial Review: 7/27/2015

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See more info: Rozerem on RxList
Reviewed on 7/27/2015
References
Reference: FDA Prescribing Information

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