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Sleeping Aids - Rozerem
Generic Name: Ramelteon (ram L tee on)

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What is Rozerem?

Insomnia Treatment Therapy

Do you have trouble falling asleep at night? Is it affecting your daytime activities? If so, you may have insomnia. An estimated 60 million people in the USA are afflicted with insomnia, and many never seek medical help. Chronic insomnia occurs when a person has difficulty sleeping and the sleep problem persists for more than a month. Insomnia can result in depression, decreased overall health, memory impairment, increased accidents and many debilitating symptoms.

When taken as directed, Rozerem may provide relief and allow you to get the sleep you need. Rozerem is a non-narcotic medication that helps induce sleep by targeting two melatonin receptors in the brain. These receptors regulate circadian rhythms, which control the sleep-wake cycle.

Rozerem can be used as a long-term medication therapy. If taking Rozerem does not solve your insomnia problem within a reasonable amount of time, or your problem worsens, or you experience behavioral or cognitive abnormalities, you should discontinue using Rozerem and should see a doctor to see if other medical disorders are present.

The most common side-effects with Rozerem are drowsiness, fatigue and dizziness. Rozerem should not be taken after a high-fat meal. Rozerem should be taken 30 minutes prior to bedtime. Activities should be limited to bedtime preparation during this period. You should not engage in activities that require concentration, such as operating a motor vehicle, after taking Rozerem.

What should you Know?

Use caution when driving, operating machinery, or performing other hazardous activities. Ramelteon will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities. Ramelteon should be taken just before bedtime. You may experience some carryover effects the next day.
Take ramelteon within 30 minutes prior to going to bed and limit your activities to those necessary to prepare for bed.
Do not take ramelteon with or immediately after a high fat meal.
Talk to your health care provider if you experience a worsening of insomnia or any new mental or physical problems that concern you.
Contact your health care provider if you experience any of the following:
· decreased sex drive;
· excessive flow of milk from the breasts during nursing or milk flow from the breasts that is not associated with childbirth or the nursing of an infant in women;
· a loss of menses (period) in women; or
· fertility problems.

Before Using
Before taking this medication, tell your doctor if you
· have liver disease;
· have sleep apnea;
· take fluvoxamine (Fluvox);
· are depressed or have suicidal thoughts.
You may not be able to take ramelteon, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
Ramelteon is in the FDA pregnancy category C. This means that it is unknown whether ramelteon will harm an unborn baby. Do not take ramelteon without first talking to your doctor if you are pregnant.
It is unknown if ramelteon passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
If you are over 65 years of age, you may be more likely to experience side effects from ramelteon. You may require a lower dose of this medication.
Directions

Take ramelteon exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water.
Take ramelteon within 30 minutes prior to going to bed and limit your activities to those necessary to prepare for bed.
You can take ramelteon with or without food but for ramelteon to work best, do not take it with or immediately after a high-fat, heavy meal.
Do not crush or chew the tablets. Take each tablet whole.
Take ramelteon only if you are able to get a full night's sleep (8 or more hours) before you must be active again.
Do not take more of this medication than is prescribed for you.
Store ramelteon at room temperature away from moisture and heat.

What happens if I miss a dose?

Since ramelteon is usually taken only if you need it to help you sleep, missing a dose will not cause any problems.
Cautions

If you experience any of the following serious side effects, stop taking ramelteon and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, face, or tongue; hives).
Talk to your health care provider if you experience a worsening of insomnia or any new mental or physical problems that concern you.
Contact your health care provider if you experience any of the following:
· decreased sex drive;
· excessive flow of milk from the breasts during nursing or milk flow from the breasts that is not associated with childbirth or the nursing of an infant in women;
· a loss of menses (period) in women; or
· fertility problems.
Contact your doctor if you experience
· daytime drowsiness, dizziness, or clumsiness;
· more outgoing or aggressive behavior than normal;
· confusion;
· strange behavior;
· memory loss problems;
· agitation;
· hallucinations; or
· new feelings of depression.
Side effects other than these may occur. If these become bothersome, contact your doctor.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Read more about the drug Rozerem at the link below. Most of the Information above is reported/taken from: http://www.drugs.com/mtm/r/rozerem.html



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