Highlights for ramelteon
ramelteon Side Effects
Side effects that you should report to your doctor or health care professional as soon as possible:\n-allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue\n-breast milk production or discharge\n-breathing problems\n-joint or muscle pain\n-depression, suicidal thoughts\n-missed monthly period (for women)\n-unusual activities while asleep like driving, eating, making phone calls\n-unusually weak or tired\n-worsening of insomnia\n\nSide effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):\n-bad taste\n-daytime sleepiness\n-decreased sex drive\n-diarrhea\n-headache\n-nausea
ramelteon May Interact with Other Medications
Do not take this medicine with any of the following medications:\n-fluvoxamine\n-melatonin\n\nThis medicine may also interact with the following medications:\n-medicines used to treat fungal infections like ketoconazole, fluconazole, or itraconazole\n-rifampin
How to Use ramelteon
Take this medicine by mouth with a glass of water. Do not break tablets; swallow whole. Follow the directions on the prescription label. It is better to take this medicine on an empty stomach and only when you are ready for bed. Do not take your medicine more often than directed.\n \nA special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.\n \nTalk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
They need to know if you have any of these conditions:\n-depression\n-history of a drug or alcohol abuse problem\n-liver disease\n-lung or breathing disease\n-suicidal thoughts\n-an unusual or allergic reaction to ramelteon, other medicines, foods, dyes, or preservatives\n-pregnant or trying to get pregnant\n-breast-feeding
This does not apply. This medicine should only be taken immediately before going to sleep. Do not take double or extra doses.
Visit your doctor or health care professional for regular checks on your progress. If your condition gets worse after you start taking this medicine or you notice any different emotions or behaviors (like anxiety, depression, excessive excitement, or mania), you should contact your health care provider right away.\n\nDo not take this medicine unless you are able to get a full night's sleep before you must be active again. You may not be able to remember things that you do in the hours after you take this medicine. Some people have reported driving, making phone calls, or preparing and eating food while asleep after taking sleep medicine. Take this medicine right before going to sleep. Tell your doctor if you are have any problems with your memory.\n\nYou may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Keep out of the reach of children.\n\nStore at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep the container tightly closed. Protect from moisture and humidity. Throw away any unused medicine after the expiration date.
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Last Updated: August 9, 2011