Rozerem

— THERAPEUTIC CATEGORIES —
  • Sleep-wake disorders

Rozerem Generic Name & Formulations

General Description

Ramelteon 8mg; tabs.

Pharmacological Class

Hypnotic (melatonin agonist).

How Supplied

Tabs—30, 100, 500

Rozerem Indications

Indications

Insomnia.

Rozerem Dosage and Administration

Adult

Take 8mg within 30mins of bedtime. Do not take with high-fat/heavy meals (delays effect).

Children

Not recommended.

Rozerem Contraindications

Contraindications

Concomitant fluvoxamine.

Rozerem Boxed Warnings

Not Applicable

Rozerem Warnings/Precautions

Warnings/Precautions

Evaluate for comorbid diagnoses. Depression. Behavioral changes. Monitor prolactin and testosterone levels if unexplained amenorrhea, galactorrhea, decreased libido, or fertility problems occur. COPD, severe obstructive sleep apnea, severe hepatic impairment: not recommended. Moderate hepatic impairment. Pregnancy. Nursing mothers: monitor infants (see full labeling).

Rozerem Pharmacokinetics

See Literature

Rozerem Interactions

Interactions

See Contraindications. Potentiated by strong inhibitors of CYP1A2, CYP3A4 (eg, ketoconazole), CYP2C9 (eg, fluconazole). Antagonized by strong CYP450 inducers (eg, rifampin). Monitor closely with donepezil, doxepin. Avoid alcohol.

Rozerem Adverse Reactions

Adverse Reactions

Somnolence, dizziness, fatigue, nausea, exacerbated insomnia; complex sleep-related behaviors (eg, sleep-driving), reduced testosterone or cortisol levels, increased prolactin levels (monitor if occurs); anaphylaxis, angioedema (do not rechallenge).

Rozerem Clinical Trials

See Literature

Rozerem Note

Not Applicable

Rozerem Patient Counseling

See Literature