Medicine & USMLE

Ramelteon

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Neuro Drugs
  1. Levodopa, Carbidopa
  2. Levetiracetam
  3. Valproic Acid
  4. Anticholinergic Syndrome
  5. Cholinergic Crisis
  6. Benztropine / Trihexyphenidyl
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  8. Pyridostigmine, Neostigmine, Edrophonium
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  15. Opioids
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  21. Triptans
  22. Selegiline / Rasagiline
  23. Entacapone / Tolcapone
  24. Gabapentin
  25. Lamotrigine
  26. Carbamazepine
  27. Ramelteon

Summary

Ramelteon is a drug used to promote sleep. Ramelteon works as a synthetic version of melatonin, used to promote sleep and sedation. Unlike other sleep-promoting drugs like benzodiazepines, Ramelteon does not cause dependence so it's generally safer to use compared to those options.

Key Points

  • Ramelteon (Rozerem)
    • Mechanism
      • Sedative-hypnotic
      • Melatonin agonist
        • Not classified as a controlled substance, but still requires a prescription
        • Selectively targets melatonin receptors to regulate circadian rhythms
        • Relatively new drug
    • Clinical Use
      • Insomnia
    • Side Effects and Adverse Reactions
      • Bradycardia
      • Drowsiness, fatigue
      • Dizziness
      • Headaches
      • Nausea