Medicine & USMLE

Ramelteon

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Neuro Drugs
  1. Anticholinergic Syndrome
  2. Cholinergic Crisis
  3. Benztropine / Trihexyphenidyl
  4. Pyridostigmine, Neostigmine, Edrophonium
  5. Donepezil
  6. Memantine
  7. Scopolamine
  8. Levodopa, Carbidopa
  9. Selegiline / Rasagiline
  10. Entacapone / Tolcapone
  11. Propofol
  12. Halothane / Flurane
  13. Opioids
  14. Succinylcholine
  15. Lidocaine
  16. Ergotamine
  17. Triptans
  18. Pregabalin
  19. Gabapentin
  20. Ramelteon

Ramelteon

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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