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On this episode, I discuss the pharmacology, adverse effects, and drug interactions of ramelteon (Rozerem).
Ramelteon is primarily only helpful for sleep onset and generally is not that helpful in sleep maintenance.
CNS depressant drug interactions will be a common concern to monitor. Opioids, benzodiazepines, and alcohol are common sedatives that can add to the effects of ramelteon.
Some of the CYP enzymes break down Ramelteon. I discuss this in greater length in this podcast episode.
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