নির্দেশনা

Ramelteon tablet is indicated for the treatment of insomnia characterized by difficulty with sleep onset.

Composition

ফার্মাকোলজি

Ramelteon is a melatonin (MT) receptor agonist with both high affinity for melatonin MT1 and MT2 receptors and selectivity over the MT3 receptor. The activity of Ramelteon at the MT1 and MT2 receptors is believed to contribute to its sleep-promoting properties, as these receptors, acted upon by endogenous melatonin, are thought to be involved in the maintenance of the circadian rhythm underlying the normal sleep-wake cycle. Ramelteon has no appreciable affinity for the GABA receptor complex or for receptors that bind to neuropeptides, cytokines, serotonin, dopamine, noradrenaline, acetylcholine and opiates.

মাত্রা ও সেবনবিধি

Adults : One tablet (8 mg) taken within 30 minutes of going to bed. It should not be taken with or immediately after a high-fat meal. Total daily dose should not exceed 8 mg. Elderly : No overall differences in safety and efficacy between elderly and younger adult subjects. Children : Safety and effectiveness not established.

প্রতিনির্দেশনা

Hypersensitivity to any of the ingredients of this formulation.

পার্শ্ব প্রতিক্রিয়া

Most common adverse reactions are somnolence, dizziness, fatigue, nausea, headache, and exacerbated insomnia. Hallucinations, behavioral changes such as bizarre behavior, agitation and mania have been reported with Ramelteon use. Amnesia, anxiety and other neuro-psychiatric symptoms may also occur unpredictably

গর্ভাবস্থায় ও স্তন্যদানকালে

Pregnancy Category C. Based on animal data it may cause fetal harm. Do not use Ramelteon unless the potential benefit justifies the potential risk. It is not known whether Ramelteon is secreted into human milk. Caution should be exercised when administered to a nursing woman.

সতর্কতা

There may be a chance of occurrence of angioedema, anaphylaxis, hallucinations, decreased testosterone level and increased prolactine level.

থেরাপিউটিক ক্লাস

Miscellaneous sedatives & hypnotics

সংরক্ষণ