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How To Get a Ramelteon Prescription Online in a Few Easy Steps

How To Get a Ramelteon Prescription Online in a Few Easy Steps

Ramelteon proved to be effective in treating insomnia in several clinical trials, making it a valuable option for those struggling with sleep onset difficulties. 

However, you can only get this medication with your doctor’s prescription, which may entail long waiting or travel times since sleep specialists are scarce. This article explains how to get a ramelteon prescription online, presents its mechanism of action, and suggests non-pharmaceutical methods to try to reach long-lasting results.

How To Buy Ramelteon Online Safely

When getting ramelteon online, you should ensure you’re dealing with a reputable telemedicine clinic. Four steps to help you make an informed decision are:

  1. Check for accreditation—Ensure the telemedicine service is accredited by recognized healthcare organizations. Accreditation confirms that the service meets the recommended standards of quality and safety
  2. Verify provider credentials—Check if the healthcare providers are board-certified in their specialty area. You can usually find this information on the service’s website or by asking the service directly
  3. Read user reviews—Look for reviews on third-party websites like Trustpilot or Google Reviews. Pay attention to comments about the quality of care, ease of use, and response times
  4. Understand the privacy policy—The service should comply with HIPAA regulations to ensure your health information is protected. It should use secure, encrypted connections for all communications
  5. Confirm if they offer routine support—A reputable telehealth service should provide ongoing support and follow-up consultations to monitor your progress, adjust treatment as needed, and address any concerns you may have during treatment

Kick, an online performance medicine clinic, checks all these boxes and more, providing a secure and supportive platform for managing your sleep health.

Source: Polina Kovaleva

Kick—Quick Access to Personalized Sleep Solutions

Designed by Dr. Alex Dimitriu, a Stanford-based expert, Kick’s sleep program offers a science-backed, tailored approach to overcoming insomnia. The program combines cognitive-behavioral therapy for insomnia (CBT-i) best practices with gentle medications like ramelteon, helping you get comprehensive treatment.

Sleep medications Kick offers include: 

  1. Ramelteon
  2. Cyclobenzaprine
  3. Doxepin
  4. Hydroxyzine
  5. Trazodone
  6. Gabapentin

When you join the program, your doctor will prescribe two trial medications to rotate in the first two weeks, reducing the risk of dependence. If the initial plan doesn’t yield the desired results, our expert will adjust the treatment to optimize it.

Your doctor will also offer tips on healthy sleep hygiene, helping you reach a lasting solution. Kick’s unique approach has helped numerous individuals overcome insomnia, which is evidenced by many positive reviews on Trustpilot.

Getting Started With Kick

To benefit from Kick’s sleep program, follow three simple steps:

  1. Visit the signup page to begin your 15-minute consultation 
  2. Fill out the questionnaire to help us understand your sleep issues and health status
  3. Provide your delivery and payment details

If Kick’s team decides you’re not the best candidate for the program, you won’t pay for the initial consultation as per our Doctor Guarantee.

Source: Kampus Production

How Ramelteon for Insomnia Works

Ramelteon is an FDA-approved melatonin receptor agonist prescribed to individuals with sleep disorders. The medication is sold under several brand names, including:

  • Rozerem
  • TAK-375

Once administered, ramelteon mimics melatonin, a natural chemical in the body that regulates the sleep-wake cycle. It selectively binds to and activates melatonin MT1 and MT2 receptors, which play a crucial role in sleep regulation and circadian rhythm. 

By activating these receptors, ramelteon enhances their function, including the modulation of neuronal firing rates, which influences the body’s internal clock and promotes sleep onset. 

Since the drug targets the suprachiasmatic nucleus, a region of the brain that uses signals from the eyes to help establish and maintain the biological clock, it can offer a more focused approach to sleep regulation. Due to its unique mechanism, the drug carries a negligible risk of developing dependence, making it a viable option for individuals who need long-term treatment for sleep issues.

How To Take Ramelteon for Sleep

Ramelteon is a tablet, and the typical sleep dose is 8 mg, taken an hour before bedtime. 

To benefit from this medication, follow these tips:

  • Avoid high-fat meals before taking the drug—High-fat meals can slow down the absorption of ramelteon, delaying its onset. Aim for a low-fat meal before bedtime
  • Limit alcohol consumption—Alcohol can enhance the drug’s sedative effects, increasing the risk of excessive drowsiness or other unwanted reactions
  • Avoid driving or operating machinery—Ramelteon can affect your thinking or reactions. If you feel drowsy after taking the medication, avoid activities that require alertness until the effects subside
  • Avoid doubling up on doses—If you miss a dose, skip it and continue with your regular dosing schedule
  • Schedule regular doctor visits—Regular check-ups enable your doctor to monitor your progress and adjust the dosage if necessary
  • Store the drug correctly—Keeping the medication at room temperature, away from light and moisture, helps maintain its effectiveness
  • Don’t discontinue suddenly—Abrupt cessation can cause an insomnia relapse. Consult your doctor for a safe discontinuation plan

Who Should Take Ramelteon for Sleep?

Source: Niels from Slaapwijsheid.nl

Ramelteon is generally safe for adults grappling with sleep-onset insomnia. Since its abuse potential is low, the drug can be a viable option for patients seeking a non-addictive solution. 

Still, the medication is contraindicated for individuals with specific health issues or on certain medications. Check out the table below for more details:

Who Should Avoid Ramelteon?

Explanation

Individuals with severe liver impairment

Since the drug is metabolized in the liver, severe liver impairment can slow down this process, leading to higher levels of the drug in the body

Individuals with alcohol or drug addiction

The medicine can interact with alcohol and certain drugs, increasing the risk of adverse effects

People taking fluvoxamine 

Fluvoxamine can increase the concentration of this drug in the body, intensifying the risk of side effects

Patients with a history of angioedema 

There have been occasional reports of angioedema (severe swelling beneath the skin) while using ramelteon

People taking strong CYP1A2 inhibitors

Drugs like ciprofloxacin and enoxacin inhibit CYP1A2, an enzyme crucial for the metabolism of ramelteon. This can lead to higher-than-recommended levels of the drug in the body

Individuals with kidney impairment

Severe renal impairment may slow down the elimination of ramelteon, leading to health complications

Patients allergic to ramelteon

Allergic reactions to ramelteon have been reported, including rash, itching, and swelling

People taking central nervous system (CNS) depressants

Combining ramelteon with CNS depressants like benzodiazepines or opioids can enhance sedative effects, increasing the risk of severe drowsiness or respiratory depression

This list isn’t exhaustive. If you have other health conditions or use specific substances, inform your doctor before getting ramelteon.

Side Effects of Ramelteon

Ramelteon carries the risk of side effects, but patients who adhere to their doctor’s instructions rarely experience them. Check out the table below for a breakdown of the typical unwanted reactions to the drug:

Common Side Effects

Less Common Side Effects

  • Dizziness

  • Tiredness

  • Headache

  • Insomnia

  • Nausea

  • Fatigue

  • Upper respiratory tract infection

  • Somnolence

  • Sinusitis 

  • Allergic reactions

  • Memory loss

  • Nightmares

  • Sleepwalking

  • Abnormal dreams

  • Anxiety

  • Depression

  • Hallucinations

If you experience any side effects while on ramelteon, inform your healthcare provider immediately.

Source: Nitin Khajotia 

Alternatives to Ramelteon

If your healthcare provider assesses that ramelteon isn’t the best fit for you, they may recommend other solutions, including:

  1. Other sleep medication
  2. Lifestyle changes 

Other Sleep Medication

Depending on the factors contributing to sleeplessness, your doctor may recommend other medications to help you overcome it. The table below lists some of the drugs healthcare providers typically prescribe to people with insomnia:

Ramelteon Alternative

Available Doses

Typical Dose for Sleep Issues

Average Treatment Duration

Ambien

  • 5 mg

  • 10 mg

5mg for women, 5mg–10mg for men 

Up to six weeks


Benadryl

  • 25 mg

  • 50 mg

50 mg

Two weeks maximum

Belsomra

  • 5 mg

  • 10 mg

  • 15 mg

  • 20 mg

10 mg

3–4 months

Cyclobenzaprine

  • 5 mg

  • 7.5 mg

  • 10 mg

  • 15 mg

  • 30 mg

5 mg

Three weeks maximum

Doxepin

  • 3 mg

  • 6 mg

6 mg

4–8 weeks maximum

Doxylamine

  • 25 mg

25 mg

Up to two weeks

Gabapentin

  • 100 mg

  • 250 mg

  • 300 mg

  • 400 mg

  • 600 mg

  • 800 mg

300 mg

At least two weeks

Hydroxyzine

  • 10 mg 

  • 25 mg 

  • 50 mg

50 mg

3–4 months maximum

Seroquel

  • 25mg

  • 50mg

  • 100mg

  • 200mg

  • 300mg

  • 400mg

25 mg

Eight weeks maximum

Tramadol

  • 5 mg

  • 50 mg

  • 100 mg

  • 150 mg

  • 200 mg

  • 300 mg

25 mg

A few days to several weeks, depending on your sleep issues

Trazodone

  • 50 mg

  • 100 mg

  • 150 mg

  • 300 mg

25 mg

One month

Zoloft

  • 25 mg

  • 50 mg

  • 100 mg

50 mg

Long- or short-term

Mirtazapine

  • 15 mg 

  • 30 mg 

  • 45 mg

7.5 mg–15 mg

Long- or short-term

Lifestyle Changes

Besides medication, certain lifestyle changes can be effective in alleviating sleeplessness. Some helpful strategies are:

  • Maintain a consistent sleep schedule—Align your sleep schedule with your natural circadian rhythm by going to bed and waking up at the same time every day. This can help regulate your internal clock and improve sleep quality
  • Optimize your sleep environment—Create a sleep-friendly environment that’s quiet, dark, and cool. Consider using earplugs to block out noise, blackout curtains to darken the room, and a fan or air conditioner to keep the room cool
  • Exercise regularly—Regular physical activity can help you fall asleep faster and enjoy deeper sleep. Still, avoid exercising too close to bedtime as this might interfere with sleep onset
  • Manage stressHigh anxiety levels can interfere with sleep. Techniques such as meditation, deep breathing, yoga, or progressive muscle relaxation can help manage stress and improve sleep
  • Mind what you eat—Large or spicy meals can cause discomfort and interfere with sleep. Aim to finish eating at least a few hours before bed. Avoid stimulants, such as caffeine and nicotine, close to bedtime
  • Limit daytime naps—While napping can be beneficial, long or irregular napping can negatively affect sleep. If you must nap, limit it to 20 to 30 minutes and do it in the early afternoon

These methods can also be used alongside medication to get encompassing treatment.

Featured image source: Polina Kovaleva