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It is hard to tell if these changes are caused by ramelteon or if they are caused by physical or mental illnesses that you already have or suddenly develop. you should know that your mental health may change in unexpected ways while you are taking this medication.Call your doctor right away if you find out that you have been driving or doing anything else unusual while you were sleeping. After they woke up, these people were usually unable to remember what they had done. you should know that some people who took ramelteon got out of bed and drove their cars, prepared and ate food, had sex, made phone calls, or were involved in other activities while partially asleep.Alcohol can make the side effects of ramelteon worse. do not drink alcohol during your treatment with ramelteon.Do not drive a car or operate machinery until you know how this medication affects you. you should know that ramelteon may make you drowsy during the daytime.
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If you become pregnant while taking ramelteon, call your doctor.
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Be sure to mention any of the following: certain antifungals such as fluconazole (Diflucan), itraconazole (Sporanox), and ketoconazole (Nizoral) cimetidine (Tagamet) clarithromycin (Biaxin, in Prevpac) fluoroquinolones including ciprofloxacin (Cipro, Proquin XR), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (Floxin), others HIV protease inhibitors including indinavir (Crixivan), nelfinavir (Viracept), and ritonavir (Norvir, in Kaletra) medications for anxiety, pain or seizures nefazodone rifampin (Rifadin, in Rifamate, in Rifater, Rimactane) sedatives other sleeping pills ticlopidine (Ticlid) and tranquilizers. tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take.Your doctor will probably tell you not to take ramelteon while you are taking this medication. tell your doctor if you are taking fluvoxamine (Luvox).Ask your pharmacist or check the Medication Guide for a list of the ingredients. tell your doctor and pharmacist if you are allergic to ramelteon, any other medications, or any of the ingredients in ramelteon tablets.You can also visit the Food and Drug Administration (FDA) website ( ) or the manufacturer's website to obtain the Medication Guide. Read the information carefully and ask your doctor or pharmacist if you have any questions. Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with ramelteon and each time you refill your prescription. Call your doctor if your insomnia does not improve during this time or gets worse at any time during your treatment. Your insomnia should improve within 7 to 10 days after you begin treatment with ramelteon. Do not take ramelteon if you will be unable to remain asleep for 7 to 8 hours after taking the medication. Do not plan any other activities for this time. After you take ramelteon, you should complete any necessary bedtime preparations and go to bed. You may become sleepy soon after you take ramelteon. Swallow the tablets whole do not split, chew, or crush them. Do not take more or less of it or take it more often than prescribed by your doctor. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Do not take ramelteon with or shortly after a meal. It is usually taken once a day, no earlier than 30 minutes before bedtime. Ramelteon comes as a tablet to take by mouth.
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