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Rozerem vs. Dalmane

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Ramelteon (Rozerem) and flurazepam are both used to treat insomnia, but they belong to different drug classes and have distinct characteristics. Ramelteon is a melatonin receptor agonist that mimics the natural hormone melatonin to help you fall asleep. It is not a controlled substance and is not known to be habit-forming. On the other hand, flurazepam is a benzodiazepine that calms the nervous system to help you fall and stay asleep. Flurazepam is a Schedule IV controlled substance due to its potential for addiction and dependence. Ramelteon is typically taken 30 minutes before bedtime on an empty stomach, while flurazepam is taken at bedtime and can be habit-forming if used regularly. Common side effects of ramelteon include dizziness and sleepiness, whereas flurazepam can cause headaches, upset stomach, and more severe side effects like extreme drowsiness and slowed breathing. Additionally, flurazepam is not recommended during pregnancy, while ramelteon does not have this specific contraindication.

Ramelteon

(Rozerem)

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Flurazepam

 

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Summary for Rozerem

Prescription only

Ramelteon (Rozerem) is a sleeping pill used to treat insomnia in adults. It belongs to the drug class known as melatonin receptor agonists and works like melatonin. Ramelteon (Rozerem) is taken by mouth, typically about 30 minutes before bedtime. Unlike some other prescription sleep medications, ramelteon (Rozerem) isn't a controlled substance nor known to be habit-forming. Side effects of ramelteon (Rozerem) aren't common, but can include drowsiness and dizziness.

Indications for Rozerem

Pros and Cons for Rozerem

Pros

  • Taken by mouth
  • Not a controlled substance and isn't known to be habit-forming
  • Fewer side effects than some other sleep medications
  • Available as a generic medication

Cons

  • Shouldn't take with or right after a high-fat meal
  • Can interact with many medications, including fluconazole, rifampin, and fluvoxamine
  • Not recommended for people with sleep apnea or severe liver problems

Common Side Effects for Rozerem

  • Dizziness (4%)
  • Sleepiness (3%)
  • Fatigue (3%)
  • Nausea (3%)
  • Worsening insomnia (3%)

Warnings for Rozerem

  • Severe allergic reaction
  • Changes in behavior and unusual thoughts
  • Other causes of insomnia
  • Caution while driving
  • Hormonal changes

Summary for Dalmane

Prescription only

Flurazepam is used to treat sleeping problems (insomnia). It's a controlled substance because it has a risk for becoming habit-forming. The brand name Dalmane has been discontinued, but it's still available as generic versions. Side effects of the medication include headache and upset stomach.

Indications for Dalmane

Pros and Cons for Dalmane

Pros

  • Helps you fall asleep and stay asleep throughout the night
  • Available as a lower-cost generic medication
  • Available in two strengths

Cons

  • Higher risk of side effects for females and older adults
  • Can be habit-forming
  • Can cause sleepwalking, sleep-driving, and other activities while sleeping

Common Side Effects for Dalmane

  • Headache
  • Heartburn
  • Upset stomach
  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Stomach pain
  • Nervousness
  • Talkativeness
  • Irritability
  • Weakness
  • Body aches, joint pain

Warnings for Dalmane

  • Extreme sleepiness, slowed breathing, coma, and death
  • Potential for addiction, misuse, dependence, and withdrawal
  • Less mental alertness and hangover effect
  • Allergic reaction
  • Behavior changes

Prices with our coupons for Rozerem vs. Dalmane

Price Card Drug Icon
Ramelteon30 tablets / 8mg
$35.45$419.51
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Flurazepam30 capsules / 30mg
$19.29$615.11
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