• Nonbenzodiazepine sedatives: These include eszopiclone (Lunesta), zaleplon (Sonata), and zolpidem (Ambien).
• Melatonin: Melatonin is secreted by the pineal gland, a pea-sized structure at the center of your brain. Melatonin is produced at night to help your body regulate your sleep-wake cycles. The quantity of melatonin produced by your body seems to decrease as you get older.
• Ramelteon (Rozerem) is a prescription drug that stimulates melatonin receptors. - Melatonin is a hormone produced by the pineal gland (located in the brain) during the dark hours of the day-night cycle (circadian rhythm).
Melatonin intensity in the body is low during daylight hours.
- The pineal gland responds to darkness by increasing melatonin levels in the body. So this process is thought to be integral to maintaining circadian rhythm. - Ramelteon promotes the onset of sleep and helps normalize circadian rhythm disorders. - Ramelteon is approved by the Food and Drug Administration (FDA) for insomnia characterized by difficulty falling asleep.
Outlook
Recovery from insomnia can vary.
• If you have insomnia caused by jet lag, your symptoms will generally clear up within a few days.
• If you are depressed and have had insomnia for many months, it is unlikely that your symptoms will go away on their own. You’ll need further evaluation and treatment.
• Your result will also depend on coexisting medical conditions, which may include congestive heart failure, chronic obstructive pulmonary disease, and chronic pain syndromes.
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