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Drug interactions

Lormetazepam + Ramelteon

Severity: Moderate

Lormetazepam and Ramelteon: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Lormetazepam is a hypnotic benzodiazepine, and combining it with ramelteon may increase sedation, dizziness and next-day impairment.

What this interaction means in plain words

Lormetazepam and Ramelteon can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive CNS depression via GABA-A potentiation and melatonin receptor agonism.

What to do

Avoid combining two hypnotics where possible; if both are used, keep doses low and monitor for daytime sedation and falls, especially in older adults.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Lormetazepam with Ramelteon?

MediHelp rates the interaction as moderate. Lormetazepam and Ramelteon can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Lormetazepam is a hypnotic benzodiazepine, and combining it with ramelteon may increase sedation, dizziness and next-day impairment.

How serious is the interaction between Lormetazepam and Ramelteon?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining two hypnotics where possible; if both are used, keep doses low and monitor for daytime sedation and falls, especially in older adults.

What other medicines interact with Ramelteon?

MediHelp also lists interactions of Ramelteon with, for example, Calcium / magnesium / potassium / sodium oxybates, Fluvoxamine, Sodium oxybate. The full list is on the Ramelteon page.

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