Compare Rozerem vs. Belsomra

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

Rozerem
(ramelteon)

Belsomra
(suvorexant)

Helps you fall asleep. Rozerem (ramelteon) is a good sleep medicine that's not addictive, but it can be expensive.Helps you sleep. Belsomra (suvorexant) helps you fall asleep, but is only avaliable as a brand name so can be expensive.
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Coupons for Rozerem
Best available price for 30 (8mg) tablets of rozerem
Reviews & ratings
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Have you used Rozerem (ramelteon)?
Worth itNot sureNot worth it

Not enough reviews for this treatment. Help someone out, leave a review!

Have you used Belsomra (suvorexant)?
Worth itNot sureNot worth it
Side effects
RozeremBelsomra
  • Dizziness 1%
  • Sleepiness 1%
  • Fatigue 1%
  • Nausea 1%
  • Worsening insomnia 1%
More Rozerem side effects »
  • Headache 1%
  • Sleepiness 4%
  • Dizziness 1%
  • Diarrhea 1%
  • Dry mouth 1%
  • Cold and flu 1%
  • Abnormal dreams 1%
  • Cough 1%
More Belsomra side effects »
How it works
RozeremBelsomra
Rozerem (ramelteon) is a melatonin receptor agonist. Melatonin is a chemical the body uses to maintain a normal sleeping cycle; Rozerem (ramelteon) helps you fall asleep and stay asleep.Belsomra (suvorexant) is a newer, non-benzodiazepine option that reduces wakefulness and help with sleep by inhibiting the orexin receptors in the brain.
Type of medication
RozeremBelsomra
Prescription onlyPrescription only
Available as
RozeremBelsomra
  • Pill
  • Pill
Used for
RozeremBelsomra
Risk factors for serious side effects
RozeremBelsomra
  • Alcohol
  • Taking narcotics, tranquilizers, or antihistamines
Detailed Rozerem (ramelteon) risks & warnings »
  • Uncontrolled psychiatric conditions
  • Alcohol
  • Other medicines that make you sleepy or dizzy
  • Taking other medicines that make you less alert
Detailed Belsomra (suvorexant) risks & warnings »
Pregnancy

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Alcohol
RozeremBelsomra
  • While taking Rozerem (ramelteon), don't drink alcohol or take other medicines that can make you sleepy, like opioids for pain relief, or benzodiazepines for anxiety.
  • Not safe to take with alcohol or sleeping medications.
Pain
RozeremBelsomra
  • If you’re taking Rozerem (ramelteon), you need to be very careful about drinking alcohol, or taking medicines such as narcotics for pain relief, tranquilizers for anxiety, or antihistamines. Taking Rozerem (ramelteon) with alcohol or these medicines can slow down your central nervous system to the point where you stop breathing. Talk to your doctor to see if you should change your other medicines while you take Rozerem (ramelteon).
No pain related info.
Sleep
RozeremBelsomra
  • Don't take Rozerem (ramelteon) if you're not able to sleep for at least 8 hours.
  • If you're not sleeping better after taking Rozerem (ramelteon) for 7 to 10 days, talk to your doctor.
  • If you have COPD or sleep apnea, talk to your doctor first about Belsomra (suvorexant) before starting it. Belsomra (suvorexant) can make it hard to breathe.
  • Only take if you plan to sleep at least 7 hours.
  • May be helpful if other sleep aids don't work.
  • Not recommended if you do not plan to sleep for at least 7 hours.
Upsides and benefits
RozeremBelsomra
  • Rozerem (ramelteon) isn't a controlled medicine, and it's safe to use in people age 65 or older.
  • If you stop taking Rozerem (ramelteon) suddenly, your insomnia won't come back.
  • Rozerem (ramelteon) won't make you feel hungover or groggy the next day.
  • May be helpful if other sleep aids don't work.
  • Works quickly, especially on an empty stomach.
  • Might be a good option for the elderly.
Downsides and risks
RozeremBelsomra
  • Rozerem (ramelteon) is only available as a brand name.
  • Rozerem (ramelteon) is only available in 1 strength.
  • If you take Rozerem (ramelteon) on a full stomach, it won't work as well.
  • Not recommended for children.
  • Rozerem (ramelteon) can't be used if you have sleep apnea.
  • Not usually used for long-term treatment since it can be habit-forming.
  • Belsomra (suvorexant) is likely expensive since it's only available as a brand name, but coupon savings program could be available.
  • Not recommended if you do not plan to sleep for at least 7 hours.
  • Belsomra (suvorexant) may cause sleep paralysis.
Tips from our pharmacists for people taking the medication
RozeremBelsomra
  • Take Rozerem (ramelteon) on an empty stomach 30 minutes before you sleep.
  • Don't take Rozerem (ramelteon) if you're not able to sleep for at least 8 hours.
  • Swallow the Rozerem (ramelteon) tablet whole; don't break or crush it.
  • While taking Rozerem (ramelteon), don't drink alcohol or take other medicines that can make you sleepy, like opioids for pain relief, or benzodiazepines for anxiety.
  • If you're not sleeping better after taking Rozerem (ramelteon) for 7 to 10 days, talk to your doctor.
  • Take Belsomra (suvorexant) 30 minutes before bedtime.
  • Only take if you plan to sleep at least 7 hours.
  • Taking Belsomra (suvorexant) on an empty stomach will quicken the effects.
  • Belsomra (suvorexant) can be addictive and is meant for short-term treatment.
  • Can cause headaches and/or dizziness.
  • Not safe to take with alcohol or sleeping medications.
  • If Belsomra (suvorexant) does not help you sleep after taking it for 10 days, consider talking to your doctor/pharmacist about other potential causes of insominia.
Learn more
More about RozeremSide effectsAlternativesFDA package insert
Have you used Rozerem (ramelteon)?
Worth itNot sureNot worth it
More about BelsomraSide effectsAlternativesFDA package insert
Have you used Belsomra (suvorexant)?
Worth itNot sureNot worth it