Compare Rozerem vs. Belsomra

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

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Rozerem (ramelteon)

Prescription only

Belsomra (suvorexant)

Prescription only
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.

Upsides
  • 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
  • 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.
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Dosage forms
  • Pill
  • Pill
Price
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Reviews
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Side effects
5possible side effects
  • Dizziness
    4%
  • Sleepiness
    3%
  • Fatigue
    3%
  • Nausea
    3%
  • Worsening insomnia
    3%
See more detailed side effects
8possible side effects
  • Headache
    7%
  • Sleepiness
    7%
  • Dizziness
    3%
  • Diarrhea
    2%
  • Dry mouth
    2%
  • Cold and flu
    2%
  • Abnormal dreams
    2%
  • Cough
    2%
See more detailed side effects
Risks and risk factors
  • Severe allergic reaction
  • Behavior changes
  • Sleepiness
  • Breathing problems
    • Alcohol
    • Taking narcotics, tranquilizers, or antihistamines
  • Hormonal changes
See more detailed risks and warnings
  • Changes in thoughts
    • Uncontrolled psychiatric conditions
    • Alcohol
    • Other medicines that make you sleepy or dizzy
  • Hangover effect
    • Alcohol
    • Taking other medicines that make you less alert
    • Less than 7 hours of sleep after taking Belsomra (suvorexant)
  • Dependence and withdrawal
    • Continuous use for 2 weeks or more
  • Depression
    • Risk increases with dose
    • Past history of depression
  • Difficulty breathing
    • Sleep apnea
    • COPD
  • Sleep paralysis
See more detailed risks and warnings