What side effects may I notice from receiving Ramelteon?

Side effects that you should report to your care team as soon as possible:
-Allergic reactions or angioedema—skin rash, itching, hives, swelling of the face, lips, tongue, arms, or legs, trouble swallowing or breathing
-High prolactin level—unexpected breast tissue growth, discharge from the nipple, change in sex drive or performance, irregular menstrual cycle
-Mood and behavior changes—anxiety, nervousness, confusion, hallucinations, irritability, hostility, thoughts of suicide or self-harm, worsening mood, feelings of depression
-Unusual sleep behaviors or activities you do not remember such as driving, eating, or sexual activity
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
-Dizziness
-Drowsiness the day after use
-Fatigue

This list may not describe all possible side effects for Ramelteon. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.