Ramelteon for Insomnia Related to Attention-Deficit/Hyperactivity Disorder (ADHD)

Rachel E Fargason1, Karen Gamble1, Kristin T Avis1

  • 1Dr. Fargason, MD, is Director of the Adult ADHD Clinic and an Associate Professor of Psychiatry & Behavioral Neurobiology. Dr. Gamble, PhD, is an Assistant Professor in the Department of Psychiatry & Behavioral Neurobiology. Dr. Avis, PhD, is an Associate Professor in Pediatrics. Ms. Besing, is a Graduate Research Assistant in the Behavioral Neuroscience program in the Psychology Department all at the University of Alabama at Birmingham School of Medicine. Dr. Cherry W. Jackson, PharmD, Professor of Pharmacy, Auburn University, Clinical Professor, Psychiatry and Behavioral Neurobiology, University of Alabama, Birmingham. Dr. Cates, PharmD, is a Professor of Pharmacy Practice at Samford University, McWhorter School of Pharmacy. Ms. May, MA, is an Assistant Professor in the Department of Psychiatry & Behavioral Neurobiology and Director of the Office of Psychiatric Clinical Research.

Summary

Ramelteon effectively advanced sleep timing in adults with ADHD and circadian rhythm sleep disorder (CRSD). However, it paradoxically increased sleep fragmentation and daytime sleepiness, requiring careful dosing considerations.

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