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Rozerem is the first and only prescription sleep medication that has shown no evidence of abuse and dependence and, as a result, has not been designated as a controlled substance by the DEA. With the exception of Rozerem, all other prescription medications indicated for insomnia are classified as Schedule IV controlled substances by the DEA. Additionally, Rozerem is the first prescription insomnia medication with a new therapeutic mechanism of action in 35 years.
The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Please consult your healthcare professional before using this or any other prescription or non-prescription medication.

How Much Sleep Do We Really Need?

Ellen Caroll has often asked herself this exact question – especially when it comes to helping her family members get the amount of sleep they need. With a son in preschool and a daughter in high school, a husband who works over 50 hours a week and aging parents, one with Parkinson's disease, Ellen's family runs the gamut when it comes to age and sleep needs. Because all of Ellen's family members have busy schedules, they often forget to put their sleep needs ahead of their other priorities. Not only does Ellen need to convince her family that getting the right amount of sleep is important, but she also needs to figure out how much sleep they really need!

If you're like Ellen and her family, you're probably also confused about how to know when "enough is enough" in regards to your sleep. While news media and health organizations are regularly saying to get more sleep, it might be unclear to you how many hours of sleep you should be getting and how to tell if you are adequately rested. Keep reading and we’ll explore how you can make educated decisions about your sleep and that of your family members'.

Over-the-Counter (OTC)Medications:

Non-prescription, over-the-counter sleep aids are often antihistamines prescribed for allergies. They are readily available and may be useful for some individuals in some situations, but you should be aware of side effects such as prolonged sleepiness or the possibility of interactions with other medications. It is best to consult a physician for advice on treating your sleep problem

Good Sleep Practices You Can Use in Managing Your Insomnia

Although the specific causes of insomnia differ from one person to the next, there are some general habits you can adopt that may help you sleep better. Not each of these practices may apply to everyone with insomnia, so you may want to focus on one or two that seem particularly relevant to your situation. Sleep experts recommend the following tips for good sleep:

At night:


Establish a regular bedtime routine and a regular sleep-wake schedule. That means getting up at the same time every day of the week, no matter how much you've slept the night before, and going to bed at about the same time.
Don't spend too much time in bed. Your time in bed should be about the same as the amount of time you can actually sleep during the night. You can't force yourself to sleep by spending more time in bed.
Do not eat or drink too much before bedtime.
Create a sleep-promoting environment that is quiet, dark, cool and comfortable.


During the day:


Consume less or no caffeine, particularly late in the day.
Avoid alcohol and nicotine, especially close to bedtime.
Exercise, but not within three hours before bedtime.
Avoid naps, particularly in the late afternoon or evening.
Establish a regular bedtime and get up at the same time every day. Do not stay in bed to make- up for lost sleep or beyond your regular rise time.
Keep a sleep diary to identify your sleep habits and patterns that you can share with your doctor.

Available Treatments for Insomnia

Fortunately, there are treatment options available, ranging from behavioral therapy to the use of prescription medicines, or a combination of the two.

Behavioral therapy is offered typically by a psychologist, psychiatrist or other health practitioner or counselor with specialized training. Several visits to the therapist are usually required to learn and implement the techniques of specific behavioral therapies. Some of the more common behavioral approaches include:

Stimulus control, which trains people to use their bed and bedroom for sleep and sex only. Persons with insomnia are encouraged to go another room and engage in a relaxing activity until they are sleepy and ready to return to bed.

Cognitive therapy, which is conducted with a therapist who helps the patient with attitudes and beliefs that may contribute to poor sleep.

Relaxation training, which often involves reducing tension and muscular relaxation techniques.

Prescription medications that promote sleep are called hypnotics. Medications differ by dose and duration of action. Most individuals take hypnotics a few nights or a few weeks at a time. Some may benefit from long-term use. Research indicates that when used nightly, hypnotics remain effective for at least several weeks and probably longer, and a recent study found that long-term use of a hypnotic medication was both safe and efficacious. The most common side effects include morning sedation, memory problems, headaches and a night or two of poor sleep after stopping the medication. Some hypnotic side effects can be minimized by using short-acting drugs.

Types of Insomnia

Sleep specialists classify insomnia in two primary categories: acute and chronic. Short term or acute insomnia, which is often due to a temporary situation such as stress, jet lag, change or loss in a job or relationship, can last up to one month and is treatable. It is important to address the underlying cause. Effective and safe prescription medications can help.

Long-term, or chronic, insomnia, which is experienced for a month or longer, can be secondary to causes such as medical, physical or psychological conditions, another sleep disorder, or medications and substances. It is essential to get a medical diagnosis. In addition to appropriate use of medications, education on behavioral and other techniques are well as good sleep practices can improve sleep.

In addition, chronic insomnia may be "primary," which means that it is not caused by other medical, psychiatric, sleep, or medication factors. Primary insomnia may be caused by factors such as increased body temperature, metabolic rate, or brain metabolism . Poor sleep habits may also contribute to primary and other forms of insomnia.

Insomnia is a risk factor for the onset of depression and can significantly affect your quality of life. Consequences of not getting enough good sleep can include daytime fatigue, impaired mood, depression and psychological distress, and decreased ability to concentrate, problem-solve and make decisions, as well as being at risk for injury, driving drowsy, and illness.

Who Has Insomnia?

NSF's 2002 Sleep in America poll shows that 58% of adults in the U.S. experience symptoms of insomnia a few nights a week or more. Although insomnia is the most common sleep problem among about one half of older adults (48%), they are less likely to experience frequent symptoms of insomnia than their younger counterparts (45% vs. 62%), and their symptoms are more likely to be associated with medical conditions, according to the 2003 poll of adults between the ages of 55 and 84.