Submit Manuscript  

Article Details


Ramelteon in the Treatment of Delirium: New Perspectives from Reported Findings and a Case Observation

[ Vol. 14 , Issue. 3 ]

Author(s):

Deborah L. Sanchez, Adam J. Fusick, William B. Hudson, Jourdan E. Schmitz, Maria C. Catalano and Glenn Catalano*   Pages 184 - 191 ( 8 )

Abstract:


Ramelteon is a melatonin receptor agonist that is approved for the treatment of insomnia. It is widely used due to its relatively benign side effect profile and lack of dependence or withdrawal. Due to its tolerability, clinicians have attempted to utilize ramelteon to normalize the sleep/wake patterns in patients with delirium as a safer alternative to antipsychotics or other medications. We present the case of a 75-year-old man with long-standing dementia who was hospitalized due to mental status changes, agitation, and sleep disturbance. After addressing possible underlying causes with minimal improvement, the team initiated treatment with ramelteon (8mg nightly) which resulted in rapid improvement of symptoms. Uses and mechanisms of action of ramelteon will be reviewed, as well as current pharmacologic treatments of delirium. Prior research studies and case reports regarding the use of ramelteon in the treatment of delirium will be discussed and suggestions made regarding possible areas of future study.

Keywords:

Ramelteon, delirium, melatonin, dementia, agitation, psychopharmacology.

Affiliation:

Mental Health and Behavioral Sciences Service, James A. Haley Veterans Hospital, Tampa, Florida, Department of Psychiatry and Behavioral Neurosciences, University of South Florida Morsani College of Medicine, Tampa, Florida, Department of Psychiatry and Behavioral Neurosciences, University of South Florida Morsani College of Medicine, Tampa, Florida, Department of Obstetrics, Gynecology, and Reproductive Sciences, University Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, Department of Psychiatry and Behavioral Neurosciences, University of South Florida Morsani College of Medicine, Tampa, Florida, Mental Health and Behavioral Sciences Service, James A. Haley Veterans Hospital, Tampa, Florida

Graphical Abstract:



Read Full-Text article