The nurse is providing medication education to a patient who has been prescribed ramelteon (Rozerem). The patient asks how it will improve his sleep. Which is the best response by the nurse?
1. "By inhibiting the work of melatonin in the body."
2. "It acts as an off switch to deactivate melatonin that your body produces."
3. "It produces the same response in the body as melatonin."
4. "It will prevent you from building up a tolerance to melatonin."
Answer: 3
Explanation: Ramelteon (Rozerem) is a melatonin receptor agonist, so it will act to produce the same response in the body as melatonin, a sleep-inducing hormone. An antagonist medication would act to inhibit or deactivate the work of a hormone or neurotransmitter in the body. Tolerance describes the need to take increasing doses of a drug to achieve the same effect.
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