A kicked-up melatonin subtype. Rozerem (ramelteon), a relatively new prescription sleep aid, is a non-controlled substance, unlike the benzodiazepines and non-benzodiazepines. As such, this medication is not linked to abuse or habituation. Melatonin is believed to be involved in the maintenance of the circadian rhythm associated with the sleep-wake cycle. Advise your clients that this drug is quite costly (up to $150 for a 30-day supply) and that it typically helps clients get to sleep but not STAY asleep.

The old fashioned antihistamines. Gosh, how long has Benadryl been around? Although not FDA approved for insomnia, antihistamines typically produce drowsiness through their sedative effects. Like Rozerem, antihistamines can help a patient fall asleep, but that's about the extent of their usefulness. Remind clients that antihistamine use may produce a hangover effect or residual grogginess.