01
Your mind won't turn off.
You're exhausted, but your brain keeps running long after your head hits the pillow.
Ramelteon helpsFall asleep faster.
Stay asleep longer.
Doctor-prescribed Ramelteon and low-dose Doxepin — two FDA-approved insomnia medications that aren't controlled substances. Delivered to your door.
- Complete your visit online in about a minute
- Prescribed by U.S. doctors, filled by licensed pharmacies
- Backed by our 180-Day Sleep Warranty
Not habit-formingIn stock · ships free
One tablet30 min before bed
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Insomnia isn't just not falling asleep.
It's a breakdown in the signals that tell your body when to wind down — and when to stay down. Ramelteon and Doxepin each target one of those signals.
02
Wide awake at 3 AM.
You fall asleep fine — then wake in the middle of the night and can't get back down.
Doxepin helps
03
Hours in bed. Zero rest.
You're in bed all night, but you wake up feeling like you barely slept.
04
Pills knocked you out. They didn't fix it.
OTC aids and melatonin got you to sleep — but you still don't wake up rested.
05
It's more than just poor sleep.
Bad nights spill into your mood, focus and energy — every single day.
Sound like you? Find out which pattern you have in five taps.
Check my sleep scoreFind out where your sleep actually stands.
Five quick taps. We'll estimate your sleep score and show which medication fits your pattern.
—Sleep score / 100
Answer to see your score
Your answers stay on this page until you start a visit.
Your likely matchAnswer all 5 to see
An estimate for education only — not a diagnosis. A licensed provider makes the final call.
Two medications. Two kinds of insomnia.
Every treatment is prescribed by U.S.-licensed clinicians, delivered to your door, and backed by ongoing care.
For falling asleep★ Your match
Ramelteon
Melatonin-receptor agonist · 8 mg
- FDA-approved for insomnia with difficulty falling asleep
- Works with your body clock — targets the same receptors as natural melatonin
- Not controlled — no abuse or dependence shown in clinical studies
Starting at$49/mo
In stock
For staying asleep★ Your match
Low-dose Doxepin
Selective H1 antagonist · 3 or 6 mg
- FDA-approved for insomnia with difficulty staying asleep
- Sleep through to morning, including those early-hour wake-ups
- Not controlled — a tiny fraction of the antidepressant dose
Starting at$59/mo
In stockNot sure which one? Start a visit and your provider decides with you.
Built for different parts of your night.
Ramelteon helps you drift off. Doxepin helps you stay down through the 3am wake-ups.
← Swipe the night →
Ramelteon — the first hour
Taken within 30 minutes of bedtime to shorten the time it takes to fall asleep.
Doxepin — the rest of the night
Taken within 30 minutes of bedtime to reduce wake-ups and help you sleep through the early morning.
Illustration only — not patient data.
Sleep better, or it's on us.
- 180-Day Money-Back Guarantee* — if your sleep doesn't improve, you get refunded
- No returns required
- FDA-approved Ramelteon & Doxepin — never compounded
- Unlimited provider messaging and dose adjustments included
- Switch medications or cancel anytime
* Terms apply on the HealSend 180-Day Sleep Warranty.
Start my plan — risk-freeBetter sleep or your money back · Zero risk
What members actually say.
4.9★★★★★on Google
Individual results vary. Reviews reflect members' own experiences.
3 simple steps to better nights.
Tell us how you sleep
STEP1
A one-minute online visit about your sleep, health history and medications.
How long does it take you to fall asleep?
Under 15 minutes
15–30 minutes
30–60 minutes ✓
Over an hour
A doctor reviews & prescribes
STEP2
A licensed U.S. provider reviews your answers and, if appropriate, prescribes your medication.
I wake up around 3am most nights.
RxYour providerThanks — I've reviewed your intake. Low-dose Doxepin is a good fit for that pattern.
✓ Prescription approved
✓ Prescription approved
Sleep, then fine-tune
STEP3
Your medication ships free in discreet packaging. Message your provider anytime to adjust.
Ships free
Real sleep medicine. Without the baggage.
HealSend
OTC sleep aids
Z-drugs
FDA-approved to treat insomnia
✓
✕
✓
Not a controlled substance
✓
✓
✕
Matched to your sleep pattern by a doctor
✓
✕
✕
Ongoing provider messaging
✓
✕
✕
180-Day Sleep Warranty
✓
✕
✕
OTC sleep aids (e.g. diphenhydramine) are labeled for occasional sleeplessness, not chronic insomnia. Z-drugs (e.g. zolpidem) are Schedule IV controlled substances; column reflects a typical in-person prescription.
What's in your bottle matters.
FDA-approved generics
Established medications with long safety records. Never compounded.
Licensed U.S. pharmacies
Filled and shipped by state-licensed pharmacies you can verify.
Real U.S. doctors
Licensed providers review every intake and stay with you as treatment adjusts.
Discreet delivery
Plain packaging, free shipping, refills before you run out.
Questions, answered.
Which medication is right for me?
It depends on your pattern. Ramelteon is FDA-approved for trouble falling asleep; low-dose Doxepin is FDA-approved for trouble staying asleep. Your provider reviews your intake and recommends what fits.
Are these habit-forming or controlled?
Neither is a controlled substance. In clinical studies, Ramelteon showed no evidence of abuse potential. Take either exactly as prescribed and talk to your provider before stopping or changing your dose.
How does the 180-Day Sleep Warranty work?
Stay on your plan and work with your provider. If your sleep hasn't improved within 180 days, contact the Care Team for a refund — no returns required. Terms apply.
Do I need insurance?
No. Your monthly price covers the provider visit, ongoing messaging, medication and shipping. Plans are HSA/FSA eligible.
How do I take it?
Both are taken within 30 minutes of bedtime, only when you can stay in bed for a full night. Don't take Ramelteon with or right after a high-fat meal, and don't take Doxepin within 3 hours of a meal. Avoid alcohol with either.
Can I take them with melatonin or other sleep aids?
Tell your provider about everything you take, including supplements and OTC sleep aids. For example, Ramelteon should not be taken with fluvoxamine, and Doxepin should not be taken with MAO inhibitors.
Sleep through the night.
Wake up like yourself.
A licensed provider reviews your sleep and prescribes what's actually right — for falling asleep, staying asleep, or both.
Start my visitBy starting, you agree to our terms & privacy policy. Prescribed only when medically appropriate.
Important Safety Information
Prescription required. A licensed provider will determine whether treatment is appropriate for you. This is not a complete list of risks — read the Medication Guide and talk to your provider.
Ramelteon (8 mg)
- Do not take if you are allergic to ramelteon, have had swelling of the tongue or throat (angioedema) after taking it, or take fluvoxamine.
- May cause complex sleep behaviors (such as sleep-driving or sleep-walking) you may not remember. Stop taking it and contact your provider if this happens.
- Do not drive or do anything that requires alertness after taking it. Avoid alcohol.
- Do not take with or immediately after a high-fat meal. May affect reproductive hormones — tell your provider about missed periods, nipple discharge, decreased libido or fertility problems.
- Common side effects include drowsiness, tiredness and dizziness.
Doxepin (3 mg / 6 mg)
- Do not take if you are allergic to doxepin, have taken an MAO inhibitor in the past 2 weeks, have untreated narrow-angle glaucoma, or have severe urinary retention.
- May cause complex sleep behaviors, next-day drowsiness, and worsening depression or suicidal thoughts. Contact your provider right away if these occur.
- Do not take within 3 hours of a meal. Avoid alcohol and other sedating medications unless your provider approves.
- Common side effects include sleepiness/sedation, nausea and upper respiratory infection.
Call your provider for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. If you are having a medical emergency, call 911.