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Melatonin

gwern.net

51–60 of 229 posts

Re: Melatonin

#51
Melatonin is a clear-cut Good Thing. The gains I have laid out are large enough I consider it irrational for someone not to use it.

I consider it irrational for someone to believe that a limited number of hand-selected studies can give you absolute confidence.

Re: Melatonin

#52

Keep in mind that melatonin is a hormone. Exogenous hormones can downregulate your body's natural production. Like anything hormonal you should not take it continuously for long periods of time.

Yes, this was exactly what I thought when I began using it. (See my other comment on this article) https://news.ycombinator.com/item?id=6495786

In practice, however, that didn't occur, at least for me.

I have no idea why. It would interesting to see if this is true for others. It's certainly true for other hormones besides melatonin.

Re: Melatonin

#53

Melatonin does work wonders, but you never know how your own body might react to it. I have many issues with my sleep cycle and quality of sleep. Melatonin is one of the few things that alleviates my problems. However, for me, it's only good for one night. I can take melatonin for one night out of a month, and get a blissful, restful night of sleep. If I take it two nights in a row, evil side-effects start creeping u…

Have you tried different brands?

Re: Melatonin

#54
I've been using melatonin on and off when I hit a patch of insomnia. It's pretty good; it just makes me super sleepy. Even with a low dose I end up groggy in the morning, however. But being able to actually fall asleep when I would otherwise lay awake for hours is worth the price of admission.

I don't use it regularly but sometimes I just know when I'm going to have trouble falling asleep, and will take one about a half hour before I'd like to be asleep. Works like a charm.

Re: Melatonin

#55
post #11

There are some problems with Melatonin (as supplied) - you don't really know how much (if any) you're getting. Investigators found that quality control was very poor and some brands contained very little melatonin. (I can't find it now, but it was something like Consumer Reports or similar?) It's a prescription only med in some places (UK) so you might not be able to get it. But it is "remarkably effective"[1] for je…

A quick google gives me a big bunch of options for buying Melatonin in the UK - http://www.hollandandbarrett.com/HealthNotes-Search?search=%... for example. Doesn't seem to be prescription-only unless I'm misunderstanding.

Wikipedia suggests prescription only in the UK. I think this is because it was banned as a food supplement in the 1990s, and only one medication got a licence, and that was a POM. Thus, any melatonin product is either an unlicensed medication (illegal) or prescription only.

The page you link to doesn't allow me to buy any product. Entering [melatonin] in their search box doesn't return any products containing melatonin.

(http://www.mhra.gov.uk/Howweregulate/Medicines/Licensingofme...)

"You can't buy melatonin over the counter in the UK" (http://www.webmd.boots.com/sleep-disorders/insomnia-in-adult...)

MHRA does regulate melatonin sales and prescriptions. Here are two examples:

UK website has prescription only melatonin, being advertised for off-label use (jet lag) and is told to stop (http://www.mhra.gov.uk/Howweregulate/Medicines/Advertisingof...) (Even though Cochrane found it's excellent for jetlag)

Also, unlicenced product (http://www.mhra.gov.uk/Howweregulate/Medicines/Advertisingof...)

EDIT: also, a web search for [buy codeine uk] returns many hits for offshore pharmacies selling into the UK.

Re: Melatonin

#57

I use melatonin regularly to regulate my sleep cycle. It's a very effective part of a regimen (sleep hygiene, f.lux, etc) that allows me to manage a nearly-decade long problem of insomnia. However, from a psychological standpoint, it's a very good thing melatonin is so safe. Every single person I've ever recommended melatonin to, I've directed to this article and discussed it with them. Every single such person then…

what about feedback effect and pineal gland attrofiation?

every hormone that you have in excess of what the body expects, have compensation of the opposing message hormone, feedback effect. anyone has any idea which one is for this case?

another consequence is that the original producer of such hormone will get de prioritized by the body and atrophies after too much time. does this happen here?

Re: Melatonin

#58
post #11

There are some problems with Melatonin (as supplied) - you don't really know how much (if any) you're getting. Investigators found that quality control was very poor and some brands contained very little melatonin. (I can't find it now, but it was something like Consumer Reports or similar?) It's a prescription only med in some places (UK) so you might not be able to get it. But it is "remarkably effective"[1] for je…

A quick google gives me a big bunch of options for buying Melatonin in the UK - http://www.hollandandbarrett.com/HealthNotes-Search?search=%... for example. Doesn't seem to be prescription-only unless I'm misunderstanding.

That link shows some automated content brought in from healthnotes/aisle7 which is a Portland, Oregon based company. If you search Amazon UK for melatonin you'll find lots of supplement that are described as 'melatonin-like' but don't contain any active ingredients.

I buy it when I'm in the US which is fine for me as I take it for jet lag but I know GPs (family doctors) I talk to are often confused to learn they can prescribe melatonin and will often prescribe much more powerful and, in my opinion, dangerous hypnotics. I think that's probably because there's no patent on melatonin so not much marketing push to inform GPs of its uses - though I believe there's a patented slow release version of melatonin that might get a bit of marketing behind it.

Re: Melatonin

#60

The problem with a lack of FDA regulation is that there is no guarantee on what you are taking. The freshness of the product and the veracity of what's in the pills will always be suspect to me. If I could trust where I get my melatonin from, I would gladly take it. But I've learned too much about how terrible this industry is.

The issue here is that it is a natural chemical and with that nobody can patent it. The cost for drug approval (in many countries) is high and this is the crux. No company is going to finance the approval process as they have no way to control there financial return upon that investment as they can not patent the drug they are getting approval upon. So everybody else can just ride there investment and that is the case now in that nobody has any incentive to put it thru the costly FDA approval. Same can be seen for Omega-3 and other naturaly occuring benificial products.

This also means that people with depression or sleep disorders can not be prescribed these products as they are not FDA approved and insurance will not pay for it either. This forces people into patented phara drugs that may or may not be better for them and in all cases have more side effects (upto including death being common disclaimer on the long list).

Same issue in the UK and more so in that melatonin is not allowed to be sold. Sure you can get it on the internet, but from some contries but as there are no standards it is hard to tell. Is it syntheticly made or the type extracetd from animal and with that the whole area of concern starts to rise.

If only some benificial billionair would fund FDA tests for approval for this and other unpatentable naturaly occuring medicines. Certainly be positive for everybody.

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