Melatonin: Difference between revisions

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'''N-Acetyl-5-methoxytryptamine''' (also known as '''melatonin'''<ref>{{Citation | title=Sleepdex: Melatonin |url=http://www.sleepdex.org/melatonin.htm}}</ref>) is a hormone of the [[chemical class::tryptamine]] class. It is found in animals, plants, fungi, and bacteria. In animals, it functions as a hormone that anticipates the daily onset of darkness;<ref>{{cite journal | vauthors=((Hardeland, R.)), ((Pandi-Perumal, S. R.)), ((Cardinali, D. P.)) | journal=The International Journal of Biochemistry & Cell Biology | title=Melatonin | volume=38 | issue=3 | pages=313–316 | date= March 2006 | issn=1357-2725 | doi=10.1016/j.biocel.2005.08.020}}</ref> it may have different functions in other organisms.
'''N-Acetyl-5-methoxytryptamine''' (also known as '''melatonin'''<ref>{{Citation | title=Sleepdex: Melatonin |url=http://www.sleepdex.org/melatonin.htm}}</ref>) is a hormone of the [[chemical class::tryptamine]] class. It is found in animals, plants, fungi, and bacteria. In animals, it functions as a hormone that anticipates the daily onset of darkness;<ref>{{cite journal | vauthors=((Hardeland, R.)), ((Pandi-Perumal, S. R.)), ((Cardinali, D. P.)) | journal=The International Journal of Biochemistry & Cell Biology | title=Melatonin | volume=38 | issue=3 | pages=313–316 | date= March 2006 | issn=1357-2725 | doi=10.1016/j.biocel.2005.08.020}}</ref> it may have different functions in other organisms.


Melatonin is active and can be taken [[sublingually]] and [[buccaly]] by placing it into one's mouth and allowing it to absorb over a period of 15-25 minutes. It is less active when taken [[orally]].  
Melatonin is active and can be taken [[sublingually]] and [[buccally]] by placing it into one's mouth and allowing it to absorb over a period of 15-25 minutes. It is less active when taken [[orally]].  


Melatonin is commonly used as a medication for insomnia; however, there is insufficient scientific evidence to prove any benefit in this area.<ref>{{cite book | vauthors=((Brasure, M.)), ((MacDonald, R.)), ((Fuchs, E.)), ((Olson, C. M.)), ((Carlyle, M.)), ((Diem, S.)), ((Koffel, E.)), ((Khawaja, I. S.)), ((Ouellette, J.)), ((Butler, M.)), ((Kane, R. L.)), ((Wilt, T. J.)) | date= 2015 | title=Management of Insomnia Disorder | publisher=Agency for Healthcare Research and Quality (US) | series=AHRQ Comparative Effectiveness Reviews | url=http://www.ncbi.nlm.nih.gov/books/NBK343503/}}</ref> It is sold over-the-counter in most pharmacies within the United States and Canada. In other countries, it may require a prescription or not be available.
Melatonin is commonly used as a medication for insomnia; however, there is insufficient scientific evidence to prove any benefit in this area.<ref>{{cite book | vauthors=((Brasure, M.)), ((MacDonald, R.)), ((Fuchs, E.)), ((Olson, C. M.)), ((Carlyle, M.)), ((Diem, S.)), ((Koffel, E.)), ((Khawaja, I. S.)), ((Ouellette, J.)), ((Butler, M.)), ((Kane, R. L.)), ((Wilt, T. J.)) | date= 2015 | title=Management of Insomnia Disorder | publisher=Agency for Healthcare Research and Quality (US) | series=AHRQ Comparative Effectiveness Reviews | url=http://www.ncbi.nlm.nih.gov/books/NBK343503/}}</ref> It is sold over-the-counter in most pharmacies within the United States and Canada. In other countries, it may require a prescription or not be available.
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==Pharmacology==
==Pharmacology==
{{pharmacology}}
{{pharmacology}}
melatonin is a full agonist of melatonin receptor 1 (picomolar binding affinity) and melatonin receptor 2 (nanomolar binding affinity), both of which belong to the class of G-protein coupled receptors (GPCRs).<ref name=":0">J{{cite journal | vauthors=((Jockers, R.)), ((Delagrange, P.)), ((Dubocovich, M. L.)), ((Markus, R. P.)), ((Renault, N.)), ((Tosini, G.)), ((Cecon, E.)), ((Zlotos, D. P.)) | journal=British Journal of Pharmacology | title=Update on melatonin receptors: IUPHAR Review 20 | volume=173 | issue=18 | pages=2702–2725 | date= September 2016 | issn=1476-5381 | doi=10.1111/bph.13536}}</ref> Melatonin receptors 1 and 2 are both G<sub>i/o</sub>-coupled GPCRs, although melatonin receptor 1 is also G<sub>q</sub>-coupled.<ref name=":0" /> Melatonin also acts as a high-capacity free radical scavenger within mitochondria which also promotes the expression of antioxidant enzymes such as superoxide dismutase, glutathione peroxidase, glutathione reductase, and catalase via signal transduction through melatonin receptors.<ref name=":0" /><br />Melatonin is metabolized in the liver by cytochrome P450 enzyme CYP1A2 to 6-hydroxymelatonin. Metabolites are conjugated with sulfuric acid or glucuronic acid for excretion in the urine. 5% of melatonin is excreted in the urine as the unchanged drug.<ref>{{cite journal | vauthors=((Tordjman, S.)), ((Chokron, S.)), ((Delorme, R.)), ((Charrier, A.)), ((Bellissant, E.)), ((Jaafari, N.)), ((Fougerou, C.)) | journal=Current Neuropharmacology | title=Melatonin: Pharmacology, Functions and Therapeutic Benefits | volume=15 | issue=3 | pages=434–443 | date= April 2017 | issn=1875-6190 | doi=10.2174/1570159X14666161228122115}}</ref> Some of the metabolites formed via the reaction of melatonin with a free radical include cyclic 3-hydroxymelatonin, N1-acetyl-N2-formyl-5-methoxykynuramine (AFMK), and N1-acetyl-5-methoxykynuramine (AMK).<ref name=":0" />
Melatonin is a full agonist of melatonin receptor 1 (picomolar binding affinity) and melatonin receptor 2 (nanomolar binding affinity), both of which belong to the class of G-protein coupled receptors (GPCRs).<ref name=":0">J{{cite journal | vauthors=((Jockers, R.)), ((Delagrange, P.)), ((Dubocovich, M. L.)), ((Markus, R. P.)), ((Renault, N.)), ((Tosini, G.)), ((Cecon, E.)), ((Zlotos, D. P.)) | journal=British Journal of Pharmacology | title=Update on melatonin receptors: IUPHAR Review 20 | volume=173 | issue=18 | pages=2702–2725 | date= September 2016 | issn=1476-5381 | doi=10.1111/bph.13536}}</ref> Melatonin receptors 1 and 2 are both G<sub>i/o</sub>-coupled GPCRs, although melatonin receptor 1 is also G<sub>q</sub>-coupled.<ref name=":0" /> Melatonin also acts as a high-capacity free radical scavenger within mitochondria which also promotes the expression of antioxidant enzymes such as superoxide dismutase, glutathione peroxidase, glutathione reductase, and catalase via signal transduction through melatonin receptors.<ref name=":0" /><br />Melatonin is metabolized in the liver by cytochrome P450 enzyme CYP1A2 to 6-hydroxymelatonin. Metabolites are conjugated with sulfuric acid or glucuronic acid for excretion in the urine. 5% of melatonin is excreted in the urine as the unchanged drug.<ref>{{cite journal | vauthors=((Tordjman, S.)), ((Chokron, S.)), ((Delorme, R.)), ((Charrier, A.)), ((Bellissant, E.)), ((Jaafari, N.)), ((Fougerou, C.)) | journal=Current Neuropharmacology | title=Melatonin: Pharmacology, Functions and Therapeutic Benefits | volume=15 | issue=3 | pages=434–443 | date= April 2017 | issn=1875-6190 | doi=10.2174/1570159X14666161228122115}}</ref> Some of the metabolites formed via the reaction of melatonin with a free radical include cyclic 3-hydroxymelatonin, N1-acetyl-N2-formyl-5-methoxykynuramine (AFMK), and N1-acetyl-5-methoxykynuramine (AMK).<ref name=":0" />


==Subjective effects==
==Subjective effects==
{{Preamble/SubjectiveEffects}}
{{Preamble/SubjectiveEffects}}
{{effects/base
{{effects/base
|{{effects/physical|
|{{effects/physical|
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*'''[[Effect::Sleepiness]]''' - Regarding its effects on the user's physical energy levels, melatonin is commonly considered to facilitate sleepiness. It is often used and sold as a sleep aid and mimics one's natural circadian cycle.
*'''[[Effect::Sleepiness]]''' - Regarding its effects on the user's physical energy levels, melatonin is commonly considered to facilitate sleepiness. It is often used and sold as a sleep aid and mimics one's natural circadian cycle.
*'''[[Effect::Anxiety Suppression or Anxiety]]''' - Although this substance decreases anxiety with most people, it can also cause anxiety by some.
*'''[[Effect::Anxiety suppression]] or [[Effect::Anxiety]]''' - Although this substance decreases anxiety with most people, it can also cause anxiety by some.
*'''[[Effect::Dream potentiation]]''' - Melatonin is extremely effective at increasing the duration, occurrence, and vividness of dreams. It is very common for people to note that their dreams had noticeably increased the morning after ingesting melatonin as a sleep aid. Melatonin is sometimes used to increase the chances of lucid dreaming.  
*'''[[Effect::Dream potentiation]]''' - Melatonin is effective at increasing the duration, occurrence, and vividness of dreams. It is common for people to note that their dreams had noticeably increased the morning after ingesting melatonin as a sleep aid. Melatonin is sometimes used to increase the chances of lucid dreaming.  
*'''[[Effect::Depersonalization]]''' - Depersonalization can present itself upon the come-up and persist well into the next day if the user has ingested a massive dose.
*'''[[Effect::Depersonalization]]''' - Depersonalization can present itself upon the come-up and persist well into the next day if the user has ingested a massive dose.
*'''[[Effect::Irritability]]''' Irritability is only present at high dosages when the user resists the urge to sleep.
*'''[[Effect::Irritability]]''' Irritability is only present at high dosages when the user resists the urge to sleep.
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==Legal status==
==Legal status==
*'''Australia''': Melatonin is schedule 4 (prescription only) except when included in schedule 3 (pharmacist only) for human use:  
*'''Australia''': Melatonin is schedule 4 (prescription only) except when included in schedule 3 (pharmacist only) for human use:  
**in modified release tablets containing 2 mg or less of melatonin for monotherapy for the short term treatment of primary insomnia characterised by poor quality of sleep for adults aged 55 or over, in packs containing not more than 30 tablets.<ref>{{Citation | vauthors=Health | title=Poisons Standard February 2022 | url=https://www.legislation.gov.au/Details/F2022L00074/}}</ref>
**in modified release tablets containing 2 mg or less of melatonin for monotherapy for the short term treatment of primary insomnia characterised by poor quality of sleep for adults aged 55 or over, in packs containing not more than 30 tablets.<ref>{{Citation | vauthors=Health | title=Poisons Standard February 2022 | url=https://www.legislation.gov.au/Details/F2022L00074/}}</ref>
*'''Canada''': Melatonin is freely available to purchase as a dietary supplement and can be found at most pharmacies and grocery stores across the country.{{citation needed}}
*'''Canada''': Melatonin is freely available to purchase as a dietary supplement and can be found at most pharmacies and grocery stores across the country.<ref>https://health-products.canada.ca/lnhpd-bdpsnh/info?licence=80015830</ref>
*France: Melatonin is available over the counter
*'''Germany''': Melatonin is a prescription medicine, according to Anlage 1 AMVV.<ref>{{Citation | title=Anlage 1 AMVV - Einzelnorm | url=https://www.gesetze-im-internet.de/amvv/anlage_1.html}}</ref> It is however available as a dietary supplement in certain forms, often in low dosages or as combination preparations.<ref>{{Citation | vauthors=((Moll, D.)) | year=2019 | title=Melatonin in Nahrungsergänzungsmitteln | url=https://www.deutsche-apotheker-zeitung.de/news/artikel/2019/10/22/melatonin-in-nahrungsergaenzungsmitteln}}</ref>
*'''Germany''': Melatonin is a prescription medicine, according to Anlage 1 AMVV.<ref>{{Citation | title=Anlage 1 AMVV - Einzelnorm | url=https://www.gesetze-im-internet.de/amvv/anlage_1.html}}</ref> It is however available as a dietary supplement in certain forms, often in low dosages or as combination preparations.<ref>{{Citation | vauthors=((Moll, D.)) | year=2019 | title=Melatonin in Nahrungsergänzungsmitteln | url=https://www.deutsche-apotheker-zeitung.de/news/artikel/2019/10/22/melatonin-in-nahrungsergaenzungsmitteln}}</ref>
*'''India''': Melatonin is legal to purchase as a dietary supplement.{{citation needed}}
*'''India''': Melatonin is legal to purchase as a dietary supplement.{{citation needed}}
*'''Italy''': Melatonin is legal to purchase as a dietary supplement.{{citation needed}}
*'''Italy''': Melatonin is legal to purchase as a dietary supplement.{{citation needed}}
*'''Ireland''': Melatonin is a prescription-only medicine.<ref>https://www.hpra.ie/homepage/medicines/medicines-information/find-a-medicine/results/item?pano=EU/1/07/392/001&t=Circadin</ref>
*'''Sweden''': Melatonin is an over-the-counter medication in small amounts, but generally a prescription pharmaceutical.<ref>”Receptfritt melatonin på apoteken”. ''janusinfo.se''.</ref>
*'''Sweden''': Melatonin is an over-the-counter medication in small amounts, but generally a prescription pharmaceutical.<ref>”Receptfritt melatonin på apoteken”. ''janusinfo.se''.</ref>
*'''Switzerland''': Melatonin is listed as a "Abgabekategorie B" pharmaceutical, which generally requires a prescription.{{citation needed}}
*'''Switzerland''': Melatonin is listed as a "Abgabekategorie B" pharmaceutical, which generally requires a prescription.<ref>https://www.swissmedic.ch/swissmedic/de/home/services/listen_neu.html</ref>
*'''United Kingdom''': Melatonin is a licensed prescription-only medicine (POM) in the United Kingdom.{{citation needed}} It is not a criminal offense to possess this medicine without a valid prescription. This medicine can legally be obtained with a valid prescription or through legal import of the medicine for personal use as outlined in Section 13 of the Medicines Act 1968.<ref>{{cite web |url = http://www.legislation.gov.uk/ukpga/1968/67/section/13|title = Medicines Act 1968 Section 13}}</ref>
*'''United Kingdom''': Melatonin is a licensed prescription-only medicine (POM) in the United Kingdom.<ref>https://www.nhs.uk/medicines/melatonin/about-melatonin/</ref> It is not a criminal offense to possess this medicine without a valid prescription. This medicine can legally be obtained with a valid prescription or through legal import of the medicine for personal use as outlined in Section 13 of the Medicines Act 1968.<ref>{{cite web |url = http://www.legislation.gov.uk/ukpga/1968/67/section/13|title = Medicines Act 1968 Section 13}}</ref>
*'''United States''': Melatonin is listed as an uncontrolled substance and is legal to possess and distribute, and is freely available to purchase as a dietary supplement.{{citation needed}}
*'''United States''': Melatonin is listed as an uncontrolled substance and is legal to possess and distribute, and is freely available to purchase as a dietary supplement.<ref>https://www.drugs.com/melatonin.html</ref>


==See also==
==See also==
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*[https://en.wikipedia.org/wiki/Melatonin Melatonin (Wikipedia)]
*[https://en.wikipedia.org/wiki/Melatonin Melatonin (Wikipedia)]
*[https://en.wikipedia.org/wiki/Melatonin_as_a_medication_and_supplement Melatonin as a medication and supplement (Wikipedia)]
*[https://erowid.org/smarts/melatonin/ Melatonin (Erowid Vault)]
*[https://erowid.org/smarts/melatonin/ Melatonin (Erowid Vault)]
*[http://isomerdesign.com/PiHKAL/read.php?domain=tk&id=35 Melatonin (TiHKAL / Isomer Design)]
*[http://isomerdesign.com/PiHKAL/read.php?domain=tk&id=35 Melatonin (TiHKAL / Isomer Design)]
*[https://go.drugbank.com/drugs/DB01065 Melatonin (DrugBank)]
*[https://www.drugs.com/melatonin.html Melatonin (Drugs.com)]
*[https://examine.com/supplements/melatonin/ Melatonin (Examine)]
*[https://examine.com/supplements/melatonin/ Melatonin (Examine)]


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<references />
<references />


[[Category:Dietary supplement]]
[[Category:Hormone]]
[[Category:Hormone]]
[[Category:Tryptamine]]  
[[Category:Tryptamine]]  
[[Category:Oneirogen]]
[[Category:Oneirogen]]
{{#set:Featured=true}}