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N-acetyl-5-methoxytryptamine

Melatonin
Melatonin.svg
Melatonin molecule ball.png
Clinical data
Pronunciation Listeni/ˌmɛləˈtnɪn/
AHFS/Drugs.com Consumer Drug Information
Routes of
administration
Oral, sublingual, transdermal
ATC code N05CH01 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
  • US: OTC
Pharmacokinetic data
Bioavailability 30–50%
Metabolism Hepatic via CYP1A2 mediated 6-hydroxylation
Biological half-life 35–50 minutes
Excretion Renal
Identifiers
CAS Number 73-31-4 YesY
PubChem (CID) 896
IUPHAR/BPS 224
DrugBank DB01065 YesY
ChemSpider 872 YesY
UNII JL5DK93RCL YesY
KEGG D08170 YesY
ChEBI CHEBI:16796 YesY
ChEMBL CHEMBL45 YesY
ECHA InfoCard 100.000.725
Chemical and physical data
Formula C13H16N2O2
Molar mass 232.278 g/mol
3D model (Jmol) Interactive image
  

Melatonin, also known as N-acetyl-5-methoxy tryptamine, is a hormone that is produced by the pineal gland in animals and regulates sleep and wakefulness. Melatonin is also produced in plants where it functions as a first line of defense against oxidative stress.

In animals, melatonin is involved in the entrainment (synchronization) of the circadian rhythms including sleep-wake timing, blood pressure regulation, seasonal reproduction, and many others. Many of its biological effects in animals are produced through activation of melatonin receptors, while others are due to its role as an antioxidant, with a particular role in the protection of nuclear and .

As a medicine, it is used for the treatment of insomnia, however, scientific evidence is insufficient to demonstrate a benefit in this area. Melatonin is sold over-the-counter in the United States and Canada. In other countries, it may require a prescription or it may be unavailable.

Melatonin has shown promise in treating sleep-wake cycle disorders in children with underlying neurodevelopment difficulties. As add-on to antihypertensive therapy, prolonged-release melatonin has improved blood pressure control in people with nocturnal hypertension.

People with circadian rhythm sleep disorders may use oral melatonin to help entrain (biologically synchronize in the correct phase) to the environmental light-dark cycle. Melatonin reduces sleep onset latency to a greater extent in people with delayed sleep phase disorder than in people with insomnia.

Melatonin has been studied for insomnia in the elderly. Prolonged-release melatonin has shown good results in treating insomnia in older adults. Short-term treatment (up to three months) of prolonged-release melatonin was found to be effective and safe in improving sleep latency, sleep quality, and daytime alertness.


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Wikipedia

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