Iv. Zhdanova et al., SLEEP-INDUCING EFFECTS OF LOW-DOSES OF MELATONIN INGESTED IN THE EVENING, Clinical pharmacology and therapeutics, 57(5), 1995, pp. 552-558
We previously observed that low oral doses of melatonin given at noon
increase blood melatonin concentrations to those normally occurring no
cturnally and facilitate sleep onset, as assessed using an involuntary
muscle relaxation test. In this study we examined the induction of po
lysomnographically recorded sleep by similar doses given later in the
evening, close to the times of endogenous melatonin release and habitu
al sleep onset. Volunteers received the hormone (oral doses of 0.3 or
1.0 mg) or placebo at 6, 8, or 9 PM. Latencies to sleep onset, to stag
e 2 sleep, and to rapid eye movement (REM) sleep were measured polysom
nographically. Either dose given at any of the three time points decre
ased sleep onset latency and latency to stage 2 sleep. Melatonin did n
ot suppress REM sleep or delay its onset. Most volunteers could clearl
y distinguish between the effects of melatonin and those of placebo wh
en the hormone was tested at 6 or 8 PM. Neither melatonin dose induced
''hangover'' effects, as assessed with mood and performance tests adm
inistered on the morning after treatment. These data provide new evide
nce that nocturnal melatonin secretion may be involved in physiologic
sleep onset and that exogenous melatonin may be useful in treating ins
omnia.