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Drug and Therapeutics Bulletin 2009;47:74-77; doi:10.1136/dtb.2009.06.0024
Copyright © 2009 by the BMJ Publishing Group Ltd.

{blacktriangledown}Melatonin for primary insomnia?

* For more information on marketing authorisations, see DTB 2009; 47: 45–7.

Relevant BNF section: 4.1.1

Melatonin, a hormone produced by the pineal gland, has a key role in regulating circadian rhythms, most importantly, the sleep-wake cycle.1 Melatonin's action has led to its being tried as a treatment for a wide range of sleep disorders, such as jet lag, primary insomnia, sleep-wake cycle disruption and sleep problems in children with neuro-developmental disorders.26 Until recently, it had not been licensed in the UK for any indication. Prolonged-release melatonin ({blacktriangledown}Circadin – Lundbeck) has now been licensed as a treatment for primary insomnia. Here we consider whether this product has a place in the management of people with this condition.


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