Melatonin, on the couch

Mental Health Training

A previous podcast discussed how jet-lag medication was used to treat young people for sleep problems. A dietary supplement containing melatonin was readily available in health shops throughout the United Kingdom until it was banned. In some cases, melatonin supplements may also contain serotonin. Be mindful that the human body can make melatonin from the enzymatic conversion of serotonin into melatonin. There have been reports of poisoning in children who needed hospital care, and several young children died from a melatonin overdose.

Five of the seven deaths occurred in children younger than one year old. There have also been further concerns about how it might affect a child’s growth, development, and well-being, particularly during puberty. Studies found that morning sleepiness, drowsiness, and perhaps increased urination at night are the most common side effects that occur while taking melatonin.

Always talk with your paediatrician about the proper dose and timing of melatonin for your child. And remember, it should be something other than a good bedtime routine, young or old.

Let’s start by looking at this hormone in more detail.

An article by Amelia Nierenberg wrote in the New York Times states that most people think of melatonin as a natural sleep aid, like chamomile tea in pill form. But melatonin is also a hormone that our brains naturally produce, and like it or not, hormones, even in minuscule amounts, they can have a potent effect throughout the body.

“There are some clinical uses for it, but not the way that it’s been marketed and used by the vast majority of the public,” said Jennifer Martin, a psychologist and professor of medicine at the University of California, Los Angeles.

Experts strongly urge people to consult their doctor or a sleep specialist before taking melatonin, partly because the supplement does not address many underlying health problems that disrupt sleep. Anxiety can cause insomnia, as can a host of other potentially serious ailments, such as sleep apnoea, restless legs syndrome or mood disorders like depression, that may require medical treatment. In short, any stressor, such as sleep apnoea, chronic infections, allergies or psychological-emotional, can therefore raise cortisol levels.

Melatonin and cortisol are in an opposite relationship; when melatonin is high, cortisol should be low and vice versa. When either of these gets out of balance, our ability to sleep is affected.

Melatonin, however, is relatively inexpensive and readily available at local pharmacies in the United States. However, in the United Kingdom and other countries, it typically requires a prescription, and many people will go out and buy it on their own. So what’s the best approach to taking melatonin? Here’s what experts had to say.

How does melatonin work?

Melatonin, often referred to as the molecular expression of darkness, is a hormone the pineal gland produces in response to darkness that regulates the sleep-wake cycle. During the day, the gland does not create melatonin. After the sun sets, darkness triggers it to secrete the hormone into the bloodstream to bind to receptors in various tissues and therefore enforce circadian rhythms causing drowsiness and other signals that it’s time to sleep. Melatonin is light sensitive and will react to morning light exposure when our brain is signalled to pull back on melatonin release. Morning light also signals the brain to release cortisol, our awake and defence hormone against potential predators.

During the day, the brain’s pea-sized pineal gland remains inactive. A few hours before our natural sleep time, as it gets dark outside and the light entering our retina fades, the gland switches on to flood the brain with melatonin.

There shouldn’t be any surprise that melatonin is sometimes called the ‘hormone of darkness or ‘vampire hormone’” because it comes out at night,

Learn more