Print

Print


Meanwhile, other researchers are piecing together an increasingly detailed
understanding of melatonin's effects on circadian rhythms, among them, Dr. Al
Lewy, a psychiatrist at Oregon Health Sciences University in Portland, who
has given melatonin to 120 people.
 
Many sleep disorders, Lewy notes, are caused when normal circadian or daily
rhythms go awry. In people with delayed sleep phase disorder, for instance,
the problem is falling alseep too late at night and sleeping too long in the
morning. In advanced phase disorder, the problem is reversed.
 
Lewy, who, among others, showed that well timed exposure to bright light can
remedy such disorders, is trying to use melatonin instead."Giving melatonin
is like giving darkness," he says. Taking as little as 500 micrograms before
dusk, "tricks the body into thinking it's dark out even if it's sunny,"
prompting an earlier onset of sleep. Taking it in the morning, "makes the
body think dawn has not happened yet."In theory, melatonin, given at the
right time of day, might also be used to treat winter depression   the mood
disorder that affects some people, especially women, when the days are short
and the nights long.Although light has been shown to ease winter depression,
the link with melatonin is less clear, says Dr. Thomas Wehr, chief of
clinical psychobiology at the National Institute of Mental Health, who
studies seasonal changes in melatonin levels.
 
As drug companies scramble to bring melatonin based drugs to market, some
consumers, impatient with the slow pace of corporate drug development and
with scientists who advise not taking the melatonin products now available as
nutritionalsupplements while standing to profit if melatonin becomes a drug,
are taking matters into their own hands.Some manufacturers are profiting
already. The Life Extension Foundation in Hollywood, Fla., now fills 500 mail
orders a day for melatonin, says vice president Bill Faloon, who takes it
himself.Other desperate insomniacs and weary travellers get their supplies
from Cardiovascular Research, Ltd. in Concord, Calif. and Nutrition
Headquarters Inc. in Carbondale, Ill.
 
Should they?Of course not, the experts say at least on the record.To be sure,
it is widely agreed that "one of the nice things about melatonin, from a
purely toxicological point of view, is that it is extraordinarly safe," says
Dr. Steven Paul, vice president for drug discovery at Eli Lilly.But even at
low doses, melatonin can trigger release of prolactin, a hormone that can
cause menstrual irregularities .
 
More research is needed to determine the right doses for sleep and jet lag
 taking the wrong dose, or even the right dose at the wrong time, could make
jet lag worse.Worse still is the spectre of a repeat of the L tryptophan
disaster of 1989. This other natural soporofic, widely sold in health food
stores, was eventually found to have caused the deaths of 38 people and
serious connective tissue disease in 1,500 more.
 
Granted, the problem was not Ltryptophan itself but impurities that crept in
during manufacturing by one Japanese firm. But bad manufacturing could happen
with melatonin too, or any other supplement not produced according to
manufacturing processes approved by the US Food and Drug Administration.
 
"People are opening themselves up to potential disaster if they take it now,"
adds Oren of NIMH. "The terrible thing with tryptophan could replay itself."
 
But some researchers, while issuing stern caveats in public, admit privately
they take the stuff themselves.And the National Nutritional Foods
Association, the trade group for 4,500 of the nation's health food suppliers
and retailers, which a year ago took the unusual step of suggesting health
stores not sell melatonin, has now had a change of heart.Some stores pulled
melatonin from their shelves after that warning, but last week the group's
science director, Burton Kallman, said his concerns "have been dissipated to
some extent.. . If people want ta sell it over the counter, it does not look
to me like a harmful product."
 
So what should you do?
 
The prudent thing, says nutritionist David Schardt of the Washington based
Center for Science in the Public Interest, is to wait for more studies.
 
But unless your melatonin product is impure, the worst you're likely to
experience is sleepiness the next day if you take too much, or or worsened
jet lag if you take it at the wrong time.
 
"As far as we know," he says, "there is no evidence anyone could die from
this."