Melatonin has a u-curve. 0.5 mg worked for the person in the first abstract, but not 10-20 mg. The second abstract says that they determined the dose response curve in the physiological range, which they appear to have defined as up to 300 mcg. Does anyone have access to this paper so we can see what the curve looks like?
Melatonin's effects on the eye are a mixed bag. Abstract #3 found it helped with macular degeneration, but abstract #4 says that it increases photoreceptor death at doses of 50 mcg/kg and up, even in the absence of high intensity illumination in some cases. From the
full textSurprisingly, melatonin treatment early in the dark period and without exposure to HII in male Long-Evans rats caused the most photoreceptor cell death as compared to the Day and HII exposed groups.
This
paper says that melatonin's lowering of dopamine and raising of prolactin may be involved. I'm going to chicken out and back down to 300 mcg.
Chronobiol Int. 2002 May;19(3):649-58.Links
Low, but not high, doses of melatonin entrained a free-running blind person with a long circadian period.
Lewy AJ, Emens JS, Sack RL, Hasler BP, Bernert RA.
Department of Psychiatry, Oregon Health & Science University, Portland, USA.
In a previous report, we were unable to entrain one out of seven totally blind people with free-running endogenous melatonin rhythms to 10 mg of exogenous melatonin. This person had the longest circadian period (24.9 h) of the group. We now find that this person can be entrained to 0.5 mg of melatonin, but not to 20 mg. These results are consistent with the idea that too much melatonin may spill over onto the wrong zone of the melatonin phase-response curve.
PMID: 12069043
Chronobiol Int. 2005;22(6):1093-106.
Melatonin entrains free-running blind people according to a physiological dose-response curve.
Lewy AJ, Emens JS, Lefler BJ, Yuhas K, Jackman AR.
Sleep and Mood Disorders Laboratory, Department of Psychiatry, Oregon Health & Science University, Portland, OR 97239-3098, USA. lewy@ohsu.edu
The specific circadian role proposed for endogenous melatonin production was based on a study of sighted people who took low pharmacological doses (500 microg) of this chemical signal for the "biological night": the magnitude and direction of the induced phase shifts were dependent on what time of day exogenous melatonin was administered and were described by a phase-response curve that turned out to be the opposite of that for light. We now report that lower (physiological) doses of up to 300 microg can entrain (synchronize) free-running circadian rhythms of 10 totally blind subjects that would otherwise drift later each day. The resulting log-linear dose-response curve in the physiological range adds support for a circadian function of endogenous melatonin in humans. Efficacy of exogenous doses in the physiological range are of clinical significance for totally blind people who will need to take melatonin daily over their entire lifetimes in order to remain entrained to the 24 h day. Left untreated, their free-running endocrine, metabolic, behavioral, and sleep/wake cycles can be almost as burdensome as not having vision.
PMID: 16393710
Ann N Y Acad Sci. 2005 Dec;1057:384-92.
Effects of melatonin in age-related macular degeneration.
Yi C, Pan X, Yan H, Guo M, Pierpaoli W.
Department of Fundus Diseases, Zhongshan Ophthalmic Center, Sun Yat-Sen University, 510060 Guangzhou, China. yichang@public.guangzhou.gd.cn
Age-related macular degeneration (AMD) is the leading cause of severe visual loss in aged people. Melatonin has been shown to have the capacity to control eye pigmentation and thereby regulate the amount of light reaching the photoreceptors, to scavenge hydroxyradicals and to protect retinal pigment epithelium (RPE) cells from oxidative damage. Therefore, it is reasonable to think that the physiological decrease of melatonin in aged people may be an important factor in RPE dysfunction, which is a well known cause for initiation of AMD. Our purpose is to explore a new approach to prevent or treat AMD. We began case control study with a follow-up of 6 to 24 months. One hundred patients with AMD were diagnosed and 3 mg melatonin was given orally each night at bedtime for at least 3 months. Both dry and wet forms of AMD were included. Fifty-five patients were followed for more than 6 months. At 6 months of treatment, the visual acuity had been kept stable in general. Though the follow up time is not long, this result is already better than the otherwise estimated natural course.1,2 The change of the fundus picture was remarkable. Only 8 eyes showed more retinal bleeding and 6 eyes more retinal exudates. The majority had reduced pathologic macular changes. We conclude that the daily use of 3 mg melatonin seems to protect the retina and to delay macular degeneration. No significant side effects were observed.
PMID: 16399908
Exp Eye Res. 2008 Feb;86(2):241-50.
Influence of dietary melatonin on photoreceptor survival in the rat retina: an ocular toxicity study.
Wiechmann AF, Chignell CF, Roberts JE.
Department of Cell Biology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73190, USA. allan-wiechmann@ouhsc.edu
Previous studies have shown that melatonin treatment increases the susceptibility of retinal photoreceptors to light-induced cell death. The purpose of this study was to evaluate under various conditions the potential toxicity of dietary melatonin on retinal photoreceptors. Male and female Fischer 344 (non-pigmented) and Long-Evans (pigmented) rats were treated with daily single doses of melatonin by gavage for a period of 14 days early in the light period or early in the dark period. In another group, rats were treated 3 times per week with melatonin early in the light period, and then exposed to high intensity illumination (1000-1500 lx; HII) for 2h, and then returned to the normal cyclic lighting regime. At the end of the treatment periods, morphometric measurements of outer nuclear layer thickness (ONL; the layer containing the photoreceptor cell nuclei) were made at specific loci throughout the retinas. In male and female non-pigmented Fischer rats, melatonin administration increased the degree of photoreceptor cell death when administered during the nighttime and during the day when followed by exposure to HII. There were some modest effects of melatonin on photoreceptor cell death when administered to Fischer rats during the day or night without exposure to HII. Melatonin treatment caused increases in the degree of photoreceptor cell death when administered in the night to male pigmented Long-Evans rats, but melatonin administration during the day, either with or without exposure to HII, had little if any effect on photoreceptor cell survival. In pigmented female Long-Evans rats, melatonin administration did not appear to have significant effects on photoreceptor cell death in any treatment group. The results of this study confirm and extend previous reports that melatonin increases the susceptibility of photoreceptors to light-induced cell death in non-pigmented rats. It further suggests that during the dark period, melatonin administration alone (i.e., no HII exposure) to pigmented male rats may have a toxic effect on retinal cells. These results suggest that dietary melatonin, in combination with a brief exposure to high intensity illumination, induces cellular disruption in a small number of photoreceptors. Chronic exposure to natural or artificial light and simultaneous intake of melatonin may potentially contribute to a significant loss of photoreceptor cells in the aging retina.
PMID: 18078931