Questions and Answers
What is the trade name/class of melatonin?
What are the indications for melatonin?
Sleep disorders
What is the primary action of melatonin?
Secreted from the pineal gland in a 24-hour circadian rhythm
Which of the following are contraindications for melatonin?
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What are some adverse reactions associated with melatonin?
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What type of drug interactions does melatonin have?
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What assessments should be made for patients taking melatonin?
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What important points should be included in patient teaching for melatonin?
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Study Notes
Melatonin Overview
- Melatonin is a hormone produced by the pineal gland.
- It is classified as a sedative hypnotic.
- Standard patient dose is 10 mg taken before bed.
Indications
- Primarily indicated for sleep disorders.
Mechanism of Action
- Secreted in a 24-hour circadian rhythm by the pineal gland.
- Regulates the normal sleep/wake cycle.
Contraindications
- Contraindicated in individuals with hypersensitivity, pregnancy, or lactation.
- Caution is advised for patients with a history of seizures, diabetes, or hypertension.
Adverse Reactions
- Common side effects include hypotension, drowsiness, headache, dizziness, nausea/vomiting, and abdominal cramps.
Drug Interactions
- Can cause additive sedation when used with CNS depressants.
- May increase the risk of bleeding when taken with anticoagulants.
- Potential to interfere with hypoglycemic agents.
Assessment
- Monitoring should include sleep patterns, blood glucose levels, coagulation status, lipid panel, and hormone levels.
Patient Teaching
- Advise patients to exercise caution while driving due to drowsiness.
- Recommend avoiding the use of concurrent CNS depressants.
- Instruct to take melatonin at bedtime for optimal effectiveness.
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Description
Test your knowledge of melatonin with these flashcards. This quiz covers melatonin's trade names, indications, actions, and contraindications. Perfect for students studying pharmacology or anyone interested in sleep disorders.
