eMIMS New Product
New drug - Circadin
28-May-08
PHARMACOLOGY
The activity of melatonin, mainly at the MT1, MT2 and MT3 receptors, is believed to contribute to its sleep-promoting properties, as these receptors are involved in the regulation of circadian rhythms and sleep regulation.
CLINICAL STUDIES
The efficacy of Circadin has been assessed in several clinical trials in patients aged over 55, over a treatment period of 3 weeks.
A study1 conducted in 170 patients showed a clinically significant improvement in both quality of sleep and morning alertness in the Circadin group (47%) compared to placebo (27%).
Another study2 conducted in 354 patients showed a clinically significant improvement in both quality of sleep and morning alertness in the Circadin group (26%) compared to placebo (15%). Circadin also reduced patients’ reported sleep latency (time to onset of sleep) by 24.3 minutes compared with placebo, which reduced it by 12.9 minutes.
References
1. Lemoine P, Nir T, Laudon M et al. Prolonged-release melatonin improves sleep quality and morning alertness in insomnia patients aged 55 years and older and has no withdrawal effects. J Sleep Res 2007: 16; 372–80.
2. Wade A, Ford I, Crawford G et al. Efficacy of prolonged release melatonin in insomnia patients aged 55–80 years: quality of sleep and next-day alertness outcomes. Curr Med Res Opin 2007: 23 (10); 2597–605.
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Comments
robert glyn james
29/05/2008
too little information on main indications -cost and side effects but clearly an interesting development
Hannah Cadman
30/05/2008
Thanks for your comment. There is a link to the Circadin drug record under clinical studies, where you can view pricing, side effects, interactions, warnings etc.
Ian Pitt
02/06/2008
Its VERY expensively priced & packaged for a drug that's available OTC in many countries - my patients are buying it over the internet, 360 3mg caps for £18!
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