Melatonin, the whole story

Elsewhere on this site, we referred to a study from October, 2017 detailing the benefits of melatonin in promoting restful sleep. The Journal of the American Academy of Child and Adolescent Psychiatry confirmed that children with autism spectrum disorder (ASD) with refractory (stubbornly resistant) insomnia will benefit directly from prolonged-release melatonin. While the Hughes Brothers stand by our reporting of that study – with no commentary whatsoever – we offer you now some additional thinking on the subject.

For some children, melatonin has proven to be a miracle drug, of sorts. Key word: “drug.” Although melatonin is a naturally occurring hormone, it remains a powerful semi-sedative deserving of deep and abiding respect. Melatonin is sold as a natural supplement, and most doctors concur that occasional treatment with low-dose melatonin is probably safe.

Let’s just say that the whole matter of taking melatonin can be rather complex..

In the interests of absolute transparency, the Hughes Brothers must tell you that American Academy of Sleep Medicine does not recommend melatonin as a treatment for insomnia.

Make no mistake about melatonin.

Far beyond just swallowing a pill, the efficacy of melatonin depends on three considerations, any one of which can dilute or negate the results. In order then, these common melatonin-related mistakes.

The right dosage

Most melatonin supplements – laboratory produced, by the way – come over the counters in one, three, or five milligram tablets. Web-based sources can offer, however, a range of dosage from as low as three/tenths of a milligram to as high as twenty milligrams. The right dose will vary from person to person, but most research suggests that doses should be similar to the actual amount your body produces–something scientists call a physiologic dose. For most people, a physiologic dose lies very low, about four/tenths of a milligram of melatonin daily.

The problems arise when the daily dosage is too high. Excessive melatonin will make racking out of bed in the morning much more difficult. And, contrarily, high dosages may lower your body’s production of natural melatonin, thereby making the insomnia much worse over time.

So.

Work with your doctor to find the best amount of melatonin supplement for your child.

The right timing

Melatonin’s job is to prepare your child for a restful night of sleep. Ideally, the hormone would be ingested two to three hours before bedtime. At physiologic doses, melatonin should not make your child sleepy – unlike prescription sleep medications such as Ambien or Klonopin.

In those critical hours after taking melatonin, the body slows down, prepares itself for sleep

The Right Way

Swallowing a drug allows only a percentage of the active chemicals into the blood stream, therein exerting its influences. Drugs that allow only a small portion of the active ingredients into the blood are said to have a low oral bioavailability. Melatonin fits this description most certainly. Further, the ability to absorb melatonin again varies, again, from person to person. Some children might take up only ten percent of the active drug they’ve swallowed; other kids might absorb as much as fifty percent. It becomes a bit of a guessing game.

There’s a way though to manage a low dosage of melatonin: place the pill under your child’s tongue and wait for its dissolution. The hormone will then directly enter the blood stream through the capillaries in the child’s mouth. The dosage now becomes more predictable, more consistent.

Less is more.

Consult your doctor for an opinion on an appropriate dosage, remembering that a fully functioning pituitary gland produces about a half-milligram per day. The lower doses will likely deliver more happy results for your child with ASD. In fact, the whole family will sleep better.


Comfort Dreams Zero Gravity Adjustable 3-Piece Wedge System Review

Comfort Dreams makes a wedge arrangement for back and leg support while sleeping, reading, or watching television. And the Hughes boys could not be more conflicted in our opinions about Comfort Dreams’ endeavor, wildly positive reviews from James and John, equally vocal opposition from Mike and Dave. (The more skeptical of the bros, Curtis and Joel, would not even try the wedge.) We did all four agree that the wedges work better for wide-awake relaxation than for deep and dreamless sleep.

Comfort Dreams Zero Gravity Adjustable 3-Piece Wedge System Reviews by hughesreviews.com
Comfort Dreams Zero Gravity Adjustable 3-Piece Wedge System Reviews by hughesreviews.com

Unless one is recovering from certain surgeries or is currently suffering from sleep apnea, GERD, or chronic back pain.

In these cases, sleep seems to come faster, last longer, and refresh better in the starlit interim.

Comfort Dreams Zero Gravity Adjustable 3-Piece Wedge System Specs:

The specifics: a bit bulky, difficult to store, but firm, mighty firm in its support; originally designed – here we go again – for NASA, built of “space-age foam that cradles your body”; designed to reduce pressure points that produce tossing and turning, turning and tossing some more.

The Hughes take on the specifics: “mighty firm” above was insufficiently descriptive for two of us – “uncomfortably firm,” the right words for Dave and Mike, who believe that NASA got it wrong for the earthbound on this sleep system. Do not look for “memory foam” here, as you normally think of that sleep-inducing generic product. The foam doesn’t so much cradle as soften perhaps, but certainly not the enveloping wrap that cradling implies.

Comfort Dreams Zero Gravity Adjustable 3-Piece Wedge System Review and Overall Rating

We Hughess – divided among ourselves – sought the experience of several friends and neighbors who, we knew, suffered from both sleep issues and some severe surgical aftermath. Their counsel too was far from unanimous but certainly more affirmative than not. One buddy, enduring a series of spinal surgeries, called the Comfort Dreams wedges a “must have.” Another friend found multiple sorts of relief: from chronic back pain, less sinus congestion and, therefore, less sleep apnea.

Another, suffering from chronic sinusitis, found the body positioning of the wedge system to work well in dealing with that nasty condition.

Still, a matter of opinion.

The Comfort Dreams wedge sleep system comes along at varied price points in the neighborhood of two-hundred dollars. Accordingly, the brothers suggest that – unless your sleep suffers as a result of any of the above medical maladies – you try other, less expensive sleep-inducing alternatives before springing for this system.


CLICK HERE for Amazon Purchase info: Comfort Dreams Zero Gravity Adjustable 3-Piece Wedge System