human psychopharmacology Hum. Psychopharmacol Clin Exp 2009; 24: 103111. Published online 17 December 2008 in Wiley InterScience (www.interscience.wiley.com) DOI: 10.1002/hup.993 Effects of long-term exposure to ramelteon, a melatonin receptor agonist, on endocrine survive in adults with chronic insomnia Gary Richardson1* and Sherry Wang-Weigand2 1 2 Henry Ford Hospital, Sleep Disorders and Research Center, Detroit, MI, regular army Takeda world(a) Research and Development Center, Deer?eld, IL, USA Objective To quantify the effectuate of ramelteon, an MT1/MT2 melatonin receptor agonist used to treat insomnia, on endocrine function in adults with chronic insomnia. Methods This was a double-blind, placebo-controlled, run of adults (1845 years) with chronic insomnia. Subjects received either ramelteon 16 mg or placebo nightly for 6 months. Hormonal measures of the thyroid, productive, and adrenal axes were analyze periodic and compared with baseline and placebo va lues.
Results While isolated changes were detected at whatsoever time points, there were no consistent statistically signi? sky differences surrounded by treatments on measures of thyroid function ( do T4, exonerate T4, TSH, and total T3), adrenal function (AM cortisol, and ACTH), or on most reproductive endocrine measures [LH, FSH, estradiol (women), total, and free testosterone (men)]. Prolactin concentrations were increased boilersuit in women in the ramelteon stem compared with placebo ( p ¼ 0.003). No clinical effects of elevated prolactin were reported; average menstrual cycle length, duration of menses, and ovulation hazard did non differ betwe! en groups. Conclusions Long-term exposure to ramelteon 16 mg, a potent melatonin receptor agonist, resulted in mild, transient increase in prolactin, in women only, that were not associated with measurable reproductive effects. There were no consistent changes in other endocrine measures. Copyright # 2008 fundament Wiley & Sons, Ltd. key linguistic communication ramelteon; melatonin receptor...If you want to get a full essay, order it on our website: OrderCustomPaper.com
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