Use of Melatonin to Manage Jet Lags

Jet lag is a common issue for travelers crossing multiple time zones, leading to symptoms such as insomnia, daytime sleepiness, fatigue, and gastrointestinal disturbances. Melatonin, a hormone produced by the pineal gland, plays a crucial role in regulating circadian rhythms and can be effective in mitigating the effects of jet lag when used correctly.

Role of Melatonin in Circadian Rhythms

Melatonin production is closely linked to the light-dark cycle, with levels rising in the evening and peaking in the early morning. This hormone helps signal the body to prepare for sleep. Its cycle acts as a primary rhythm for setting other circadian cycles in the body. By using timed doses of melatonin, travelers can potentially reset their internal clocks more quickly following rapid travel across time zones.

Research Findings

  • Initial Studies and Findings:
    • In 1986, Josephine Arendt and colleagues conducted a study with 17 subjects flying from San Francisco to London. Subjects taking melatonin reported significantly less jet lag.
    • A subsequent double-blind, placebo-controlled study with 20 subjects flying from Auckland to London found that those taking 5 mg of melatonin reported less jet lag and faster normalization of sleep patterns.
Chart Showing Severity of jetlag in melatonin group vs non melatonin group
Chart Showing Severity of jetlag in melatonin group vs non melatonin group. See the 1986 Study titled “Alleviation of jet lag by melatonin:
preliminary results of controlled double
blind trial”
  • Dosing and Timing:
    • The general strategy involves taking melatonin (5-8 mg) in the evening for 3-7 days after arriving at the destination.
    • Recent research emphasizes the importance of timing the dose accurately. Melatonin taken in the morning can delay circadian rhythms, while melatonin taken in the evening can advance them.
  • Effectiveness:
    • Studies consistently show that melatonin can reduce the subjective effects of jet lag and help reentrain circadian rhythms more quickly.
    • A notable study on international cabin crew found that starting melatonin after returning home significantly reduced jet lag and sleep disturbances.

Understanding How Melatonin Helps You Sleep

Melatonin is a natural hormone produced by the pineal gland in the brain. Its primary role is to regulate sleep-wake cycles and help align your internal clock with the external environment. Here’s how melatonin works in an easy-to-understand way, tailored for layover passengers considering its use:

What is Melatonin?

Melatonin is often called the “sleep hormone” because it plays a key role in making you feel sleepy and helping you fall asleep. It is released in response to darkness and helps signal to your body that it is time to rest.

How Does Melatonin Work?

  1. Production and Release:
    • Melatonin production is triggered by darkness and inhibited by light. This means your body naturally produces more melatonin in the evening when it gets dark and less during the day.
    • During the day, melatonin levels in the blood are low. As evening approaches and darkness sets in, the pineal gland ramps up melatonin production, peaking in the early morning hours.
  2. Regulation of Circadian Rhythms:
    • The circadian rhythm is your body’s internal clock that regulates when you feel awake and when you feel sleepy over a 24-hour period.
    • Melatonin helps synchronize this internal clock with the external day-night cycle. By rising in the evening and falling in the morning, melatonin ensures that your sleep-wake cycle aligns with the natural light-dark cycle of your environment.
  3. Interaction with Light:
    • Exposure to light, especially blue light from screens and artificial sources, can suppress melatonin production. This is why it is often recommended to avoid bright screens before bedtime to promote better sleep.
  4. Role in Sleep Induction:
    • When melatonin levels rise in the evening, it signals to your body that it’s time to prepare for sleep. This process involves lowering body temperature, reducing alertness, and making you feel drowsy.
    • This hormone works by binding to melatonin receptors in the brain, which helps regulate sleep and wakefulness.

Using Melatonin for Jet Lag

Jet lag occurs when your internal clock is out of sync with the time zone of your travel destination. Taking melatonin supplements can help reset your internal clock more quickly by signaling to your body when it’s time to sleep in the new time zone.

  1. Timing of Melatonin Supplements:
    • For eastward travel (e.g., from New York to Paris), take melatonin in the late afternoon or early evening of your destination time to help advance your sleep schedule.
    • For westward travel (e.g., from New York to Los Angeles), melatonin can be taken in the evening of your destination time to help delay your sleep schedule.
  2. Dosage and Duration:
    • A typical dose of melatonin ranges from 2 to 8 milligrams*(Read medical disclosure below). It’s best to start with a lower dose to see how your body responds as per expert recommendations from published peer-reviewed studies.
    • Take melatonin 30 minutes to an hour before your desired bedtime in the new time zone.
    • Continue taking melatonin for a few days after arrival to help your body adjust to the new schedule.
  3. Effectiveness and Side Effects:
    • Studies have shown that melatonin can reduce the severity of jet lag symptoms and help you adjust more quickly to new time zones.
    • Melatonin is generally considered safe with minimal side effects, such as drowsiness or mild headaches. However, it’s always best to consult with a healthcare provider before starting any new supplement.

Practical Tips

  • Avoid Light Exposure: Minimize exposure to bright light and screens before bedtime when taking melatonin to enhance its effectiveness.
  • Stay Consistent: Try to maintain a regular sleep schedule and use melatonin consistently at the same time each night.
  • Healthy Sleep Environment: Create a sleep-conducive environment by keeping your room dark, quiet, and cool.

By understanding how melatonin works and using it strategically, you can manage jet lag more effectively and enjoy a smoother transition to your new destination.

Findings: Impact of Melatonin on Jet Lag

There have been several studies documenting impact of melatonin on jet lags and the tables below shows the summary of different studies:

Eastward Flights: Global Jet Lag Ratings

StudyMelatonin Mean (SD)Control Mean (SD)Mean Difference (95% CI)Weight %Study Conclusion
Arendt 198624.1 (10.58)30.2 (9.20)-17.60 (-26.05, -9.15)43.5Significant reduction in jet lag with melatonin
Claustrat 199214.52 (9.85)26.42 (9.70)-18.40 (-24.86, -11.94)32.6Melatonin more effective than placebo
Nickelsen 19919.1 (6.9)20.6 (6.5)-11.50 (-16.54, -6.46)11.1Significant improvement in jet lag symptoms
Arendt 198711.3 (3.54)55.5 (2.64)-44.20 (-48.88, -39.52)12.8Large improvement noted with melatonin
Total (95% CI)-19.52 (-28.13, -10.92)100Overall significant reduction in jet lag

Westward Flights: Global Jet Lag Ratings

StudyMelatonin Mean (SD)Control Mean (SD)Mean Difference (95% CI)Weight %Study Conclusion
Arendt 198619 (20.06)46.5 (20.06)-24.00 (-35.95, -12.05)53.0Significant reduction in jet lag with melatonin
Nickelsen 199116 (16)35 (26)-9.00 (-20.20, 2.20)47.0Some improvement, not statistically significant
Total (95% CI)-17.27 (-27.28, -7.26)100Overall significant reduction in jet lag

Proportion of People with Jet Lag Score <60 (Eastward Flights)

StudyMelatonin n/NControl n/NRisk Difference (95% CI)Weight %Study Conclusion
Arendt 19870/86/9-0.67 (-1.00, -0.34)36.1Fewer people experienced severe jet lag with melatonin
Claustrat 19924/1510/15-0.40 (-0.72, -0.07)63.9Reduction in severe jet lag cases with melatonin
Total (95% CI)-0.50 (-0.74, -0.25)100Significant reduction in severe jet lag cases

Summary

The summarized data from the studies indicate that melatonin significantly reduces jet lag symptoms in both eastward and westward flights. The mean difference and risk differences clearly favor melatonin over placebo in alleviating jet lag, making it a beneficial intervention for travelers dealing with time zone changes.

Practical Application

  1. Before Travel:
    • Gradually shift your sleep schedule closer to your destination’s time zone in the days leading up to your trip.
    • Consider starting melatonin a few days before departure, especially for eastward travel.
  2. During Travel:
    • Take melatonin at a time corresponding to the evening at your destination.
    • Maintain exposure to natural light during the day and avoid bright lights in the evening to help adjust your internal clock.
  3. After Arrival:
    • Continue taking melatonin in the evening for a few days after arrival to stabilize your sleep patterns.
    • Combine melatonin use with other strategies such as light exposure, physical activity, and dietary adjustments.

Safety and Side Effects

Most studies report minimal side effects from melatonin use. Some users may experience a mild sedative effect, headaches, or nausea. Higher doses can hasten sleep onset, but the optimal dose for managing jet lag typically ranges from 5-8 mg.

Conclusion

Melatonin is a promising therapy for managing jet lag, particularly when doses are accurately timed. However, it should be used as part of a broader strategy that includes light exposure and other behavioral adjustments. While melatonin can significantly reduce jet lag symptoms, it may not eliminate them entirely. Future research will likely refine dosing strategies and explore the combined use of melatonin with other interventions.

*Disclosure:

The recommendations on LayoverSleep.com, are intended for informational purposes only. They do not replace professional medical advice, diagnosis, or treatment. Always consult your physician or a qualified health professional before starting any new supplement, including melatonin, to ensure it is safe and appropriate for your individual health needs.


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