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Melatonin in the treatment of fibromyalgia symptoms: A systematic review.

Complementary therapies in clinical practice
February 1, 2020
Karim Hemati et al. (7 authors)
Journal ArticleSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to systematically review the impact of melatonin on fibromyalgia symptoms, including disease impact, pain, sleep quality, and other related factors.

Results Summary

All included studies reported positive effects of melatonin on fibromyalgia symptoms, with no major adverse events reported. However, significant heterogeneity between studies was noted, indicating a need for further high-quality trials.

Population

Fibromyalgia patients (98 participants across four studies).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (2)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin
decrease
FM symptoms
FM patients
-
positive effect
#1
melatonin
no change
adverse events
FM patients
-
no major adverse event
#2
Abstract

The available pharmacological modalities for the treatment of fibromyalgia (FM) are associated with a variety of adverse effects and limited benefits. In this study, we systematically reviewed the impact of melatonin in the treatment of FM. Interventional studies, either controlled or uncontrolled and randomized or non-randomized, were included. PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Library were searched without time limitation. Primary outcome measures were the effect of melatonin on the disease impact, pain, sleep quality, tender point count, fatigue, anxiety, stiffness, and depression in FM patients. Four studies, reporting the effect of melatonin on 98 patients, were eligible to include. All the studies reported the positive effect of melatonin on the FM symptoms. No major adverse event was reported. A significant level of heterogeneity was observed between the studies. Therefore, further high-quality controlled clinical trials are needed to understand the role of melatonin in FM treatment fully.

Medical Subject Headings (MeSH)
FatigueFibromyalgiaHumansMelatoninPainRandomized Controlled Trials as Topic
Study Links
Quality Scores
Safety90
Efficacy75/10
Quality65/10
Citation Metrics
Total Citations20
Citations/Year4.0
Relative Citation Ratio1.55
NIH Percentile66.2%
Research Impact Scores
APT Score0.75
Weight Score2.15
Normalized Score0.79
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