Ya want more on melatonin? You just hit the jackpot!
Why should we be interested in this stuff? First of all, melatonin used with chemo versus chemo alone more than doubled the survival time of human cancer patients. Big effect here folks. Secondly, melatonin decreased the side effects related to chemotherapy. These included low platelet counts, irritations of the lining of the mouth (stomatitis), nervous system injury (neurotoxicity), and heart toxicity (cardiotoxicity). Here is the abstract.
Now, don’t go away mad, because there is more. Melatonin helps overcome weight loss due to cancer (cancer cachexia) in advanced cancer patients, with no change in how much food they are eating. As if this were not enough, a study looked at over 600 cancer patients with a variety of solid-tissue tumors received melatonin. The 1 year survival time of the group that took melatonin was more than a third greater than those that did not.
Melatonin was the topic of a medical conference which discussed the ability of melatonin to cause some cancer cells to not only die off directly, but go back to being healthy body cells, and decrease cancer spread (metastasis). To boot, melatonin is an immune stimulator.
Anyway, lots of promising stuff here. One of the points made at the NIH conference mentioned was that this information has been around for years, but for some mysterious reason has not made it into the medical or veterinary knowledge pool. As I pointed out in the last post, I think the obvious reason is that you can’t patent it, which means no pharmaceutical company marketing for sales…but we’ll go over that in some future post.
Anyway, here’s the skinny on side effects and whatnot… Don’t give your dog melatonin during the daytime, it messes up the circadian rhythm and causes headaches. Any supplement given by mouth has potential for digestive upset (vomiting or nausea). If your dog has any immune mediated disease (like some types of underactive thryoid problems, dry eye, lupus, pemphigus, allergies, and so on), avoid it. Don’t give it to your dog if he or she is on calcium channel blockers (some types of heart and blood pressure meds), or is on fluoxetine (Prozac). Diabetic dogs may need less insulin on melatonin. If your dog has diabetes, begin melatonin only with your vet’s close supervision and instruction, otherwise skip melatonin. If your dog is an epileptic, I would avoid melatonin as well.
There are statements suggesting melatonin should not be used with leukemia or lymphoma patients circulating around. I have tried to find some actual evidence for these (a paper, case report, anything real) but to no avail. Any input from the readers? Same thing with this idea that it can cause retinal injury- appears to be speculation, but I am open to any documented, real evidence.
Doses vary. For early dog cancer patients, use about 1-2 mg per 40 lbs body weight, once a day, given at night. For advanced dog cancer patients, use about 5 mg per 40 lbs. Give with food.
There are ways to help increase your dog’s natural melatonin levels that don’t cost a cent. Make sure your loved dog sleeps in total darkness, 10 hours daily. No TV glare, no computer monitor, no nighlight. If you are doing home cooking, give melatonin-rich food. The highest is brown rice and oats, but carbs are not good calorie sources for dogs with cancer. Try some fresh sage, lots of naturally occurring melatonin in sage leaf. Keep your dog away from high voltage, as electric fields cause melatonin levels to drop. Meditate with your dog. My friend Jim Jacobson wrote a book on it. Meditation increases melatonin levels.
Best to all,
Dr Dressler















October 3rd, 2008 at 9:32 am
I’ve been reading about giving Melatonin to dogs and I’m a bit confused here. Vodka is on chemo+steroids+supplements and he seemed to be too hyper to sleep well until a week ago. Lately, it has gotten much better - we moved his steroids and his Glutamine to the morning and he seems to be panting less at night and sleeping better. I’ve been considering giving him Melatonin, but I read a few conflicting papers about how Melatonin interferes with the effect of corticosteroids. And since he’s on Prednisone and it seems to be helping fight the MCTs, I’m a bit paranoid about giving Melatonin to him.
Do you have any experience with Melatonin administration when the pooch is on steroids?
Thx!
-K
October 4th, 2008 at 5:43 am
My dog Candy was prescribed a melatonin regimen for her Atypical Cushings– meaning that her hormones were out of whack but she had normal cortisol (steroid) levels on the Tennessee Adrenal Panel. But, melatonin is also prescribed as an alternative treatment for dogs with Cushings who do have high cortisol (steroid) levels. I was giving melatonin and phosphatidylserine (to keep cortisol levels in check)
Some are using melatonin patches in lieu of oral melatonin to deliver a supposed more reliable, even dose and some claim that it prevents daytime drowsiness. So, I guess what I am saying is that when dogs have high steroid levels (cortisol) that melatonin is being touted as in Cushings disease (high cortisol levels) to prevent panting, excessive thirst, excessive urination etc….. So does melatonin lower cortisol level or modulate it? In your case would the melatonin modulate or lower the pred, thereby canceling out the pred or have no effect. I guess Dr. Dressler will help us out here.
Would prednisolone have fewer side effects than prednisone–I heard that on one of my lists. Also there is a compounded version of prednisone without the negative effects of prednisone but the same benefits. Best of both worlds–same positive effect, none of the negative effects. Some have used this form to reduce liver enzymes. I don’t know if this is anecdotal information or supported by studies.
I have taken Candy off melatonin now because of some things I have read to not give it with a lymphoproliferative cancer, as in cutaneous T cell lympoma which Candy has–also called Mycosis Fungoides. I understand it has promise with organ tumors though.
I don’t know for a fact about the interference of Pred with Melatonin but thought this info would help provide some understanding of the mechanism of action for which it is used in Cushings.
Lilly
October 4th, 2008 at 5:50 am
oops, error above, I meant melatonin implants, (in lieu of oral melatonin) not patches.
Lilly
October 5th, 2008 at 3:09 pm
1. There is not an interaction between pred and melatonin. There was a study using dexamethasone where melatonin blocked the suppression of normal immune responses (but not the suppression of cancerous white blood cells).
2. The effects of melatonin in cushing’s is mediated by sex hormone imbalance and effects of it on hair follicles and other body systems, not by suppression of cortisol or the other corticosteroids that are in excess in typical cushings.
Melatek markets Dermatonin, the implants. They have a web site:
http://www.melatek.net/dogswebpage/researchfactspage.html
Check it out for further reading.
Best,
Dr D