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1 days and 6 hours ago
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width="1" height="1" //divpYou have been staring at the ceiling of your darkened hotel room for an
hour and half but despite willing your eyelids to droop you are still wide awake. You glance at the
clock. It is 4.10am. The sleepless nights and blurry days of jet lag will be familiar to anyone who
has travelled across time zones for a holiday or business trip. But a new drug that has been
successfully tested in human volunteers may offer hope for future travellers and shift-workers.
/ppIn two clinical trials the drug tasimelteon, which helps to shift the natural ebb and flow of
the body's sleep hormone, melatonin, increased the time volunteers spent asleep, helped them to get
to sleep quicker and reduced the amount of time they spent awake during the night./ppThe research
team did not test how well their subjects performed the day after taking the drug - something that
would be crucial on a business trip - but it should help travellers to feel more normal. /pp"All
the evidence suggests it would because if you have shifted your clock and you've slept well, then
you should perform well the next day," said Dr Elizabeth Klerman, at Brigham and Women's hospital,
Boston, who led the study./ppMelatonin is released naturally by the pineal gland deep in the brain
in response to light levels. It binds to receptors in the brain's circadian clock and acts to
entrain the clock to the day-night cycle. "You can think of melatonin as something which quiets the
awakening signal from your body clock," said Klerman. "It does not put you to sleep ... but once
you drop off it prevents you from waking up early if you are trying to sleep at an unusual
time."/ppTasimelteon mimics melatonin and binds to the same receptors. Klerman and her colleagues
conducted two clinical trials in which they studied volunteers who had their body clock advanced by
five hours - the same as travelling from New York to London. /ppThey compared sleep patterns in
people given the drug and those given a placebo. Neither the researchers nor the subjects knew who
had been given which. /ppThe researchers report today in the Lancet that in the larger of the
trials, volunteers on the medium dose of the drug slept for an average of 48 minutes longer. The
time they spent awake during the night was also less: 140 minutes on average for the placebo group,
compared with 106 minutes for people who took a medium dose of tasimelteon. The study was funded by
Vanda Pharmaceuticals, which makes the drug, though it has not yet been approved by the Federal
Drug Administration./ppKlerman said although melatonin is available in US health food stores - it
is not legal in the UK - there is conflicting evidence about how well it works. It is licensed as a
supplement and does not fall under the remit of the FDA. "What you get in a health food store isn't
necessarily pure and the dose isn't necessarily what they say on the bottle," she said./ppTo combat
jet lag, the NHS recommends topping up on sleep before you travel; adjusting to your destination,
by shifting your watch as soon as you get on the plane; avoiding alcohol; and by spending lots of
time outdoors in the daylight. If you are considering taking melatonin supplements the NHS
recommends consulting your doctor first./ph2Travellers' tips/h2p"'Change your watch to local time
as soon as you get on the plane. Shower on arrival, then stay awake until local bedtime ... I find
copious amounts of booze is the only way to get through the flight. Just drink a ton of water"br
/strongDustan/strong/pp"Melatonin speeds up the resetting of circadian rhythms. Not legally sold in
the UK but widely available in most other countries, including the US"br
/strongdoubleblind/strong/pp"Flying west to east is the killer. Don't sleep on the plane. That's
important"br /strongnickum/strong/ppFrom readers of a
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