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All Studies   Meta Analysis       

The Effect of Melatonin as an Adjuvant Therapy on COVID-19: A Randomized Clinical Trial

Jul 2021  
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Melatonin for COVID-19
11th treatment shown to reduce risk in December 2020, now with p = 0.0000002 from 18 studies.
Lower risk for mortality, ventilation, and recovery.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
RCT 81 hospitalized patients in Iran, showing significantly improved oxygen saturation with treatment. Melatonin 3mg, 3x daily for 2 weeks.
Davoodian et al., 1 Jul 2021, Double Blind Randomized Controlled Trial, placebo-controlled, Iran, preprint, 6 authors, trial IRCT20200408046988N1.
This PaperMelatoninAll
The effect of melatonin as an adjuvant therapy on COVID-19: A Randomized Clinical Trial
Najmeh Davoodian, Farnoosh Sharifimood, Davoud Salarbashi, Sepideh Elyasi, Amir Baniasad, Farhang Soltani Bejestani
Background: Melatonin is secreted by the pineal gland and has antioxidant and anti-inflammatory properties. So, it is proposed to be effective in the management of Coronavirus disease 2019 (COVID-19). This study aimed to evaluate the effect of melatonin as adjunctive therapy for the treatment of hospitalized patients with mild to moderate COVID-19. Methods: In this double-blind randomized placebo controlled clinical trial, 81 mild to moderate hospitalized COVID-19 patients with inclusion criteria were randomly divided to treatment (n=42) group to receive melatonin tablet 3 mg, three times daily for 2 weeks or placebo (n=39) group. Patients' symptoms and laboratory data were assessed at baseline and during the follow-up period and compared between two groups. Findings: After two weeks of follow-up, the oxygen saturation and the respiratory rate significantly improved in the melatonin group. Moreover, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), lactate dehydrogenase (LDH), creatine phosphokinase (CPK), Ferritin, and D-Dimer levels significantly decreased in the melatonin group, but there was a considerable increase in the placebo group. Between-group comparison showed a significant difference between melatonin and placebo groups. Interpretation: the results of this randomized, double-blind, placebo-controlled trial indicated the high efficacy and safety of melatonin as an adjuvant therapy in patients with mild to moderate COVID-19 disease. Further study with large sample size and on other populations like severe COVID-19 is recommended.
References
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Late treatment
is less effective
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