We explored how melatonin-based treatments, particularly agomelatine, can affect headaches, focusing on hypnic headaches (HH). This form of headache typically occurs during sleep, disrupting the rest of those affected. A fascinating case of a 58-year-old woman who experienced these nocturnal headaches for three years demonstrated the potential benefits of agomelatine.
After being prescribed 25 mg of agomelatine at bedtime, she reported an impressive 80% reduction in headache frequency and severity within a month. Remarkably, her headaches completely resolved after three months, allowing her to discontinue the medication.
This case highlights the importance of exploring prophylactic treatments aimed at reducing nighttime awakenings caused by HH. Given the significant impact these headaches can have on sleep quality in older populations, treatments that target melatonin receptors could offer a promising avenue for relieving this condition.
Inconsistent effectiveness
Most Useful Review
Works half the time. Doesn't work with caffeine. They are very small pills, so should be easy to swallow. I've taken them on multiple occasions. Half the time, I sleep within 2 minutes and wake up refreshed; the other times, I either awake with a headache or feel sleepy. I discovered that taking this with caffeine doesn't work; after taking a caffeine pill, I struggled to sleep for another 2 hours.