2022
DOI: 10.1002/jmv.27595
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Efficacy of melatonin in the treatment of patients with COVID‐19: A systematic review and meta‐analysis of randomized controlled trials

Abstract: This study investigated the effect of melatonin on clinical outcomes in patients with coronavirus disease 2019 (COVID-19). We searched PubMed, the Web of Science, the Cochrane Library, Ovid MEDLINE, and Clinicaltrials.gov for randomized controlled trials (RCTs) published before September 11, 2021. Only RCTs that compared the clinical efficacy of melatonin with a placebo in the treatment of patients with COVID-19 were included. The primary outcome measure was the clinical recovery rate. We included three RCTs i… Show more

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Cited by 28 publications
(24 citation statements)
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“…Apart from preventing the depletion of inorganic sulfate when these drugs are given, sulfur-donor supplements would complement the anti-inflammatory drugs through their synergistic immune-modulatory action [3]. Even though quercetin and melatonin have been shown to be very beneficial in the early treatment of COVID-19 [190][191][192], they also require sulfation to be metabolised. NAC should therefore also be considered as an adjunct to these early treatment protocols.…”
Section: Treatment Recommendations For Covid-19mentioning
confidence: 99%
“…Apart from preventing the depletion of inorganic sulfate when these drugs are given, sulfur-donor supplements would complement the anti-inflammatory drugs through their synergistic immune-modulatory action [3]. Even though quercetin and melatonin have been shown to be very beneficial in the early treatment of COVID-19 [190][191][192], they also require sulfation to be metabolised. NAC should therefore also be considered as an adjunct to these early treatment protocols.…”
Section: Treatment Recommendations For Covid-19mentioning
confidence: 99%
“…We were pleased to read the publication by Lan et al 1 which included a meta‐analysis of the randomized controlled trials (RCTs) in which melatonin was used as a treatment for COVID‐19. Sixty‐two studies were considered, but only three RCTs (published before September 11, 2021) met the requirements for inclusion.…”
Section: Figurementioning
confidence: 99%
“…Sanchez‐Gonzalez et al 7 found that melatonin treatment of seriously‐ill COVID patients led to a reduced mortality rate. Since the cutoff date (September 2021) for the meta‐analysis described above, 1 an additional study was published using melatonin to treat COVID patients. This clinical trial investigated the impact of melatonin on the mortality of severely‐diseased COVID patients and reported a significantly reduced death rate.…”
Section: Figurementioning
confidence: 99%
“… 10 Also, a meta‐analysis of three randomised controlled trials confirmed that MLT consumption increases clinical recovery rate, decreases risk of intensive care unit admission, and mortality rate in covid‐19 patients. 17 However, further large‐scale researches are needed to decisive conclusion.…”
Section: Why May Melatonin Be a Prolyl Hydroxylase Inhibitor?mentioning
confidence: 99%