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EMA Approval

Melatonin Neurim

N05CH01

melatonin

Psycholeptics

Basic Information

EMA regulatory identification and product classification information

EMA Identifiers

ATC CodeN05CH01
EMA European Classification

Overview Summary

Comprehensive product overview and regulatory summary

Melatonin Neurim is a medicine used on its own for the short-term treatment of primary insomnia (poor quality of sleep) in patients aged 55 years or over. ‘Primary’ means that the insomnia does not have any identified cause, including any medical, mental or environmental cause.

Melatonin Neurim contains the active substance melatonin.

This medicine is the same as Circadin, which is already authorised in the EU. The company that makes Circadin has agreed that its scientific data can be used for Melatonin Neurim (‘informed consent’).

Authorisations (1)

EMEA/H/C/005603

RAD Neurim Pharmaceuticals EEC SARL,4 rue de Marivaux,75002 Paris,France

Authorised

November 7, 2022

Active Substances (1)

melatonin

Documents (9)

Melatonin Neurim : EPAR - Public assessment report

November 23, 2022

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

CHMP summary of positive opinion for Melatonin Neurim

September 16, 2022

CHANGES_SINCE_INITIAL_AUTHORISATION

Melatonin Neurim : EPAR - Procedural steps taken and scientific information after authorisation

September 14, 2023

CHANGES_SINCE_INITIAL_AUTHORISATION

Melatonin Neurim : EPAR - Medicine Overview

November 23, 2022

OVERVIEW_DOCUMENT

Melatonin Neurim : EPAR - All authorised presentations

November 23, 2022

AUTHORISED_PRESENTATIONS

Melatonin Neurim : EPAR - Risk management plan summary

November 23, 2022

RISK_MANAGEMENT_PLAN_SUMMARY

CHMP summary of positive opinion for Melatonin Neurim

September 16, 2022

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Melatonin Neurim : EPAR - Product Information

November 23, 2022

DRUG_PRODUCT_INFORMATION

Melatonin Neurim : EPAR - Public assessment report

November 23, 2022

CHANGES_SINCE_INITIAL_AUTHORISATION

Overview Q&A (7)

Question

How is Melatonin Neurim used?

Answer

Melatonin Neurim can only be obtained with a prescription.

It is available as tablets; the recommended dose is one tablet a day, taken one to two hours before bedtime and after food. This dose can be continued for up to 13 weeks.

For more information about using Melatonin Neurim, see the package leaflet or contact your doctor or pharmacist.

Question

How does Melatonin Neurim work?

Answer

The active substance in Melatonin Neurim, melatonin, is a naturally occurring hormone, which is involved in coordinating the body’s sleep cycle. Melatonin levels in the blood normally increase when it gets dark and peak in the middle of the night. Older people may produce less melatonin, leading to the development of insomnia. Melatonin Neurim increases their blood levels of melatonin, helping them to sleep. The active substance in Melatonin Neurim is released slowly over a few hours (prolonged-release tablets) which mimics the natural production of melatonin in the body.

Question

What benefits of Melatonin Neurim have been shown in studies?

Answer

Melatonin Neurim was more effective than placebo (a dummy treatment) at improving quality of sleep and the patients’ ability to function normally on the following day in three main studies involving a total of 681 patients aged over 55 years with primary insomnia. The patients assessed the severity of their symptoms using a standard questionnaire after three weeks of treatment. When the results of all three studies were looked at together, 32% of the patients taking Melatonin Neurim (86 out of 265) reported a significant improvement in symptoms after three weeks, compared with 19% of those taking placebo (51 out of 272).

An additional study showed that Melatonin Neurim was more effective than placebo for at least 13 weeks.

Question

What are the risks associated with Melatonin Neurim?

Answer

The most common side effects with Melatonin Neurim (which may affect up to 1 in 100 people) include headache, nasopharyngitis (inflammation of the nose and throat), back pain and arthralgia (joint pain). These side effects were also common in those taking placebo.

For the full list of side effects and restrictions of Melatonin Neurim, see the package leaflet.

Question

Why is Melatonin Neurim authorised in the EU?

Answer

The European Medicines Agency decided that the benefits of Melatonin Neurim are greater than its risks and it can be authorised for use in the EU.

Question

What measures are being taken to ensure the safe and effective use of Melatonin Neurim?

Answer

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Melatonin Neurim have been included in the summary of product characteristics and the package leaflet.

As for all medicines, data on the use of Melatonin Neurim are continuously monitored. Suspected side effects reported with Melatonin Neurim are carefully evaluated and any necessary action taken to protect patients.

Question

Other information about Melatonin Neurim

Answer

Melatonin Neurim received a marketing authorisation valid throughout the EU on 18 November 2022.

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