Evidence map›Paper›PMID 27316772›Full record

ReviewHeadache2016

The Role of Melatonin in the Treatment of Primary Headache Disorders.

Amy A Gelfand, Peter J Goadsby

Open access · bronzeAbstract readReview
In one paragraph

Review in Headache, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Hallmarks of primary headache: part 3 - cluster headache.The journal of headache and pain · 2025
    Review
  8. Review
  9. Review
  10. Observational
  11. Review
  12. Review
  13. Review
  14. Episodic Migraine and Older Adults.Current pain and headache reports · 2022
    Review
  15. Article
  16. Article
  17. Review
  18. Nightmares in Migraine: A Focused Review.Behavioral sciences (Basel, Switzerland) · 2021
    Review
  19. Article
  20. Headache in Children and Adolescents.Continuum (Minneapolis, Minn.) · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 2 countries.

Amy A GelfandDepartment of Neurology, UCSF Pediatric Headache, San Francisco, CA, USA.
Peter J GoadsbyDepartment of Neurology, UCSF Pediatric Headache, San Francisco, CA, USA.
California Medical Clinic for Headache · US

Funding

Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
NCATS NIH HHS KL2 TR000143
6 · The paper itself

Abstract

objectiveTo provide a summary of knowledge about the use of melatonin in the treatment of primary headache disorders.

backgroundMelatonin is secreted by the pineal gland; its production is regulated by the hypothalamus and increases during periods of darkness.

methodsWe undertook a narrative review of the literature on the role of melatonin in the treatment of primary headache disorders.

resultsThere are randomized placebo-controlled trials examining melatonin for preventive treatment of migraine and cluster headache. For cluster headache, melatonin 10 mg was superior to placebo. For migraine, a randomized placebo-controlled trial of melatonin 3 mg (immediate release) was positive, though an underpowered trial of melatonin 2 mg (sustained release) was negative. Uncontrolled studies, case series, and case reports cover melatonin's role in treating tension-type headache, hypnic headache, hemicrania continua, SUNCT/SUNA and primary stabbing headache.

conclusionsMelatonin may be effective in treating several primary headache disorders, particularly cluster headache and migraine. Future research should focus on elucidating the underlying mechanisms of benefit of melatonin in different headache disorders, as well as clarifying optimal dosing and formulation.

Indexed as

AnimalsCentral Nervous System AgentsHeadache Disorders, PrimaryHumansMelatoninCentral Nervous System AgentsMelatonincluster headacheindomethacinmelatoninmigraine

Identifiers

PMID27316772
PMCPMC5012937
OpenAlexW2443130007

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.