4.8 • 995 Ratings
🗓️ 3 March 2025
⏱️ 60 minutes
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0:00.0 | Hi there, it's Matt here. Ranji, welcome back to the show. Thank you for being so gracious to return to essentially tell us the second half of the story, all about sleeping pills. |
0:19.1 | For folks who may not have listened, I would implore you to go back |
0:23.1 | and have a listen to our previous episode where we spoke about more generally what sleeping pills |
0:29.5 | are and what they do. And then we spoke about two classes of sleeping pills, the older first |
0:37.0 | generation benzodiazepines, things like |
0:40.3 | Valium and Xanax, and then we spoke about the second wave of sleeping pills, which are called |
0:48.4 | the non-benzo-diasapine hypnotics, things like Ambien and Linester. But now we're going to speak about |
0:58.0 | some of the newer classes of sleeping pills. And perhaps I can navigate the initiation of this |
1:07.3 | conversation with the melatonin receptor agonists. What are these melatonin receptor agonists? |
1:17.4 | And how do they function? And even though folks on this show have heard me speak about melatonin |
1:22.9 | and try to explain what it is, maybe you could also just say or bake into the response of what these melatonin |
1:31.1 | receptor agonists are a little bit about melatonin as well. Sure, absolutely. Again, thank you, Matt, |
1:37.3 | for having me back. It was a fun show. Yeah, we discussed benzodiazepines and benzodiazepine |
1:44.1 | receptor agonists, which, you know, as we talked about before, those classes of medications really enhanced the transmission of GABA. |
1:53.7 | So now we're going to pivot here and talk about a different mechanism of how we can perhaps induce sleep. |
2:00.6 | So melatonin receptor agonists represent |
2:03.7 | distinct class of sleep aids that target melatonin receptors, specifically melatonin one and melatonin |
2:10.9 | two receptors, unlike medications that act on GAVA receptors, which slow down brain activity to induce sleepiness. |
2:19.3 | So previously, we had discussed medications that bind to GABA receptors to promote sleep by slowing down brain activity. |
2:27.3 | In contrast, melatonin receptor agonists work by binding to receptors in a part of the brain known as the supra-chaismatic |
2:37.3 | nucleus. This binding doesn't directly induce sleepness. Rather, instead, it signals to the brain |
2:45.7 | that it is time to prepare for sleep. So the natural ligand for these receptors, the natural sort of chemical for |
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