Melatonin and cortisol "switches" during mania, depression, and euthymia in
a drug-free bipolar patient
by
Kennedy SH, Tighe S, McVey G, Brown GM
Department of Psychiatry,
University of Toronto,
Ontario, Canada.
Am J Psychiatry 1998 Aug; 155(8):1119-21
ABSTRACT
Low melatonin and elevated cortisol levels have typically been reported
during depression. The evidence that the converse is true during mania has been
less well documented. In a single case design, repeated measures of nocturnal
melatonin and cortisol were taken during mania, depression, and euthymia.
Elevated levels of melatonin during mania and elevated cortisol levels during
depression were the principal findings. There also did not appear to be any
marked change in circadian rhythm of hormone output during the three clinical
states. The implications of these findings in relation to noradrenergic
dysfunction are discussed.
Options
Serotonin
Melatonin
Tryptophan
Light therapy
Noradrenaline
Bipolar disorders
Winter depression
Melatonin ligands
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