“Melatonin unmasked: Shedding light on SIADH induced by the 'Dream Hormone'”– A case report

Aravindan Balachandran , Aravinda Kumar Balan
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Abstract

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is characterized by excessive antidiuretic hormone release, leading to fluid and electrolyte imbalance. We report a case of a 72-year-old female with SIADH induced by melatonin use. She presented with confusion and hyponatremia, attributed to melatonin's ADH-stimulating effect. Treatment with sodium correction and tolvaptan resulted in clinical improvement. Melatonin-induced SIADH should be considered in patients presenting with hyponatremia while on melatonin therapy.

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"揭开褪黑素的神秘面纱:揭示 "梦幻激素 "诱发的 SIADH"--病例报告
抗利尿激素分泌失调综合征(SIADH)的特点是抗利尿激素释放过多,导致体液和电解质失衡。我们报告了一例因使用褪黑素而诱发 SIADH 的 72 岁女性病例。她出现意识模糊和低钠血症,这归因于褪黑素的 ADH 刺激作用。通过钠纠正和托伐普坦治疗后,临床症状有所改善。使用褪黑素治疗期间出现低钠血症的患者应考虑褪黑素诱发的 SIADH。
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