Hi Bruce,
You have a couple of options for using Pinealon to support sleep:
Option 1: Circadian Reset Protocol
Have the patient complete a 10-day high-dose course to help reset the circadian rhythm.
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Dose: 5 mg in the morning and 5 mg in the evening for 10 days.
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After 10 days, transition to a maintenance dose of 3 mg daily.
Option 2: Standard Maintenance Approach
If the patient isn’t able to complete the 10-day high-dose reset, they can begin directly with the 3 mg daily dose.
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In our practice, we typically have patients inject in the morning, as this often helps reinforce the circadian rhythm for nighttime sleep.
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However, if sleep doesn’t improve with morning dosing, they can shift the injection to the evening to see if that timing works better.
Every patient responds differently, so it’s best to adjust timing based on individual results.
Hopefully this information was helpful! @bsloanephilaurology-com