{
  "schema_version": 1,
  "kind": "condition",
  "id": "jet-lag",
  "name": "Jet Lag (Desynchronosis)",
  "category": "acute",
  "sources": "AAFP - Can Melatonin Prevent or Treat Jet Lag? (Am Fam Physician 2002;66:2087) · Riedy SM, Williams SG. Jet Lag Disorder. In: CDC Yellow Book, 2026 edition: Health Information for International Travel [Internet]. Halsey ES, Angelo KM, Barnett ED, et al., editors. Atlanta (GA): Centers for Disease Control and Prevention (US); 2025 Apr 23. Published online April 23, 2025. NBK620865.",
  "review_status": "reviewed",
  "verified_against": "AAFP - Can Melatonin Prevent or Treat Jet Lag? (Am Fam Physician 2002;66:2087)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1080,
      "generic": "Melatonin",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 3.0,
      "adult_dose": "0.5-5 mg taken at the target bedtime at the destination (roughly 22:00 to midnight local time), starting on the day of arrival and continuing",
      "adult_duration": "2-5 days after arrival",
      "dose_source": "AAFP - Can Melatonin Prevent or Treat Jet Lag? (Am Fam Physician 2002;66:2087)",
      "rationale": "Worth using for flights crossing five or more time zones, and the benefit is larger going east than west - eastward travel asks the body clock to advance, which it does badly on its own. The dose is wide because the trials found little difference across it; 5 mg got people to sleep faster than the lower doses. What matters more than the number is the clock.",
      "cautions": [
        "Timing is the whole treatment. Taken early in the day it makes jet lag worse - it causes daytime sleepiness and delays the body clock adapting.",
        "Case reports of harm in epilepsy and in patients taking warfarin. Avoid in both unless a specialist has agreed it.",
        "Do not drive or operate machinery for several hours after a dose.",
        "Melatonin is sold in Egypt as a supplement as well as a medicine, and content has been found not to match the label in some commercial products. Prefer a registered pharmaceutical pack."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Not established for jet lag in children. Melatonin in childhood is a specialist prescription for sleep disorders in neurodevelopmental conditions, not something to give a healthy child after a flight.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "MELATONIN 3 MG 20 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "> HELIAN",
          "price_egp": 60.0,
          "pack_count": 20,
          "unit_price": 3.0,
          "strength_mg": 3.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MELATONIN SHAHD PHARMA 3 MG 30 CAPSULES",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ORGANIX > SHAHD PHARMA",
          "price_egp": 120.0,
          "pack_count": 30,
          "unit_price": 4.0,
          "strength_mg": 3.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DEVART MELATONIN 3 MG 30 TABS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "DEVARTLAB > BIOERA",
          "price_egp": 125.0,
          "pack_count": 30,
          "unit_price": 4.17,
          "strength_mg": 3.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "AXIOM MELATONIN 3 MG 30 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "> AXIOM",
          "price_egp": 150.0,
          "pack_count": 30,
          "unit_price": 5.0,
          "strength_mg": 3.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VEE MELATONIN S.R. 3 MG 30 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "VEEXIA PHARMACEUTICAL INDUSTRIES",
          "price_egp": 181.0,
          "pack_count": 30,
          "unit_price": 6.03,
          "strength_mg": 3.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VEE MELATONIN 3 MG 10 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "VEEXIA PHARMACEUTICAL INDUSTRIES",
          "price_egp": 88.0,
          "pack_count": 10,
          "unit_price": 8.8,
          "strength_mg": 3.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VEE MELATONIN S.R. 3 MG 10 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "VEEXIA PHARMACEUTICAL INDUSTRIES",
          "price_egp": 99.0,
          "pack_count": 10,
          "unit_price": 9.9,
          "strength_mg": 3.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MELATONIN 3 MG 60 VEG. CAPS. (NOW)",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "NOW FOODS > SOFICOPHARM",
          "price_egp": 500.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 3.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MELASNOZ 1MG/ML SYRUP 60 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ORGANIX > PHARMA TECNOPROF",
          "price_egp": 60.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 1.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MELATONIN 30 ML ORAL DROPS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ORGANIX > EVOKA PHARMA",
          "price_egp": 78.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "jet-lag"
    }
  ]
}