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The over-the-counter supplement melatonin is the first line treatment REM Sleep Behavior Disorder (RBD). @andyberkowskimd of ReLACS Health gives the necessary details of how the supplement works, the research behind it, and why it is a better treatment than clonazepam (Klonopin®). To learn more about RBD, watch this video: • What is REM Sleep Behavior Disorder (RBD)? Normally, the body's muscles are nearly paralyzed during REM sleep so that one does not act out dreams. In RBD, there a problem with the switch in the brain to shut off the muscle movement, and one can become un-paralyzed and begin acting out dreams. This can lead to talking, yelling, conversation, fighting, and other behaviors that can be dangerous to a spouse in bed or the individual themself. Treatment primarily involves safety precautions in the bedroom, including mitigating injury to the spouse or the individual themself (e.g. lowering the bed, padding the ground, moving the nightstand away from the bed, sleeping in a separate bed from the bedpartner, etc.). Some individuals can be taken off medication such as antidepressants that are serotonin reuptake inhibitors, which may decrease the behaviors. When these measures have not been enough, and a person with RBD is a threat to themself or disruptive to their spouse or bedpartner, then medication may be warranted. Melatonin is the first-line drug treatment with clonazepam and other strong prescription drugs can be used. This video breaks down why clonazepam is a double-edged sword for RBD and sets the stage for melatonin as a preferred option: • Clonazepam: The Double-Edged Sword for Tre... In this video, @andyberkowskimd discusses the following topics: What is RBD? Review of safety precautions Changes that can be made prior to prescribing medications Concerns of using clonazepam up front How does melatonin work? Do we know? A couple studies showing the effectiveness of melatonin for the treatment of RBD Dosing of melatonin Possible adverse effects The concerns about OTC melatonin and the importance of pharmaceutical-grade brands of melatonin for best quality To read more in depth about sleep and sleep conditions, read A ReLACSing blog: https://www.relacshealth.com/blog This is the small double-blinded, placebo-controlled crossover study of melatonin in RBD: https://onlinelibrary.wiley.com/doi/1... This is the study that compared clonazepam and melatonin: https://www.ncbi.nlm.nih.gov/pmc/arti... This study assessed the (poor) quality of melatonin in over-the-counter brands: https://www.ncbi.nlm.nih.gov/pmc/arti... These videos are for general medical information only, but for those who live in or near Michigan, Ohio, or Florida, you can hire @andyberkowskimd of ReLACS Health for consultation regarding RBD, clonazepam, melatonin, or any other aspect of sleep health that requires more personalization, time, and expertise. Go to https://www.relacshealth.com/ to schedule your consultation now.