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URLhttps://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/
Last Crawled2026-04-01 12:54:46 (12 days ago)
First Indexed2025-03-14 14:44:02 (1 year ago)
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Meta TitleCan Melatonin Help You Sleep? And Is It Safe?
Meta DescriptionMore people use the supplement as a sleep aid, but it doesn’t work the same for all and can come with risks including headaches, fatigue and fever.
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Filmstax / Getty Images A good night’s sleep is about more than beauty rest. It’s been linked to  better brain , heart, and mental health, as well as a lower risk for certain cancers. Yet research suggests that an increasing number of Americans  are struggling to get those all-important z’s . In a 2022 study, researchers tracked a fivefold increase in melatonin use among U.S. adults in the past few decades. Published in  JAMA , the study found that people take higher doses of the over-the-counter supplement than what’s typically recommended — despite scant evidence that melatonin works for your run-of-the-mill shut-eye issues, including insomnia. “We know that melatonin is often used as a sleep aid, but it’s actually misused as a sleep aid because it’s not a sleep aid,” says Naima Covassin, a coauthor of the study and a sleep disorder expert at Mayo Clinic. Popping a melatonin pill or gummy before bedtime may help you fall asleep a few minutes faster, Covassin says, but it won’t make much of a difference in the number of times you wake up at night or how many total hours you get. “There’s actually very little improvement in all of these parameters,” she says. When does melatonin work? To understand when melatonin can be beneficial, it’s important to know more about its role in the sleep-wake cycle. Many consumers are familiar with the bottled version of melatonin — around 6 million U.S. adults reach for it. But melatonin is a naturally occurring hormone the brain produces in response to darkness to help our bodies know when it’s time to go to sleep and when it’s time to be awake. Side Effects of Melatonin Short-term use of melatonin may cause mild side effects, including: Headaches Dizziness Nausea Drowsiness Less common side effects include: Short-term feelings of depression Mild tremor Mild anxiety Abdominal cramps Irritability Reduced alertness Confusion or disorientation Source: Mayo Clinic When melatonin hits the bloodstream (typically a few hours before bedtime), it reduces alertness and “facilitates our ability to fall asleep,” explains Dr. David Neubauer, associate professor of psychiatry and behavioral sciences at Johns Hopkins Medicine. It also helps cool off the brain and the body, “which helps you sleep better,” says James K. Wyatt, director of the Section of Sleep Disorders and Sleep-Wake Research at Rush University in Chicago.   Because melatonin doesn’t have the same  sedating effect  that many sleep aids provide, taking it in pill form is less helpful on those nights when you can’t seem to fall asleep or stay asleep. Video: 5 Things to Know About Getting Better Sleep It can work in instances when you want to adjust your biological sleep clock — say, to overcome jet lag after traveling through several time zones or to shift your schedule entirely so you’re going to bed a few hours earlier. ï»ż Melatonin supplements can benefit shift workers who need to sleep during the day, when the body’s melatonin levels are naturally low. That’s when supplementing with melatonin is “actually quite effective,” Covassin says. ï»ż In older adults, it may be able to prolong sleep when taken for an extended period, though more research is needed. A  small study  from researchers at Brigham and Women’s Hospital in Boston found that when adults ages 55 to 78 took 5 milligrams of melatonin for two weeks, they increased their sleep time by at least 15 minutes, compared with those who took a placebo.  Is melatonin safe? 5 tips for getting a better night’s sleep    Be consistent: Go to bed at the same time each night, even on weekends. Make sure your bedroom is quiet, dark, relaxing and at a comfortable temperature. Remove electronic devices from the bedroom. Avoid large meals, caffeine and alcohol before bedtime. Get some exercise: Being active during the day can help you fall asleep at night. Source: Centers for Disease Control and Prevention ï»ż Melatonin is generally safe and well-tolerated. But just because it’s available in the U.S. without a prescription and sold alongside multivitamins and probiotics doesn’t mean it’s risk-free. (In many countries it can be purchased only by prescription.) “We think since it’s available over the counter that it’s harmless, but it may not necessarily be true,” Covassin says. Short-term use of melatonin supplements can come with a list of side effects, especially when taken in high doses, including headaches, dizziness, nausea, fatigue and daytime sleepiness. Vivid dreams and nightmares have also been reported. “These are mild, but they can also affect your daytime function; think about if you have to drive or if you have to operate machinery,” Covassin points out. ï»ż The National Center for Complementary and Integrative Health (NCCIH) at the National Institutes of Health notes that melatonin may remain active in older adults for longer periods, which could lead to daytime drowsiness.  More serious, albeit rare, reactions have been linked to melatonin supplements, including changes in heart rate and  blood pressure , temporary  feelings of depressionï»ż, ï»żï»ż seizures and confusion or disorientation. A new study , which has not yet been peer reviewed but is being presented at the American Heart Association’s Scientific Sessions 2025, found that long-term melatonin use was associated with a higher risk of heart failure diagnosis and heart failure hospitalization, though experts say more research is needed to better understand the possible link. Melatonin has also been shown to affect glucose tolerance, or the body’s ability to handle sugar. There are drug interactions to consider, too. Melatonin can increase bleeding risks among people taking anticoagulants and antiplatelet drugs; it can worsen blood pressure in those taking blood pressure medications, and it can stimulate immune function and interfere with immunosuppressive therapy, according to Mayo Clinic. “So, obviously, this should be taken with caution,” Covassin says. “And that’s my main recommendation. If you are thinking [about taking melatonin] or if you are already taking melatonin, talk with your provider to determine whether it’s actually appropriate for you.” It’s important to know that, as with all dietary supplements in the U.S., federal regulations are less strict for melatonin than they are for over-the-counter medicines and prescription drugs.  A 2017 study  published in the  Journal of Clinical Sleep Medicine  found that the contents of the majority of melatonin products didn’t match what was listed on the label — their concentrations ranged, and so did the presence of other ingredients. ï»ż Adding to the evidence, a  study  published in 2023 in JAMA looked at melatonin quantities in 25 sleep  gummy products , often marketed to children, and found that 22 of them contained different amounts of melatonin than what was declared on the label. The actual quantity of melatonin ranged from 74 percent to 347 percent of the labeled amount; only three products had melatonin levels within 10 percent of the declared quantity. The American Academy of Sleep Medicine offers a tip: When comparing supplement labels, look for the “USP Verified” mark, which indicates that the formulation meets the requirements of the U.S. Pharmacopeial Convention. What can you do if you have trouble sleeping? Interested in making adjustments to your sleep schedule? Before you reach for a pill, Neubauer recommends trying natural methods. You can do this by getting outside and staying active during the day. “Just getting light makes your circadian rhythm more robust, and the more active you are in the daytime, the better chance you have of sleeping more at nighttime,” he says. Because light suppresses the production of melatonin, keep levels low at night — this means limiting the use of your phone, tablet, computer and TV an hour or two before bed. If you have trouble sleeping more generally, talk with a doctor to figure out the cause, Wyatt says. “It’s rare when sleep goes bad just on its own and it’s not because of other things, like the side effects of a different medication or  stress or anxiety or depression  or a pain disorder that’s insufficiently treated — there are all sorts of things.” A third of U.S. adults report that they usually get less than the recommended amount of sleep (seven or more hours per night for adults), according to the Centers for Disease Control and Prevention. The good news: ï»żThere are treatments for insomnia,  and a successful one , cognitive behavioral therapy, doesn’t come in pill form. “We’re starting to realize treating insomnia is not just about getting a better night’s sleep,” Wyatt says. “It’s to significantly reduce risk for some of these negative health outcomes that could come years to decades later.” Â ï»ż Melatonin and Children  Melatonin use isn’t just increasing among adults — more children are taking it as well. In fact, the number of pediatric melatonin ingestions increased 530 percent from 2012 to 2021, with the largest yearly increase (about 38 percent) occurring from 2019 to 2020,  a recent report  from the Centers for Disease Control and Prevention (CDC) finds. In 2020, the supplement became the most frequently ingested substance among children reported to national poison control centers — some of these cases required hospitalization.  The authors of the CDC report point out that melatonin has become widely available in the U.S. — some children’s varieties are even sold in “gummy” form. It’s considered a dietary supplement and is subject to less regulatory oversight than other over-the-counter (OTC) medications.  “Increasing use of OTC melatonin in various formulations, lack of robust manufacturing regulations, and varied dosing recommendations can place children at risk for potential adverse events,” the authors write. They call for more research into the causes of increased melatonin ingestions among children and for public health initiatives to raise awareness. “Child-resistant packaging for this supplement should be considered, and health care providers should warn parents about potential toxic consequences of melatonin exposure,” they say.ï»ż Editor’s note: This article, originally published June 6, 2022, has been updated to reflect new information. Rachel Nania is an award-winning health editor and writer at AARP.org, who covers a range of topics including diseases and treatments. 
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Smart Driver Course](https://www.aarp.org/auto/driver-safety/) [Back](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/) [Staying Sharp](https://stayingsharp.aarp.org/ "Link to staying sharp website") [Close Menu](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/ "link to close menu") [Assessment](https://stayingsharp.aarp.org/assessment/ "Link to the assesment landing page") [Challenges](https://stayingsharp.aarp.org/challenges/ "Link to challenge landing page") [Articles](https://stayingsharp.aarp.org/articles/ "Link to staying sharp articles landing page") [Videos](https://stayingsharp.aarp.org/videos/ "Link to the staying sharp videos landing page") [Recipes](https://stayingsharp.aarp.org/recipes/ "Link to staying sharp recipes landing page") [![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![A woman using a tablet inside by a window]()](https://stayingsharp.aarp.org/themes/resilience "Building Resilience in Difficult Times") [Building 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A different privacy policy and terms of service will apply. [Continue](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/) [Cancel](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/) Healthy Sleep Advice [Go to Series Main Page](https://www.aarp.org/health/healthy-living/better-sleep-for-better-health/) - [![Article Image](https://aarp.widen.net/content/p4nub1pfjy/png/102433_ConditionsLinkedToPoorSleep.png?crop=true&anchor=0,0&color=ffffffff&u=mh5igy&w=1140&h=655) Causes of Sleeplessness Health Conditions Linked to Poor Sleep Trouble sleeping can signal serious problems](https://www.aarp.org/health/conditions-treatments/causes-of-sleeplessness/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/health/healthy-living/2022/06/1140-best-sleep-positions.jpg) Side or Back What’s the Best Sleeping Position for Your Health? How you snooze can affect sleep quality, plus brain, heart and stomach health](https://www.aarp.org/health/healthy-living/best-sleeping-position/) - [![Article Image](https://aarp.widen.net/content/ldzkhkjs7g/png/%2520100154_Natl-Napping-Day_hires.png?crop=true&anchor=0,0&color=ffffffff&u=mh5igy&w=1140&h=655) Afternoon Rest 7 Napping Tips for a Refreshing Snooze Happy, healthy napping is just a few bits of advice away](https://www.aarp.org/home-family/your-home/info-2024/napping-tips.html) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/health/drugs_supplements/2023/04/1140-womantakingmelatoninpills.png) Sleep Aids Can Melatonin Help You Sleep? Plus, what you need to know about safety](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/health/healthy-living/2023/12/1140-woman-with-insomnia-sleep-deprivation.jpg) Deficit Woes Why Missing Sleep Is Worse for Women Than Men Not only do females get less sleep than males, their health suffers more from it](https://www.aarp.org/health/healthy-living/why-sleep-matters-more-for-women/) - [![Article Image](https://aarp.widen.net/content/ldzkhkjs7g/png/%2520100154_Natl-Napping-Day_hires.png?crop=true&anchor=0,0&color=ffffffff&u=mh5igy&w=1140&h=655) Home & Living 7 Napping Tips for a Refreshing Snooze A power nap, a cat nap, an afternoon snooze. Whatever you call it, the concept of a nap is nothing new. But is a quick bit of shut-eye good for you? And when and how often should you take one? For National Napping Day, we talked to the experts to find out.](https://www.aarp.org/home-living/napping-tips/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/members-only/member-benefits/2022/05/1140-sg-sleep-NEW-promo.jpg) Health Smart Sleep Tips for a Refreshing Morning 43 tips to help you fight those restless, endless nights and get the slumber you need](https://www.aarp.org/health/healthy-living/smart-guide-sleep/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/health/conditions_treatments/2019/03/1140-man-with-insomnia-in-bed.jpg) Tossing and Turning Suddenly Can’t Sleep? Here’s What May Be Causing Your Insomnia 14 surprising factors that can sabotage your shut-eye](https://www.aarp.org/health/conditions-treatments/have-trouble-sleeping/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/health/healthy-living/2022/04/1140-woman-asleep-with-light.jpg) Hello Darkness Light Can Affect Your Sleep and Health You should not be able to see your hand in your bedroom, experts say](https://www.aarp.org/health/healthy-living/light-affects-sleep-health/) - [![Article Image](https://aarp.widen.net/content/joaqsbpnqf/png/96761_MedicationsEffectSleep.png?crop=true&anchor=0,0&color=ffffffff&u=mh5igy&w=1140&h=655) Sleep Meds 10 Medications That Can Mess With Your Sleep Trouble sleeping? These drugs may be to blame](https://www.aarp.org/health/drugs-supplements/medications-that-can-cause-insomnia/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/travel/tips/2023/09/1140-woman-wearing-sleep-mask.jpg) Shuteye on Trips 6 Tips for Getting Better Sleep While Traveling A good night’s sleep on vacation can start before you leave home](https://www.aarp.org/travel/travel-tips/lodging/info-2023/tips-for-better-sleep-while-on-vacation.html) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/home-and-family/experience-counts/august-17-issue-9/1140-sleep-items-blue.jpg) Sleep Hygiene How to Create a Sleep Sanctuary and Other Tips for a Good Night's Sleep 13 habits to give your body the rest it needs](https://www.aarp.org/health/healthy-living/good-sleeping-habits/) - [![Article Image](https://cdn.aarp.net/content/dam/specialized-membership/staying-sharp/articles/2015/1020-exhausted-man-head-hands-office.jpg) Staying Sharp 3 Things to Know About Sleep and Your Brain Why a good night’s rest is good medicine](https://stayingsharp.aarp.org/articles/sleep-deprivation-loss/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/health/healthy-living/2023/03/1140-floating-bed-with-cloud.jpg) Stay Asleep 6 Simple Strategies for Sleeping Through the Night Tips for getting the deep sleep you need. Plus, how to get back to sleep if you wake in the wee hours](https://www.aarp.org/health/healthy-living/how-to-sleep-through-the-night/) - [![Article Image](https://aarp.widen.net/content/uq5cavnp9j/png/102328_SleepAndYourBrain.png?crop=true&anchor=0,0&color=ffffffff&u=mh5igy&w=1140&h=655) Sweet Dreams What Goes On in the Brain When We Dream? Plus, when they happen during sleep and how they evolve as we age](https://www.aarp.org/health/healthy-living/what-happens-when-we-dream/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/health/healthy-living/2022/05/1140-woman-sleeping.jpg) The Right Amount Can You Get Too Much Sleep? Researchers say seven hours per night is ideal](https://www.aarp.org/health/healthy-living/healthy-sleeping-tips/) - [![Article Image](https://cdn.aarp.net/content/dam/aarp/health/healthy-living/2023/03/1140-sleeping-pill-couple.jpg) Side Effects 3 Reasons to Avoid Sleeping Pills Sleep medication use is on the rise, especially in older adults](https://www.aarp.org/health/conditions-treatments/reasons-to-avoid-sleeping-pills/) - [![Article Image](https://cdn.aarp.net/content/dam/specialized-membership/staying-sharp/challenges-redesign/sleep/make-sleep-your-superpower-Rewards-2X.gif) Staying Sharp Make Sleep Your Superpower Learn how to overcome the barriers to a good night's rest with our new sleep challenge](https://stayingsharp.aarp.org/themes/sleep/) - [![Article Image](https://cdn.aarp.net/content/dam/specialized-membership/staying-sharp/articles/2016/1020-better-diet-choices.jpg) Staying Sharp A Healthy Diet May Be Linked to Better Sleep More fruits and veggies — and fewer sugary drinks — could help you catch your 40 winks](https://stayingsharp.aarp.org/articles/healthy-diet-better-sleep/) - [![Article Image](https://aarp.widen.net/content/atcknlfsce/png/103362_AppleSleepApnea_A.png?crop=true&anchor=0,0&color=ffffffff&u=mh5igy&w=1140&h=655) Sleep Technology Newer Smartwatches Can Alert on Symptoms of Sleep Apnea FDA OKs software that measures breathing interruptions](https://www.aarp.org/home-family/personal-technology/info-2024/sleep-apnea-smartwatch.html) - [![Article Image](https://cdn.aarp.net/content/dam/specialized-membership/staying-sharp/articles/2020/03/1020x600-man-stressed-sleeping.jpg) Staying Sharp Too Stressed for Sleep? Here's What May Help Studies suggest losing good slumber may take a toll on the brain and body](https://stayingsharp.aarp.org/articles/stressed-sleep/) [Health](https://www.aarp.org/health/) # Melatonin for Sleep: Does It Work, and Is It Safe? ## The popular supplement comes with side effects ï»żand questions about its effectiveness *** By Rachel Nania, Updated November 05, 2025 AARP Comments [En español](https://www.aarp.org/espanol/salud/farmacos-y-suplementos/info-2022/melatonina-para-dormir.html) Published June 05, 2022 / Updated November 05, 2025 ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![a woman taking melatonin capsules with a glass of water in her bedroom at night](https://cdn.aarp.net/content/dam/aarpe/en/home/health/drugs-supplements/melatonin-and-sleep/_jcr_content/root/container_main/container_body_main/container_body1/container_body_cf/container_image/articlecontentfragment/cfimage.coreimg.50.932.png/content/dam/aarp/health/drugs_supplements/2023/04/1140-womantakingmelatoninpills.png) Filmstax / Getty Images - [Facebook](http://www.facebook.com/sharer/sharer.php?u=https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/) - [Twitter](http://twitter.com/intent/tweet?url=https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/&related=CreateTheGood&text=Melatonin%2520for%2520Sleep:%2520Does%2520It%2520Work,%2520and%2520Is%2520It%2520Safe?) - [LinkedIn](https://www.linkedin.com/shareArticle?mini=true&url=https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/&title=Melatonin%2520for%2520Sleep:%2520Does%2520It%2520Work,%2520and%2520Is%2520It%2520Safe?) A good night’s sleep is about more than beauty rest. It’s been linked to [better brain](https://www.aarp.org/health/brain-health/), heart, and mental health, as well as a lower risk for certain cancers. Yet research suggests that an increasing number of Americans [are struggling to get those all-important z’s](https://jamanetwork.com/journals/jama/fullarticle/2788539 "americans trouble sleeping"). In a 2022 study, researchers tracked a fivefold increase in melatonin use among U.S. adults in the past few decades. Published in *JAMA*, the study found that people take higher doses of the over-the-counter supplement than what’s typically recommended — despite scant evidence that melatonin works for your run-of-the-mill shut-eye issues, including insomnia. [aarp-membership/member-benefits-and-discounts,taxonomy:money/personal-finances/discounts]() [Subscribe to AARP 'Hot Deals' Newsletter Save Money with these exclusive AARP discounts and deals.](https://secure.aarp.org/applications/user/auth?promo=newlt-newsletters&referrer=https%3A%2F%2Fsecure.aarp.org%2Fapplications%2Fuser%2FsubscribeFromEmail%3Fpromo%3Dnewlt-newsletters%26id%3D35395) Members only “We know that melatonin is often used as a sleep aid, but it’s actually misused as a sleep aid because it’s not a sleep aid,” says Naima Covassin, a coauthor of the study and a sleep disorder expert at Mayo Clinic. Popping a melatonin pill or gummy before bedtime may help you fall asleep a few minutes faster, Covassin says, but it won’t make much of a difference in the number of times you wake up at night or how many total hours you get. “There’s actually very little improvement in all of these parameters,” she says. ### **When does melatonin work?** To understand when melatonin can be beneficial, it’s important to know more about its role in the sleep-wake cycle. Many consumers are familiar with the bottled version of melatonin — around 6 million U.S. adults reach for it. But melatonin is a naturally occurring hormone the brain produces in response to darkness to help our bodies know when it’s time to go to sleep and when it’s time to be awake. #### **Side Effects of Melatonin** Short-term use of melatonin may cause mild side effects, including: - Headaches - Dizziness - Nausea - Drowsiness Less common side effects include: - Short-term feelings of depression - Mild tremor - Mild anxiety - Abdominal cramps - Irritability - Reduced alertness - Confusion or disorientation *Source: Mayo Clinic* When melatonin hits the bloodstream (typically a few hours before bedtime), it reduces alertness and “facilitates our ability to fall asleep,” explains Dr. David Neubauer, associate professor of psychiatry and behavioral sciences at Johns Hopkins Medicine. It also helps cool off the brain and the body, “which helps you sleep better,” says James K. Wyatt, director of the Section of Sleep Disorders and Sleep-Wake Research at Rush University in Chicago. Because melatonin doesn’t have the same [sedating effect](https://www.aarp.org/health/conditions-treatments/reasons-to-avoid-sleeping-pills/) that many sleep aids provide, taking it in pill form is less helpful on those nights when you can’t seem to fall asleep or stay asleep. ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![newsletter-naw-tablet](https://cdn.aarp.net/content/dam/experience-fragments/uxdia-folder-structure/en/next-action-widgets/newsletter_naw/Newsletter_NAW/health/_jcr_content/root/responsivegrid/container_copy/articleimage.coreimg.75.1140.jpeg/content/dam/aarp/QA_bucket/widgetimages/newsletter_NAW_tablet.jpg) AARP NEWSLETTERS ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![Mujer leyendo tableta](https://cdn.aarp.net/content/dam/experience-fragments/uxdia-folder-structure/en/next-action-widgets/newsletter_naw/Newsletter_NAW/health/_jcr_content/root/responsivegrid/container_copy/container/container/articleimage.coreimg.75.1140.png/content/dam/aarp/QA_bucket/widgetimages/newsletter_NAW_desktop.png) Get the Your Health newsletter from AARP **Sign up for the latest health news, fitness and nutrition updates and more\!** [See All Newsletters](https://www.aarp.org/newsletters/) [Privacy Hub](https://www.aarp.org/privacy/ "privacy hub link") ARTICLE CONTINUES AFTER ADVERTISEMENT 5 Things to Know About Getting Better Sleep Sleep is vital for the overall health of older adults but it can get harder with age. Here are some tips to help your nighttime slumber. Video Player is loading. Play Video Play Mute Current Time 0:00 / Duration 0:00 Loaded: 0% 0:00 Stream Type LIVE Seek to live, currently behind liveLIVE Remaining Time \-0:00 Download Transcript 1x Playback Rate Chapters - Chapters Descriptions - descriptions off, selected Captions - captions settings, opens captions settings dialog - captions off, selected Audio Track Fullscreen This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color Transparency Background Color Transparency Window Color Transparency Font Size Text Edge Style Font Family Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. Close Modal Dialog This is a modal window. This modal can be closed by pressing the Escape key or activating the close button. ![generic-video-poster](https://cdn.aarp.net/content/dam/aarp/video/generic-video-poster.gif) Video: 5 Things to Know About Getting Better Sleep It can work in instances when you want to adjust your biological sleep clock — say, to overcome [jet lag](https://www.aarp.org/travel/travel-tips/lodging/tips-for-better-sleep-while-on-vacation/ "better sleep on vacation") after traveling through several time zones or to shift your schedule entirely so you’re going to bed a few hours earlier. ï»ż Melatonin supplements can benefit shift workers who need to sleep during the day, when the body’s melatonin levels are naturally low. That’s when supplementing with melatonin is “actually quite effective,” Covassin says. ï»ż [Work & Finances]() [Indeed Job Board Find job listings that match your experience with help from AARP and Indeed](https://www.aarp.org/membership/benefits/jobs/job-board/) Members only In older adults, it may be able to prolong sleep when taken for an extended period, though more research is needed. A [small study](https://onlinelibrary.wiley.com/doi/full/10.1111/jpi.12801) from researchers at Brigham and Women’s Hospital in Boston found that when adults ages 55 to 78 took 5 milligrams of melatonin for two weeks, they increased their sleep time by at least 15 minutes, compared with those who took a placebo. ### **Is melatonin safe?** #### **5 tips for getting a better night’s sleep** - Be consistent: Go to bed at the same time each night, even on weekends. - Make sure your bedroom is quiet, dark, relaxing and at a comfortable temperature. - Remove electronic devices from the bedroom. - Avoid large meals, caffeine and alcohol before bedtime. - Get some exercise: Being active during the day can help you fall asleep at night. *Source: Centers for Disease Control and Prevention ï»ż* Melatonin is generally safe and well-tolerated. But just because it’s available in the U.S. without a prescription and sold alongside multivitamins and probiotics doesn’t mean it’s risk-free. (In many countries it can be purchased only by prescription.) “We think since it’s available over the counter that it’s harmless, but it may not necessarily be true,” Covassin says. Short-term use of melatonin supplements can come with a list of side effects, especially when taken in high doses, including headaches, dizziness, nausea, fatigue and daytime sleepiness. Vivid dreams and nightmares have also been reported. “These are mild, but they can also affect your daytime function; think about if you have to drive or if you have to operate machinery,” Covassin points out. ï»ż The National Center for Complementary and Integrative Health (NCCIH) at the National Institutes of Health notes that melatonin may remain active in older adults for longer periods, which could lead to daytime drowsiness. More serious, albeit rare, reactions have been linked to melatonin supplements, including changes in heart rate and [blood pressure](https://www.aarp.org/health/conditions-treatments/high-blood-pressure-symptoms-and-causes/), temporary [feelings of depressionï»ż,](https://www.aarp.org/health/conditions-treatments/depression-facts/)ï»żï»ż seizures and confusion or disorientation. A [new study](https://newsroom.heart.org/news/long-term-use-of-melatonin-supplements-to-support-sleep-may-have-negative-health-effects), which has not yet been peer reviewed but is being presented at the American Heart Association’s Scientific Sessions 2025, found that long-term melatonin use was associated with a higher risk of heart failure diagnosis and heart failure hospitalization, though experts say more research is needed to better understand the possible link. Melatonin has also been shown to affect glucose tolerance, or the body’s ability to handle sugar. There are drug interactions to consider, too. Melatonin can increase bleeding risks among people taking anticoagulants and antiplatelet drugs; it can worsen blood pressure in those taking blood pressure medications, and it can stimulate immune function and interfere with immunosuppressive therapy, according to Mayo Clinic. ARTICLE CONTINUES AFTER ADVERTISEMENT “So, obviously, this should be taken with caution,” Covassin says. “And that’s my main recommendation. If you are thinking \[about taking melatonin\] or if you are already taking melatonin, talk with your provider to determine whether it’s actually appropriate for you.” It’s important to know that, as with all dietary supplements in the U.S., federal regulations are less strict for melatonin than they are for over-the-counter medicines and prescription drugs. [A 2017 study](https://jcsm.aasm.org/doi/10.5664/jcsm.6462) published in the *Journal of Clinical Sleep Medicine* found that the contents of the majority of melatonin products didn’t match what was listed on the label — their concentrations ranged, and so did the presence of other ingredients. ï»ż Adding to the evidence, a [study](https://jamanetwork.com/journals/jama/fullarticle/2804077) published in 2023 in *JAMA* looked at melatonin quantities in 25 sleep [gummy products](https://www.aarp.org/health/drugs-supplements/melatonin-gummies-may-have-dangerous-level-of-hormone/), often marketed to children, and found that 22 of them contained different amounts of melatonin than what was declared on the label. The actual quantity of melatonin ranged from 74 percent to 347 percent of the labeled amount; only three products had melatonin levels within 10 percent of the declared quantity. The American Academy of Sleep Medicine offers a tip: When comparing supplement labels, look for the “USP Verified” mark, which indicates that the formulation meets the requirements of the U.S. Pharmacopeial Convention. ### **What can you do if you have trouble sleeping?** Interested in making adjustments to your sleep schedule? Before you reach for a pill, Neubauer recommends trying natural methods. You can do this by getting outside and staying active during the day. “Just getting light makes your circadian rhythm more robust, and the more active you are in the daytime, the better chance you have of sleeping more at nighttime,” he says. Because light suppresses the production of melatonin, keep levels low at night — this means limiting the use of your phone, tablet, computer and TV an hour or two before bed. If you have trouble sleeping more generally, talk with a doctor to figure out the cause, Wyatt says. “It’s rare when sleep goes bad just on its own and it’s not because of other things, like the side effects of a different medication or [stress or anxiety or depression](https://www.aarp.org/health/brain-health/anxiety-and-depression/#anxiety-and-depression//) or a pain disorder that’s insufficiently treated — there are all sorts of things.” A third of U.S. adults report that they usually get less than the recommended amount of sleep (seven or more hours per night for adults), according to the Centers for Disease Control and Prevention. The good news: ï»żThere are treatments for insomnia, [and a successful one](https://www.aarp.org/health/conditions-treatments/talk-therapy-for-insomnia/), cognitive behavioral therapy, doesn’t come in pill form. “We’re starting to realize treating insomnia is not just about getting a better night’s sleep,” Wyatt says. “It’s to significantly reduce risk for some of these negative health outcomes that could come years to decades later.” ï»ż #### **Melatonin and Children** Melatonin use isn’t just increasing among adults — more children are taking it as well. In fact, the number of pediatric melatonin ingestions increased 530 percent from 2012 to 2021, with the largest yearly increase (about 38 percent) occurring from 2019 to 2020, [a recent report](https://www.cdc.gov/mmwr/volumes/71/wr/mm7122a1.htm "melatonin and poisonings") from the Centers for Disease Control and Prevention (CDC) finds. In 2020, the supplement became the most frequently ingested substance among children reported to national poison control centers — some of these cases required hospitalization. The authors of the CDC report point out that melatonin has become widely available in the U.S. — some children’s varieties are even sold in “gummy” form. It’s considered a dietary supplement and is subject to less regulatory oversight than other over-the-counter (OTC) medications. “Increasing use of OTC melatonin in various formulations, lack of robust manufacturing regulations, and varied dosing recommendations can place children at risk for potential adverse events,” the authors write. They call for more research into the causes of increased melatonin ingestions among children and for public health initiatives to raise awareness. “Child-resistant packaging for this supplement should be considered, and health care providers should warn parents about potential toxic consequences of melatonin exposure,” they say.ï»ż *Editor’s note: This article, originally published June 6, 2022, has been updated to reflect new information.* [%{postComment}%](https://www.aarp.org/health/drugs-supplements/melatonin-and-sleep/#comments_widget_id) *Rachel Nania is an award-winning health editor and writer at AARP.org, who covers a range of topics including diseases and treatments.* Unlock Access to AARP Members Edition [Join AARP to Continue](https://appsec.aarp.org/mem/join?campaignID=UBJFMOA23&intcmp=MEM-ONLY-ACCESS) Already a Member? 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![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![a woman taking melatonin capsules with a glass of water in her bedroom at night](https://cdn.aarp.net/content/dam/aarpe/en/home/health/drugs-supplements/melatonin-and-sleep/_jcr_content/root/container_main/container_body_main/container_body1/container_body_cf/container_image/articlecontentfragment/cfimage.coreimg.50.932.png/content/dam/aarp/health/drugs_supplements/2023/04/1140-womantakingmelatoninpills.png) Filmstax / Getty Images A good night’s sleep is about more than beauty rest. It’s been linked to [better brain](https://www.aarp.org/health/brain-health/), heart, and mental health, as well as a lower risk for certain cancers. Yet research suggests that an increasing number of Americans [are struggling to get those all-important z’s](https://jamanetwork.com/journals/jama/fullarticle/2788539 "americans trouble sleeping"). In a 2022 study, researchers tracked a fivefold increase in melatonin use among U.S. adults in the past few decades. Published in *JAMA*, the study found that people take higher doses of the over-the-counter supplement than what’s typically recommended — despite scant evidence that melatonin works for your run-of-the-mill shut-eye issues, including insomnia. “We know that melatonin is often used as a sleep aid, but it’s actually misused as a sleep aid because it’s not a sleep aid,” says Naima Covassin, a coauthor of the study and a sleep disorder expert at Mayo Clinic. Popping a melatonin pill or gummy before bedtime may help you fall asleep a few minutes faster, Covassin says, but it won’t make much of a difference in the number of times you wake up at night or how many total hours you get. “There’s actually very little improvement in all of these parameters,” she says. ### **When does melatonin work?** To understand when melatonin can be beneficial, it’s important to know more about its role in the sleep-wake cycle. Many consumers are familiar with the bottled version of melatonin — around 6 million U.S. adults reach for it. But melatonin is a naturally occurring hormone the brain produces in response to darkness to help our bodies know when it’s time to go to sleep and when it’s time to be awake. #### **Side Effects of Melatonin** Short-term use of melatonin may cause mild side effects, including: - Headaches - Dizziness - Nausea - Drowsiness Less common side effects include: - Short-term feelings of depression - Mild tremor - Mild anxiety - Abdominal cramps - Irritability - Reduced alertness - Confusion or disorientation *Source: Mayo Clinic* When melatonin hits the bloodstream (typically a few hours before bedtime), it reduces alertness and “facilitates our ability to fall asleep,” explains Dr. David Neubauer, associate professor of psychiatry and behavioral sciences at Johns Hopkins Medicine. It also helps cool off the brain and the body, “which helps you sleep better,” says James K. Wyatt, director of the Section of Sleep Disorders and Sleep-Wake Research at Rush University in Chicago. Because melatonin doesn’t have the same [sedating effect](https://www.aarp.org/health/conditions-treatments/reasons-to-avoid-sleeping-pills/) that many sleep aids provide, taking it in pill form is less helpful on those nights when you can’t seem to fall asleep or stay asleep. Video: 5 Things to Know About Getting Better Sleep It can work in instances when you want to adjust your biological sleep clock — say, to overcome [jet lag](https://www.aarp.org/travel/travel-tips/lodging/tips-for-better-sleep-while-on-vacation/ "better sleep on vacation") after traveling through several time zones or to shift your schedule entirely so you’re going to bed a few hours earlier. ï»ż Melatonin supplements can benefit shift workers who need to sleep during the day, when the body’s melatonin levels are naturally low. That’s when supplementing with melatonin is “actually quite effective,” Covassin says. ï»ż In older adults, it may be able to prolong sleep when taken for an extended period, though more research is needed. A [small study](https://onlinelibrary.wiley.com/doi/full/10.1111/jpi.12801) from researchers at Brigham and Women’s Hospital in Boston found that when adults ages 55 to 78 took 5 milligrams of melatonin for two weeks, they increased their sleep time by at least 15 minutes, compared with those who took a placebo. ### **Is melatonin safe?** #### **5 tips for getting a better night’s sleep** - Be consistent: Go to bed at the same time each night, even on weekends. - Make sure your bedroom is quiet, dark, relaxing and at a comfortable temperature. - Remove electronic devices from the bedroom. - Avoid large meals, caffeine and alcohol before bedtime. - Get some exercise: Being active during the day can help you fall asleep at night. *Source: Centers for Disease Control and Prevention ï»ż* Melatonin is generally safe and well-tolerated. But just because it’s available in the U.S. without a prescription and sold alongside multivitamins and probiotics doesn’t mean it’s risk-free. (In many countries it can be purchased only by prescription.) “We think since it’s available over the counter that it’s harmless, but it may not necessarily be true,” Covassin says. Short-term use of melatonin supplements can come with a list of side effects, especially when taken in high doses, including headaches, dizziness, nausea, fatigue and daytime sleepiness. Vivid dreams and nightmares have also been reported. “These are mild, but they can also affect your daytime function; think about if you have to drive or if you have to operate machinery,” Covassin points out. ï»ż The National Center for Complementary and Integrative Health (NCCIH) at the National Institutes of Health notes that melatonin may remain active in older adults for longer periods, which could lead to daytime drowsiness. More serious, albeit rare, reactions have been linked to melatonin supplements, including changes in heart rate and [blood pressure](https://www.aarp.org/health/conditions-treatments/high-blood-pressure-symptoms-and-causes/), temporary [feelings of depressionï»ż,](https://www.aarp.org/health/conditions-treatments/depression-facts/)ï»żï»ż seizures and confusion or disorientation. A [new study](https://newsroom.heart.org/news/long-term-use-of-melatonin-supplements-to-support-sleep-may-have-negative-health-effects), which has not yet been peer reviewed but is being presented at the American Heart Association’s Scientific Sessions 2025, found that long-term melatonin use was associated with a higher risk of heart failure diagnosis and heart failure hospitalization, though experts say more research is needed to better understand the possible link. Melatonin has also been shown to affect glucose tolerance, or the body’s ability to handle sugar. There are drug interactions to consider, too. Melatonin can increase bleeding risks among people taking anticoagulants and antiplatelet drugs; it can worsen blood pressure in those taking blood pressure medications, and it can stimulate immune function and interfere with immunosuppressive therapy, according to Mayo Clinic. “So, obviously, this should be taken with caution,” Covassin says. “And that’s my main recommendation. If you are thinking \[about taking melatonin\] or if you are already taking melatonin, talk with your provider to determine whether it’s actually appropriate for you.” It’s important to know that, as with all dietary supplements in the U.S., federal regulations are less strict for melatonin than they are for over-the-counter medicines and prescription drugs. [A 2017 study](https://jcsm.aasm.org/doi/10.5664/jcsm.6462) published in the *Journal of Clinical Sleep Medicine* found that the contents of the majority of melatonin products didn’t match what was listed on the label — their concentrations ranged, and so did the presence of other ingredients. ï»ż Adding to the evidence, a [study](https://jamanetwork.com/journals/jama/fullarticle/2804077) published in 2023 in *JAMA* looked at melatonin quantities in 25 sleep [gummy products](https://www.aarp.org/health/drugs-supplements/melatonin-gummies-may-have-dangerous-level-of-hormone/), often marketed to children, and found that 22 of them contained different amounts of melatonin than what was declared on the label. The actual quantity of melatonin ranged from 74 percent to 347 percent of the labeled amount; only three products had melatonin levels within 10 percent of the declared quantity. The American Academy of Sleep Medicine offers a tip: When comparing supplement labels, look for the “USP Verified” mark, which indicates that the formulation meets the requirements of the U.S. Pharmacopeial Convention. ### **What can you do if you have trouble sleeping?** Interested in making adjustments to your sleep schedule? Before you reach for a pill, Neubauer recommends trying natural methods. You can do this by getting outside and staying active during the day. “Just getting light makes your circadian rhythm more robust, and the more active you are in the daytime, the better chance you have of sleeping more at nighttime,” he says. Because light suppresses the production of melatonin, keep levels low at night — this means limiting the use of your phone, tablet, computer and TV an hour or two before bed. If you have trouble sleeping more generally, talk with a doctor to figure out the cause, Wyatt says. “It’s rare when sleep goes bad just on its own and it’s not because of other things, like the side effects of a different medication or [stress or anxiety or depression](https://www.aarp.org/health/brain-health/anxiety-and-depression/#anxiety-and-depression//) or a pain disorder that’s insufficiently treated — there are all sorts of things.” A third of U.S. adults report that they usually get less than the recommended amount of sleep (seven or more hours per night for adults), according to the Centers for Disease Control and Prevention. The good news: ï»żThere are treatments for insomnia, [and a successful one](https://www.aarp.org/health/conditions-treatments/talk-therapy-for-insomnia/), cognitive behavioral therapy, doesn’t come in pill form. “We’re starting to realize treating insomnia is not just about getting a better night’s sleep,” Wyatt says. “It’s to significantly reduce risk for some of these negative health outcomes that could come years to decades later.” ï»ż #### **Melatonin and Children** Melatonin use isn’t just increasing among adults — more children are taking it as well. In fact, the number of pediatric melatonin ingestions increased 530 percent from 2012 to 2021, with the largest yearly increase (about 38 percent) occurring from 2019 to 2020, [a recent report](https://www.cdc.gov/mmwr/volumes/71/wr/mm7122a1.htm "melatonin and poisonings") from the Centers for Disease Control and Prevention (CDC) finds. In 2020, the supplement became the most frequently ingested substance among children reported to national poison control centers — some of these cases required hospitalization. The authors of the CDC report point out that melatonin has become widely available in the U.S. — some children’s varieties are even sold in “gummy” form. It’s considered a dietary supplement and is subject to less regulatory oversight than other over-the-counter (OTC) medications. “Increasing use of OTC melatonin in various formulations, lack of robust manufacturing regulations, and varied dosing recommendations can place children at risk for potential adverse events,” the authors write. They call for more research into the causes of increased melatonin ingestions among children and for public health initiatives to raise awareness. “Child-resistant packaging for this supplement should be considered, and health care providers should warn parents about potential toxic consequences of melatonin exposure,” they say.ï»ż *Editor’s note: This article, originally published June 6, 2022, has been updated to reflect new information.* *Rachel Nania is an award-winning health editor and writer at AARP.org, who covers a range of topics including diseases and treatments.*
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