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| Meta Title | Melatonin: Benefits, Side Effects, Drug Interactions & More |
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Insomnia
Medically Reviewed
A Beginnerâs Guide to Melatonin
Melatonin has been a buzzword for years, but what is it, exactly? Here, everything you need to know about this naturally occurring hormone and supplement.
By
iStock
Jump To
What Is Melatonin?
Melatonin & Sleep
Melatonin & Health
Maximizing Natural Melatonin
When Your Own Melatonin Isnât Enough
Melatonin Side Effects
You may have heard about melatonin. This naturally occurring hormone is credited with everything from keeping your internal clock on track and helping you catch some ZZZs to reducing jet lag and easing anxiety about surgery.
Your body already makes melatonin, but sometimes, it doesnât make enough of it. âMelatonin is secreted in darkness,â says Jennifer Martin, Ph.D., professor of medicine at the David Geffen School of Medicine at UCLA in Los Angeles and a member of the American Academy of Sleep Medicine Board of Directors. âWhen weâre exposed to light, it turns off melatonin production.â
Your melatonin levels arenât static over the course of your lifeâthey change as you age. âIn young people, thereâs no melatonin production during the day and levels are very high at night, so it's almost like an on-off switch,â Martin says. âAs people age, there's more of a gradual increase and a gradual decline, and the peak levels of melatonin aren't quite so high.â
So what exactly is melatonin, and what are people so hyped up about it? Take a closer look at the role this hormone plays in your life.
In the center of your brain is the pinecone-shaped pineal gland, which really has one main jobâproducing melatonin. It works by both receiving and sending signals surrounding light and darkness in your environment. In response to those signals, it either makes melatonin (when it senses darkness) or shuts off production (when it senses light). This is exactly why itâs a bad idea to pick up your smartphone in the middle of the night if you canât sleep. âThe phoneâs light will tell your brain to stop making melatonin and start the day,â Martin says.
This light-dark interplay is part of your bodyâs circadian rhythm, also called your internal clock, that affect such functions as body temperature, hormone release (melatonin is just one of many), and even digestion. Circadian arousal peaks in the evening, so most people are more awake and alert in the early evening than at any time throughout the 24-hour cycle, says David Neubauer, M.D., an associate professor of psychiatry and behavioral sciences at Johns Hopkins University School of Medicine in Baltimore and a sleep expert.
Because of its direct relationship with circadian rhythms, melatonin may help improve some sleep-related conditions, including:
Jet lag.
Research suggests that taking melatonin supplements may help reset your internal clock when traveling to different time zones. If youâre traveling from west coast to east and bedtime is earlier than youâre used to, try taking it at your new bedtime. If youâve traveled west and bedtime is later than youâre used to, take it in the morning.
Circadian rhythm disorders.
If you have an internal clock thatâs misfiring, melatonin may help you adjust your sleep timing, though it can be difficult to figure out exactly when and what time of day to take melatonin supplements.
Delayed sleep-wake phase disorder.
With this circadian rhythm disorder, people typically fall asleep sometime between 2 a.m. and 6 a.m. and tend to wake up between 10 a.m. and 1 p.m. Studies show melatonin may help you fall asleep about half an hour earlier.
Neurodevelopmental disorders.
A 2019 review of clinical trials in the
Journal of Child Neurology
found melatonin to be effective for improving the ability to fall asleep and sleep duration in children with autism and other neurodevelopmental disorders.
Beyond regulating your internal clock, melatonin has beneficial properties that work in concert with the body to improve health. Hereâs what we know so far:
Cancer Symptoms
Melatonin may help with the side effects of cancer treatments. One study found significant impact in sleep quality for postmenopausal
breast cancer
survivors. Another found that melatonin significantly decreased
depression symptoms
for three months after surgery in women who had breast cancer. Talk with you doc before taking any supplements.
Anxiety
A 2015 review of studies found that taking melatonin reduced
anxiety
in adults awaiting surgery because it has sedative and analgesic properties, in addition to helping regulate sleep, so it can have a calming influence.
Alzheimerâs Disease
One theory is that melatonin production decreases in people with Alzheimerâs, and that supplementation may help restore some sleep functions, but more research is needed. The American Academy of Sleep Medicine recommended against melatonin use by people with dementia in its 2015 guidelines.
Viruses
Experts have even been studying whether this hormone may have an impact on viruses, such as Ebola and
COVID-19
, or their side effects. This is because melatonin has anti-inflammatory and antioxidant properties that may help fight infection.
Light sensitivity is a highly individual thing, and therefore how much melatonin you produce is unique to you. Some people easily fall asleep and may even have trouble staying awake before bedtime without the distraction of the computer or the TV. For them, itâs OK to keep those screens on a little later.
But if youâre very sensitive to light near bedtime, meaning you have a hard time falling asleep right after shutting off the TV, for example, itâs a good idea to start reducing light levels in your environment at least an hour before you plan to go to sleep. That means turning off all devices because those screens have
the direct effect of keeping your brain awake
.
It may also help to use an app that blocks blue light on your devices when they are in useâthe blue light that they emit suppresses melatonin. Your phone, tablet, and/or computer might already have a built-in ânight modeâ setting that blocks blue light between certain hours. Check for it in the settings or preferences sections of your devices and enable it.
Another helpful step is switching to low color-temperature LED light bulbs that emit light from the red spectrum in your home. âYou can search for âsleep bulbsâ in your favorite online store, and youâre likely to find examples of these bulbs that can be used in a bedroom,â Dr. Neubauer says.
Sometimes, though, the body struggles to produce enough melatonin on its own. Melatonin supplements, available over the counter at pharmacies and health food stores, might help. Youâre likely to find both ânaturalâ and synthetic melatonin formulations. Though it can be derived from animals and microorganisms, the natural form also carries the risk of virus, so some doctors advise against it. The synthetic form of the hormone is considered to be relatively safe over the short termâits long-term safety hasnât been determined.
Not sure whether the bottle youâre looking at is natural or synthetic melatonin? If the label doesnât make it clear, ask the pharmacist. âPeople have to be aware that because itâs not an FDA-approved medication, itâs not subjected to the same standards as one would expect for a medication that you get prescribed by your doctor,â Martin says. âCompanies make all kinds of claims about what it might do, but theyâre not required to show the same level of proof that it's true.â
One study of 31 melatonin supplements and found in many cases, the amount of melatonin in the supplement didnât match the amount listed on the labelâsome had less and some had considerably more. Also, many contained the hormone serotonin, which can have harmful side effects. One way to protect yourself is to look for supplements from brands that have been tested by an independent lab, such as ConsumerLab.com, USP (U.S. Pharmacopeia), and NSF Internationalâlook for one of their seals on the label.
The typical doses used in melatonin research have varied from 0.1 to 10 milligrams. Higher doses have not been shown to be any more effective than lower doses. In fact, a very high dose can stay in your body so long that it confuses your natural melatonin production. Never exceed the recommended amount on supplement labels. Start with a low dose, Dr. Neubauer advises, such as 0.5 mg. For most people, just this little bit has the desired effect.
With your doctorâs OK, try a melatonin supplement about two hours before bedtime. It doesnât work well right at bedtime because your natural melatonin is already rising then, so thereâs less opportunity for supplemental melatonin to have an impact. Itâs also important not to take it just before or just after eating. Emerging evidence suggests that melatonin taken around mealtime can provoke an unwanted increase in glucose and insulin responses.
Long-term side effects of melatonin use in adults are unknown. Short-term side effects can include:
Headache
Dizziness
Sleepiness
Nausea
Low blood pressure
Confusion or disorientation
Abdominal cramps
Mild tremor
Feelings of depression
Mild anxiety
Some people may have an allergic reaction to melatonin. Also, donât drive or use machinery within five hours of taking the supplement because of potential drowsiness. Women who are pregnant or
breastfeeding
should not take melatonin because its impact on the fetus and infant is not known. Supplemental melatonin may stay active for longer periods in older adults than in younger ones, which can cause daytime drowsiness. People of any age with jobs where sedation could compromise safety, including commercial drivers or airline pilots, should be especially cautious.
While apparent side effects in kids are considered minor over the short term, the long-term impact of this hormone on development, such as puberty and overproduction of another hormone called prolactin needed to make breastmilk, is unknown. Side effects are similar to those in adults, such as headache, dizziness, and drowsiness, and children may also experience agitation and increased bedwetting.
Melatonin Drug Interactions
Another reason to talk to your doctor before starting melatonin (or any new supplement) is the risk of drug interactions with other over-the-counter medications, prescriptions, and supplements youâre taking, as well as how it might affect any other medical conditions you have.
Thereâs a long list of potential drug interactions with melatonin, but the most important ones include:
Immunosuppressants
Seizure threshold-lowering drugs
Anticoagulants and antiplatelet drugs, herbs, and supplements
Anticonvulsants in neurologically disabled children
It can also worsen blood pressure for people on
high blood pressure
medication, affect sugar levels for people using
diabetes
drugs, cause excessive drowsiness by increasing melatonin levels for people on fluvoxamine, increase the side effects of melatonin in people taking contraception, and have a negative impact on people on cytochrome substrates.
If your best efforts to boost melatonin naturally donât help or if you struggle with sleep three or more times a week and the problem goes on longer than three months, reach out to a sleep specialist. He or she will help determine if melatonin supplements are right for you and what dose to take, Martin says. This is also a good idea if you have other sleep-related issues like snoring, extreme sleepiness during the day, or any unusual behaviors while asleep.
Understanding Melatonin (1.):
Brain Disorders & Therapy
. (2014.) âMelatonin, the Hormone of Darkness: From Sleep Promotion to Ebola Treatment.â
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334454/
Understanding Melatonin (2.):
American Academy of Family Physicians. (2020.) âMelatonin.â
https://www.familydoctor.org/melatonin/?adfree=true
Studies on Melatonin:
National Center for Complementary and Integrative Health. (2021.) âMelatonin: What you need to know.â (https://www.nccih.nih.gov/health/melatonin-what-you-need-to-know)
Melatonin and Jet Lag:
Mayo Clinic. (2020.) âJet lag disorder.â
https://www.mayoclinic.org/diseases-conditions/jet-lag/diagnosis-treatment/drc-20374031
Melatonin and Sleep Disorders:
National Center for Complementary and Integrative Health. (2015.) âSleep Disorders: In Depth.â (https://www.nccih.nih.gov/health/sleep-disorders-in-depth)
Melatonin and Insomnia:
Journal of Clinical Sleep Medicine
. (2017.) âClinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: an American Academy of Sleep Medicine Clinical Practice Guideline.â
https://www.pubmed.ncbi.nlm.nih.gov/27998379/
Melatonin for Medical Conditions:
Mayo Clinic. (2018.) âMelatonin.â
https://www.mayoclinic.org/drugs-supplements-melatonin/art-20363071
Melatonin and Shift Work:
Cochrane Database of Systematic Reviews
. (2014.) âPharmacological interventions for sleepiness and sleep disturbances caused by shift work.â
https://www.pubmed.ncbi.nlm.nih.gov/25113164/
Melatonin and Children:
Journal of Child Neurology
. (2019.) âPharmacologic treatments for sleep disorders in children: a systematic review.â
https://www.pubmed.ncbi.nlm.nih.gov/30674203/
Melatonin and Anxiety:
Cochrane Database of Systematic Reviews
. (2015.) âMelatonin for pre- and postoperative anxiety in adults.â
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464333/
Melatonin and Viruses:
Virus Research
. (2020.) âMelatonin potentials against viral infections including COVID-19: Current evidence and new findings.â
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405774/
Melatonin and Ebola Treatment:
Journal of Medical Virology
. (2015.) âEbola virus: melatonin as a readily available treatment option.â
https://www.pubmed.ncbi.nlm.nih.gov/25611054/
Melatonin and the Brain (1.):
Endotext. (2019.) âPhysiology of the pineal gland and melatonin.â
https://www.ncbi.nlm.nih.gov/books/NBK550972/
Melatonin and the Brain (2.):
National Institute of General Medical Sciences. (2021.) âCircadian rhythms.â
https://www.nigms.nih.gov/education/fact-sheets/Pages/circadian-rhythms.aspx
Melatonin and the Brain (3.):
Neurology
. (2008.) âSuprachiasmatic nucleus and melatonin.â
https://n.neurology.org/content/71/8/594
Melatonin and Breast Cancer (1.):
Breast Cancer Research and Treatment
. (2014.) âA randomized, placebo-controlled trial of melatonin on breast cancer survivors: impact on sleep, mood, and hot flashes.â
https://www.pubmed.ncbi.nlm.nih.gov/24718775/
Melatonin and Breast Cancer (2.):
Breast Cancer Research and Treatment
. (2014.) âEffect of melatonin on depressive symptoms and anxiety in patients undergoing breast cancer surgery: a randomized, double-blind, placebo-controlled trial.â
https://www.pubmed.ncbi.nlm.nih.gov/24756186/
Melatonin Dosing and Research:
Stat Pearls. (2020.) âMelatonin.â
https://www.ncbi.nlm.nih.gov/books/NBK534823/ |
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Medically Reviewed
# A Beginnerâs Guide to Melatonin
Melatonin has been a buzzword for years, but what is it, exactly? Here, everything you need to know about this naturally occurring hormone and supplement.
Updated May 7, 2021
By
[Cara Roberts Murez](https://www.healthcentral.com/author/cara-roberts-murez)
Medical Reviewer[Monisha Bhanote, M.D.](https://www.healthcentral.com/author/monisha-bhanote)

iStock
###### Jump To
- [What Is Melatonin?](https://www.healthcentral.com/article/beginners-guide-to-melatonin#what-is-melatonin)
- [Melatonin & Sleep](https://www.healthcentral.com/article/beginners-guide-to-melatonin#melatonin--sleep)
- [Melatonin & Health](https://www.healthcentral.com/article/beginners-guide-to-melatonin#melatonin--health)
- [Maximizing Natural Melatonin](https://www.healthcentral.com/article/beginners-guide-to-melatonin#maximizing-natural-melatonin)
- [When Your Own Melatonin Isnât Enough](https://www.healthcentral.com/article/beginners-guide-to-melatonin#when-your-own-melatonin-isnt-enough)
- [Melatonin Side Effects](https://www.healthcentral.com/article/beginners-guide-to-melatonin#melatonin-side-effects)
You may have heard about melatonin. This naturally occurring hormone is credited with everything from keeping your internal clock on track and helping you catch some ZZZs to reducing jet lag and easing anxiety about surgery.
Your body already makes melatonin, but sometimes, it doesnât make enough of it. âMelatonin is secreted in darkness,â says Jennifer Martin, Ph.D., professor of medicine at the David Geffen School of Medicine at UCLA in Los Angeles and a member of the American Academy of Sleep Medicine Board of Directors. âWhen weâre exposed to light, it turns off melatonin production.â
Your melatonin levels arenât static over the course of your lifeâthey change as you age. âIn young people, thereâs no melatonin production during the day and levels are very high at night, so it's almost like an on-off switch,â Martin says. âAs people age, there's more of a gradual increase and a gradual decline, and the peak levels of melatonin aren't quite so high.â
So what exactly is melatonin, and what are people so hyped up about it? Take a closer look at the role this hormone plays in your life.
What Is Melatonin?
## What Is Melatonin?
In the center of your brain is the pinecone-shaped pineal gland, which really has one main jobâproducing melatonin. It works by both receiving and sending signals surrounding light and darkness in your environment. In response to those signals, it either makes melatonin (when it senses darkness) or shuts off production (when it senses light). This is exactly why itâs a bad idea to pick up your smartphone in the middle of the night if you canât sleep. âThe phoneâs light will tell your brain to stop making melatonin and start the day,â Martin says.
This light-dark interplay is part of your bodyâs circadian rhythm, also called your internal clock, that affect such functions as body temperature, hormone release (melatonin is just one of many), and even digestion. Circadian arousal peaks in the evening, so most people are more awake and alert in the early evening than at any time throughout the 24-hour cycle, says David Neubauer, M.D., an associate professor of psychiatry and behavioral sciences at Johns Hopkins University School of Medicine in Baltimore and a sleep expert.
Melatonin & Sleep
## Melatonin for Sleep
Because of its direct relationship with circadian rhythms, melatonin may help improve some sleep-related conditions, including:
- **Jet lag.** Research suggests that taking melatonin supplements may help reset your internal clock when traveling to different time zones. If youâre traveling from west coast to east and bedtime is earlier than youâre used to, try taking it at your new bedtime. If youâve traveled west and bedtime is later than youâre used to, take it in the morning.
- **Circadian rhythm disorders.** If you have an internal clock thatâs misfiring, melatonin may help you adjust your sleep timing, though it can be difficult to figure out exactly when and what time of day to take melatonin supplements.
- **Delayed sleep-wake phase disorder.** With this circadian rhythm disorder, people typically fall asleep sometime between 2 a.m. and 6 a.m. and tend to wake up between 10 a.m. and 1 p.m. Studies show melatonin may help you fall asleep about half an hour earlier.
- **Neurodevelopmental disorders.** A 2019 review of clinical trials in the *Journal of Child Neurology* found melatonin to be effective for improving the ability to fall asleep and sleep duration in children with autism and other neurodevelopmental disorders.
Melatonin & Health
## Melatonin Health Benefits
Beyond regulating your internal clock, melatonin has beneficial properties that work in concert with the body to improve health. Hereâs what we know so far:
### Cancer Symptoms
Melatonin may help with the side effects of cancer treatments. One study found significant impact in sleep quality for postmenopausal [breast cancer](https://www.healthcentral.com/condition/breast-cancer) survivors. Another found that melatonin significantly decreased [depression symptoms](https://www.healthcentral.com/condition/depression-symptoms) for three months after surgery in women who had breast cancer. Talk with you doc before taking any supplements.
### Anxiety
A 2015 review of studies found that taking melatonin reduced [anxiety](https://www.healthcentral.com/condition/anxiety) in adults awaiting surgery because it has sedative and analgesic properties, in addition to helping regulate sleep, so it can have a calming influence.
### Alzheimerâs Disease
One theory is that melatonin production decreases in people with Alzheimerâs, and that supplementation may help restore some sleep functions, but more research is needed. The American Academy of Sleep Medicine recommended against melatonin use by people with dementia in its 2015 guidelines.
### Viruses
Experts have even been studying whether this hormone may have an impact on viruses, such as Ebola and [COVID-19](https://www.healthcentral.com/category/coronavirus), or their side effects. This is because melatonin has anti-inflammatory and antioxidant properties that may help fight infection.
Maximizing Natural Melatonin
## Maximizing Your Natural Melatonin
Light sensitivity is a highly individual thing, and therefore how much melatonin you produce is unique to you. Some people easily fall asleep and may even have trouble staying awake before bedtime without the distraction of the computer or the TV. For them, itâs OK to keep those screens on a little later.
But if youâre very sensitive to light near bedtime, meaning you have a hard time falling asleep right after shutting off the TV, for example, itâs a good idea to start reducing light levels in your environment at least an hour before you plan to go to sleep. That means turning off all devices because those screens have [the direct effect of keeping your brain awake](https://www.healthcentral.com/article/how-to-reduce-your-exposure-to-blue-light-and-get-a-better-nights-sleep).
It may also help to use an app that blocks blue light on your devices when they are in useâthe blue light that they emit suppresses melatonin. Your phone, tablet, and/or computer might already have a built-in ânight modeâ setting that blocks blue light between certain hours. Check for it in the settings or preferences sections of your devices and enable it.
Another helpful step is switching to low color-temperature LED light bulbs that emit light from the red spectrum in your home. âYou can search for âsleep bulbsâ in your favorite online store, and youâre likely to find examples of these bulbs that can be used in a bedroom,â Dr. Neubauer says.
When Your Own Melatonin Isnât Enough
## When Your Own Melatonin Isnât Enough
Sometimes, though, the body struggles to produce enough melatonin on its own. Melatonin supplements, available over the counter at pharmacies and health food stores, might help. Youâre likely to find both ânaturalâ and synthetic melatonin formulations. Though it can be derived from animals and microorganisms, the natural form also carries the risk of virus, so some doctors advise against it. The synthetic form of the hormone is considered to be relatively safe over the short termâits long-term safety hasnât been determined.
Not sure whether the bottle youâre looking at is natural or synthetic melatonin? If the label doesnât make it clear, ask the pharmacist. âPeople have to be aware that because itâs not an FDA-approved medication, itâs not subjected to the same standards as one would expect for a medication that you get prescribed by your doctor,â Martin says. âCompanies make all kinds of claims about what it might do, but theyâre not required to show the same level of proof that it's true.â
One study of 31 melatonin supplements and found in many cases, the amount of melatonin in the supplement didnât match the amount listed on the labelâsome had less and some had considerably more. Also, many contained the hormone serotonin, which can have harmful side effects. One way to protect yourself is to look for supplements from brands that have been tested by an independent lab, such as ConsumerLab.com, USP (U.S. Pharmacopeia), and NSF Internationalâlook for one of their seals on the label.
The typical doses used in melatonin research have varied from 0.1 to 10 milligrams. Higher doses have not been shown to be any more effective than lower doses. In fact, a very high dose can stay in your body so long that it confuses your natural melatonin production. Never exceed the recommended amount on supplement labels. Start with a low dose, Dr. Neubauer advises, such as 0.5 mg. For most people, just this little bit has the desired effect.
With your doctorâs OK, try a melatonin supplement about two hours before bedtime. It doesnât work well right at bedtime because your natural melatonin is already rising then, so thereâs less opportunity for supplemental melatonin to have an impact. Itâs also important not to take it just before or just after eating. Emerging evidence suggests that melatonin taken around mealtime can provoke an unwanted increase in glucose and insulin responses.
Melatonin Side Effects
## Melatonin Side Effects and Cautions
Long-term side effects of melatonin use in adults are unknown. Short-term side effects can include:
- Headache
- Dizziness
- Sleepiness
- Nausea
- Low blood pressure
- Confusion or disorientation
- Abdominal cramps
- Mild tremor
- Feelings of depression
- Mild anxiety
Some people may have an allergic reaction to melatonin. Also, donât drive or use machinery within five hours of taking the supplement because of potential drowsiness. Women who are pregnant or [breastfeeding](https://www.healthcentral.com/condition/breastfeeding) should not take melatonin because its impact on the fetus and infant is not known. Supplemental melatonin may stay active for longer periods in older adults than in younger ones, which can cause daytime drowsiness. People of any age with jobs where sedation could compromise safety, including commercial drivers or airline pilots, should be especially cautious.
While apparent side effects in kids are considered minor over the short term, the long-term impact of this hormone on development, such as puberty and overproduction of another hormone called prolactin needed to make breastmilk, is unknown. Side effects are similar to those in adults, such as headache, dizziness, and drowsiness, and children may also experience agitation and increased bedwetting.
## Melatonin Drug Interactions
Another reason to talk to your doctor before starting melatonin (or any new supplement) is the risk of drug interactions with other over-the-counter medications, prescriptions, and supplements youâre taking, as well as how it might affect any other medical conditions you have.
Thereâs a long list of potential drug interactions with melatonin, but the most important ones include:
- Immunosuppressants
- Seizure threshold-lowering drugs
- Anticoagulants and antiplatelet drugs, herbs, and supplements
- Anticonvulsants in neurologically disabled children
It can also worsen blood pressure for people on [high blood pressure](https://www.healthcentral.com/condition/hypertension) medication, affect sugar levels for people using [diabetes](https://www.healthcentral.com/condition/diabetes) drugs, cause excessive drowsiness by increasing melatonin levels for people on fluvoxamine, increase the side effects of melatonin in people taking contraception, and have a negative impact on people on cytochrome substrates.
If your best efforts to boost melatonin naturally donât help or if you struggle with sleep three or more times a week and the problem goes on longer than three months, reach out to a sleep specialist. He or she will help determine if melatonin supplements are right for you and what dose to take, Martin says. This is also a good idea if you have other sleep-related issues like snoring, extreme sleepiness during the day, or any unusual behaviors while asleep.
This article was originally published May 4, 2021 and most recently updated May 7, 2021.
© 2026 HealthCentral LLC. All rights reserved.
Sources
- **Understanding Melatonin (1.):** *Brain Disorders & Therapy*. (2014.) âMelatonin, the Hormone of Darkness: From Sleep Promotion to Ebola Treatment.â <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334454/>
- **Understanding Melatonin (2.):** American Academy of Family Physicians. (2020.) âMelatonin.â <https://www.familydoctor.org/melatonin/?adfree=true>
- **Studies on Melatonin:** National Center for Complementary and Integrative Health. (2021.) âMelatonin: What you need to know.â (https://www.nccih.nih.gov/health/melatonin-what-you-need-to-know)
- **Melatonin and Jet Lag:** Mayo Clinic. (2020.) âJet lag disorder.â <https://www.mayoclinic.org/diseases-conditions/jet-lag/diagnosis-treatment/drc-20374031>
- **Melatonin and Sleep Disorders:** National Center for Complementary and Integrative Health. (2015.) âSleep Disorders: In Depth.â (https://www.nccih.nih.gov/health/sleep-disorders-in-depth)
- **Melatonin and Insomnia:** *Journal of Clinical Sleep Medicine*. (2017.) âClinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: an American Academy of Sleep Medicine Clinical Practice Guideline.â <https://www.pubmed.ncbi.nlm.nih.gov/27998379/>
- **Melatonin for Medical Conditions:** Mayo Clinic. (2018.) âMelatonin.â <https://www.mayoclinic.org/drugs-supplements-melatonin/art-20363071>
- **Melatonin and Shift Work:** *Cochrane Database of Systematic Reviews*. (2014.) âPharmacological interventions for sleepiness and sleep disturbances caused by shift work.â <https://www.pubmed.ncbi.nlm.nih.gov/25113164/>
- **Melatonin and Children:** *Journal of Child Neurology*. (2019.) âPharmacologic treatments for sleep disorders in children: a systematic review.â <https://www.pubmed.ncbi.nlm.nih.gov/30674203/>
- **Melatonin and Anxiety:** *Cochrane Database of Systematic Reviews*. (2015.) âMelatonin for pre- and postoperative anxiety in adults.â <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464333/>
- **Melatonin and Viruses:** *Virus Research*. (2020.) âMelatonin potentials against viral infections including COVID-19: Current evidence and new findings.â <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405774/>
- **Melatonin and Ebola Treatment:** *Journal of Medical Virology*. (2015.) âEbola virus: melatonin as a readily available treatment option.â <https://www.pubmed.ncbi.nlm.nih.gov/25611054/>
- **Melatonin and the Brain (1.):** Endotext. (2019.) âPhysiology of the pineal gland and melatonin.â <https://www.ncbi.nlm.nih.gov/books/NBK550972/>
- **Melatonin and the Brain (2.):** National Institute of General Medical Sciences. (2021.) âCircadian rhythms.â <https://www.nigms.nih.gov/education/fact-sheets/Pages/circadian-rhythms.aspx>
- **Melatonin and the Brain (3.):** *Neurology*. (2008.) âSuprachiasmatic nucleus and melatonin.â <https://n.neurology.org/content/71/8/594>
- **Melatonin and Breast Cancer (1.):** *Breast Cancer Research and Treatment*. (2014.) âA randomized, placebo-controlled trial of melatonin on breast cancer survivors: impact on sleep, mood, and hot flashes.â <https://www.pubmed.ncbi.nlm.nih.gov/24718775/>
- **Melatonin and Breast Cancer (2.):** *Breast Cancer Research and Treatment*. (2014.) âEffect of melatonin on depressive symptoms and anxiety in patients undergoing breast cancer surgery: a randomized, double-blind, placebo-controlled trial.â <https://www.pubmed.ncbi.nlm.nih.gov/24756186/>
- **Melatonin Dosing and Research:** Stat Pearls. (2020.) âMelatonin.â <https://www.ncbi.nlm.nih.gov/books/NBK534823/>
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Medically Reviewed
## A Beginnerâs Guide to Melatonin
Melatonin has been a buzzword for years, but what is it, exactly? Here, everything you need to know about this naturally occurring hormone and supplement.
By

iStock
###### Jump To
- [What Is Melatonin?](https://www.healthcentral.com/article/beginners-guide-to-melatonin#what-is-melatonin)
- [Melatonin & Sleep](https://www.healthcentral.com/article/beginners-guide-to-melatonin#melatonin--sleep)
- [Melatonin & Health](https://www.healthcentral.com/article/beginners-guide-to-melatonin#melatonin--health)
- [Maximizing Natural Melatonin](https://www.healthcentral.com/article/beginners-guide-to-melatonin#maximizing-natural-melatonin)
- [When Your Own Melatonin Isnât Enough](https://www.healthcentral.com/article/beginners-guide-to-melatonin#when-your-own-melatonin-isnt-enough)
- [Melatonin Side Effects](https://www.healthcentral.com/article/beginners-guide-to-melatonin#melatonin-side-effects)
You may have heard about melatonin. This naturally occurring hormone is credited with everything from keeping your internal clock on track and helping you catch some ZZZs to reducing jet lag and easing anxiety about surgery.
Your body already makes melatonin, but sometimes, it doesnât make enough of it. âMelatonin is secreted in darkness,â says Jennifer Martin, Ph.D., professor of medicine at the David Geffen School of Medicine at UCLA in Los Angeles and a member of the American Academy of Sleep Medicine Board of Directors. âWhen weâre exposed to light, it turns off melatonin production.â
Your melatonin levels arenât static over the course of your lifeâthey change as you age. âIn young people, thereâs no melatonin production during the day and levels are very high at night, so it's almost like an on-off switch,â Martin says. âAs people age, there's more of a gradual increase and a gradual decline, and the peak levels of melatonin aren't quite so high.â
So what exactly is melatonin, and what are people so hyped up about it? Take a closer look at the role this hormone plays in your life.
In the center of your brain is the pinecone-shaped pineal gland, which really has one main jobâproducing melatonin. It works by both receiving and sending signals surrounding light and darkness in your environment. In response to those signals, it either makes melatonin (when it senses darkness) or shuts off production (when it senses light). This is exactly why itâs a bad idea to pick up your smartphone in the middle of the night if you canât sleep. âThe phoneâs light will tell your brain to stop making melatonin and start the day,â Martin says.
This light-dark interplay is part of your bodyâs circadian rhythm, also called your internal clock, that affect such functions as body temperature, hormone release (melatonin is just one of many), and even digestion. Circadian arousal peaks in the evening, so most people are more awake and alert in the early evening than at any time throughout the 24-hour cycle, says David Neubauer, M.D., an associate professor of psychiatry and behavioral sciences at Johns Hopkins University School of Medicine in Baltimore and a sleep expert.
Because of its direct relationship with circadian rhythms, melatonin may help improve some sleep-related conditions, including:
- **Jet lag.** Research suggests that taking melatonin supplements may help reset your internal clock when traveling to different time zones. If youâre traveling from west coast to east and bedtime is earlier than youâre used to, try taking it at your new bedtime. If youâve traveled west and bedtime is later than youâre used to, take it in the morning.
- **Circadian rhythm disorders.** If you have an internal clock thatâs misfiring, melatonin may help you adjust your sleep timing, though it can be difficult to figure out exactly when and what time of day to take melatonin supplements.
- **Delayed sleep-wake phase disorder.** With this circadian rhythm disorder, people typically fall asleep sometime between 2 a.m. and 6 a.m. and tend to wake up between 10 a.m. and 1 p.m. Studies show melatonin may help you fall asleep about half an hour earlier.
- **Neurodevelopmental disorders.** A 2019 review of clinical trials in the *Journal of Child Neurology* found melatonin to be effective for improving the ability to fall asleep and sleep duration in children with autism and other neurodevelopmental disorders.
Beyond regulating your internal clock, melatonin has beneficial properties that work in concert with the body to improve health. Hereâs what we know so far:
### Cancer Symptoms
Melatonin may help with the side effects of cancer treatments. One study found significant impact in sleep quality for postmenopausal [breast cancer](https://www.healthcentral.com/condition/breast-cancer) survivors. Another found that melatonin significantly decreased [depression symptoms](https://www.healthcentral.com/condition/depression-symptoms) for three months after surgery in women who had breast cancer. Talk with you doc before taking any supplements.
### Anxiety
A 2015 review of studies found that taking melatonin reduced [anxiety](https://www.healthcentral.com/condition/anxiety) in adults awaiting surgery because it has sedative and analgesic properties, in addition to helping regulate sleep, so it can have a calming influence.
### Alzheimerâs Disease
One theory is that melatonin production decreases in people with Alzheimerâs, and that supplementation may help restore some sleep functions, but more research is needed. The American Academy of Sleep Medicine recommended against melatonin use by people with dementia in its 2015 guidelines.
### Viruses
Experts have even been studying whether this hormone may have an impact on viruses, such as Ebola and [COVID-19](https://www.healthcentral.com/category/coronavirus), or their side effects. This is because melatonin has anti-inflammatory and antioxidant properties that may help fight infection.
Light sensitivity is a highly individual thing, and therefore how much melatonin you produce is unique to you. Some people easily fall asleep and may even have trouble staying awake before bedtime without the distraction of the computer or the TV. For them, itâs OK to keep those screens on a little later.
But if youâre very sensitive to light near bedtime, meaning you have a hard time falling asleep right after shutting off the TV, for example, itâs a good idea to start reducing light levels in your environment at least an hour before you plan to go to sleep. That means turning off all devices because those screens have [the direct effect of keeping your brain awake](https://www.healthcentral.com/article/how-to-reduce-your-exposure-to-blue-light-and-get-a-better-nights-sleep).
It may also help to use an app that blocks blue light on your devices when they are in useâthe blue light that they emit suppresses melatonin. Your phone, tablet, and/or computer might already have a built-in ânight modeâ setting that blocks blue light between certain hours. Check for it in the settings or preferences sections of your devices and enable it.
Another helpful step is switching to low color-temperature LED light bulbs that emit light from the red spectrum in your home. âYou can search for âsleep bulbsâ in your favorite online store, and youâre likely to find examples of these bulbs that can be used in a bedroom,â Dr. Neubauer says.
Sometimes, though, the body struggles to produce enough melatonin on its own. Melatonin supplements, available over the counter at pharmacies and health food stores, might help. Youâre likely to find both ânaturalâ and synthetic melatonin formulations. Though it can be derived from animals and microorganisms, the natural form also carries the risk of virus, so some doctors advise against it. The synthetic form of the hormone is considered to be relatively safe over the short termâits long-term safety hasnât been determined.
Not sure whether the bottle youâre looking at is natural or synthetic melatonin? If the label doesnât make it clear, ask the pharmacist. âPeople have to be aware that because itâs not an FDA-approved medication, itâs not subjected to the same standards as one would expect for a medication that you get prescribed by your doctor,â Martin says. âCompanies make all kinds of claims about what it might do, but theyâre not required to show the same level of proof that it's true.â
One study of 31 melatonin supplements and found in many cases, the amount of melatonin in the supplement didnât match the amount listed on the labelâsome had less and some had considerably more. Also, many contained the hormone serotonin, which can have harmful side effects. One way to protect yourself is to look for supplements from brands that have been tested by an independent lab, such as ConsumerLab.com, USP (U.S. Pharmacopeia), and NSF Internationalâlook for one of their seals on the label.
The typical doses used in melatonin research have varied from 0.1 to 10 milligrams. Higher doses have not been shown to be any more effective than lower doses. In fact, a very high dose can stay in your body so long that it confuses your natural melatonin production. Never exceed the recommended amount on supplement labels. Start with a low dose, Dr. Neubauer advises, such as 0.5 mg. For most people, just this little bit has the desired effect.
With your doctorâs OK, try a melatonin supplement about two hours before bedtime. It doesnât work well right at bedtime because your natural melatonin is already rising then, so thereâs less opportunity for supplemental melatonin to have an impact. Itâs also important not to take it just before or just after eating. Emerging evidence suggests that melatonin taken around mealtime can provoke an unwanted increase in glucose and insulin responses.
Long-term side effects of melatonin use in adults are unknown. Short-term side effects can include:
- Headache
- Dizziness
- Sleepiness
- Nausea
- Low blood pressure
- Confusion or disorientation
- Abdominal cramps
- Mild tremor
- Feelings of depression
- Mild anxiety
Some people may have an allergic reaction to melatonin. Also, donât drive or use machinery within five hours of taking the supplement because of potential drowsiness. Women who are pregnant or [breastfeeding](https://www.healthcentral.com/condition/breastfeeding) should not take melatonin because its impact on the fetus and infant is not known. Supplemental melatonin may stay active for longer periods in older adults than in younger ones, which can cause daytime drowsiness. People of any age with jobs where sedation could compromise safety, including commercial drivers or airline pilots, should be especially cautious.
While apparent side effects in kids are considered minor over the short term, the long-term impact of this hormone on development, such as puberty and overproduction of another hormone called prolactin needed to make breastmilk, is unknown. Side effects are similar to those in adults, such as headache, dizziness, and drowsiness, and children may also experience agitation and increased bedwetting.
## Melatonin Drug Interactions
Another reason to talk to your doctor before starting melatonin (or any new supplement) is the risk of drug interactions with other over-the-counter medications, prescriptions, and supplements youâre taking, as well as how it might affect any other medical conditions you have.
Thereâs a long list of potential drug interactions with melatonin, but the most important ones include:
- Immunosuppressants
- Seizure threshold-lowering drugs
- Anticoagulants and antiplatelet drugs, herbs, and supplements
- Anticonvulsants in neurologically disabled children
It can also worsen blood pressure for people on [high blood pressure](https://www.healthcentral.com/condition/hypertension) medication, affect sugar levels for people using [diabetes](https://www.healthcentral.com/condition/diabetes) drugs, cause excessive drowsiness by increasing melatonin levels for people on fluvoxamine, increase the side effects of melatonin in people taking contraception, and have a negative impact on people on cytochrome substrates.
If your best efforts to boost melatonin naturally donât help or if you struggle with sleep three or more times a week and the problem goes on longer than three months, reach out to a sleep specialist. He or she will help determine if melatonin supplements are right for you and what dose to take, Martin says. This is also a good idea if you have other sleep-related issues like snoring, extreme sleepiness during the day, or any unusual behaviors while asleep.
- **Understanding Melatonin (1.):** *Brain Disorders & Therapy*. (2014.) âMelatonin, the Hormone of Darkness: From Sleep Promotion to Ebola Treatment.â <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334454/>
- **Understanding Melatonin (2.):** American Academy of Family Physicians. (2020.) âMelatonin.â <https://www.familydoctor.org/melatonin/?adfree=true>
- **Studies on Melatonin:** National Center for Complementary and Integrative Health. (2021.) âMelatonin: What you need to know.â (https://www.nccih.nih.gov/health/melatonin-what-you-need-to-know)
- **Melatonin and Jet Lag:** Mayo Clinic. (2020.) âJet lag disorder.â <https://www.mayoclinic.org/diseases-conditions/jet-lag/diagnosis-treatment/drc-20374031>
- **Melatonin and Sleep Disorders:** National Center for Complementary and Integrative Health. (2015.) âSleep Disorders: In Depth.â (https://www.nccih.nih.gov/health/sleep-disorders-in-depth)
- **Melatonin and Insomnia:** *Journal of Clinical Sleep Medicine*. (2017.) âClinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: an American Academy of Sleep Medicine Clinical Practice Guideline.â <https://www.pubmed.ncbi.nlm.nih.gov/27998379/>
- **Melatonin for Medical Conditions:** Mayo Clinic. (2018.) âMelatonin.â <https://www.mayoclinic.org/drugs-supplements-melatonin/art-20363071>
- **Melatonin and Shift Work:** *Cochrane Database of Systematic Reviews*. (2014.) âPharmacological interventions for sleepiness and sleep disturbances caused by shift work.â <https://www.pubmed.ncbi.nlm.nih.gov/25113164/>
- **Melatonin and Children:** *Journal of Child Neurology*. (2019.) âPharmacologic treatments for sleep disorders in children: a systematic review.â <https://www.pubmed.ncbi.nlm.nih.gov/30674203/>
- **Melatonin and Anxiety:** *Cochrane Database of Systematic Reviews*. (2015.) âMelatonin for pre- and postoperative anxiety in adults.â <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464333/>
- **Melatonin and Viruses:** *Virus Research*. (2020.) âMelatonin potentials against viral infections including COVID-19: Current evidence and new findings.â <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405774/>
- **Melatonin and Ebola Treatment:** *Journal of Medical Virology*. (2015.) âEbola virus: melatonin as a readily available treatment option.â <https://www.pubmed.ncbi.nlm.nih.gov/25611054/>
- **Melatonin and the Brain (1.):** Endotext. (2019.) âPhysiology of the pineal gland and melatonin.â <https://www.ncbi.nlm.nih.gov/books/NBK550972/>
- **Melatonin and the Brain (2.):** National Institute of General Medical Sciences. (2021.) âCircadian rhythms.â <https://www.nigms.nih.gov/education/fact-sheets/Pages/circadian-rhythms.aspx>
- **Melatonin and the Brain (3.):** *Neurology*. (2008.) âSuprachiasmatic nucleus and melatonin.â <https://n.neurology.org/content/71/8/594>
- **Melatonin and Breast Cancer (1.):** *Breast Cancer Research and Treatment*. (2014.) âA randomized, placebo-controlled trial of melatonin on breast cancer survivors: impact on sleep, mood, and hot flashes.â <https://www.pubmed.ncbi.nlm.nih.gov/24718775/>
- **Melatonin and Breast Cancer (2.):** *Breast Cancer Research and Treatment*. (2014.) âEffect of melatonin on depressive symptoms and anxiety in patients undergoing breast cancer surgery: a randomized, double-blind, placebo-controlled trial.â <https://www.pubmed.ncbi.nlm.nih.gov/24756186/>
- **Melatonin Dosing and Research:** Stat Pearls. (2020.) âMelatonin.â <https://www.ncbi.nlm.nih.gov/books/NBK534823/>
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