“If melatonin for sleep isn't helping after a week or two, stop using it,” says Buenaver. “And if your sleep problems continue, talk with your health care provider. If melatonin does seem to help, it's safe for most people to take nightly for one to two months. “After that, stop and see how your sleep is,” he suggests.
Does long-term melatonin use lead to health risks? The health risks of long-term melatonin use are still unknown due to a lack of high quality studies. But from what has been studied so far, melatonin doesn't seem to cause any serious problems.
Regardless of whether it truly helps with sleep or not, Dr. Ramkissoon doesn't recommend taking melatonin long-term. "Namely, because if you think you need to take melatonin every night to get to sleep, we need to understand why that's the case," explains Dr. Ramkissoon.
The current clinical consensus is that daily melatonin consumption is considered safe. However, according to a 2020 article published in Antioxidants, more research is needed to determine the correct dose and time and understand potential long-term effects.
You'll usually be prescribed melatonin for 1 to 4 weeks. In some cases it can be prescribed for up to 13 weeks. If you still have sleeping problems after finishing your course of melatonin, try making lifestyle changes that can help with insomnia. See a doctor again if these tips do not help.
Less common melatonin side effects might include short-lasting feelings of depression, mild tremor, mild anxiety, abdominal cramps, irritability, reduced alertness, confusion or disorientation. Because melatonin can cause daytime drowsiness, don't drive or use machinery within five hours of taking the supplement.
If you've been drinking alcohol, it's also not safe to take melatonin. Melatonin is also not for you if you're pregnant or breastfeeding. Researchers simply don't have enough data to know if it's safe for fetuses or breastfed babies.
Melatonin can potentially interfere with immunosuppressive drugs. Diabetes medications. Melatonin use can affect blood sugar levels. Blood pressure medications.
Sleep Medications Containing Melatonin can Potentially Induce Ventricular Arrhythmias in Structurally Normal Hearts: A 2-Patient Report - PMC. The . gov means it's official.
Stopping the use of melatonin
You should not get any harmful discontinuation or withdrawal effects if you stop taking melatonin. However, you may get your old symptoms back. If you are on a high dose, then the doctor may wish to reduce the dose slowly before stopping it completely.
Unlike with many sleep medications, with melatonin you are unlikely to become dependent on it, have less response to it after repeated use or experience a hangover effect. The most common melatonin side effects include: Headache.
Melatonin alternatives include magnesium, GABA, valerian root, and tart cherry. If you regularly struggle to fall or stay asleep, speak with your physician, who can determine if underlying issues are causing your sleep problems.
What is a safe melatonin dose? According to Michael Grandner, director of the Sleep and Health Research Program at the University of Arizona, “melatonin is very safe if taken in normal doses,” which is anything between 0.5 mg and 5 mg.
Melatonin Target Sites and Receptors
Melatonin's target sites are both central and peripheral. Binding sites have been found in many areas of the brain, including the pars tuberalis and hypothalamus, but also in the cells of the immune system, gonads, kidney, and the cardiovascular system (39, 40).
Repeated melatonin intake reduced systolic and diastolic blood pressure during sleep by 6 and 4 mm Hg, respectively. The treatment did not affect heart rate. The day–night amplitudes of the rhythms in systolic and diastolic blood pressures were increased by 15% and 25%, respectively.
Studies have shown that melatonin level declines with age, which may increase conditions related to circadian rhythm, such as sleep disorders. Melatonin is often prescribed to treat insomnia in older patients.
Answer: Taking small to moderate doses of melatonin from supplements does not appear to reduce the body's own production of melatonin (endogenous melatonin), although there are other factors that may decrease your body's natural levels of melatonin.
It is found that melatonin has a negative effect on long-term potentiation, inhibiting its magnitude. As long-term potentiation is related to some forms of learning and memory, melatonin inhibits learning and memory too.
If melatonin does seem to help, it's safe for most people to take nightly for one to two months. “After that, stop and see how your sleep is,” he suggests. “Be sure you're also relaxing before bed, keeping the lights low and sleeping in a cool, dark, comfortable bedroom for optimal results.”
In this study, melatonin worked better than a placebo sugar pill to improve sleep and decrease symptoms of depression and anxiety. Research shows that melatonin can be effective at reducing anxiety before surgical or medical procedures.
Light defeats melatonin.
If you correctly take melatonin 2-3 hours before you want to fall asleep, but you continue to be exposed to bright light or “blue light” (such as every electronic screen you own, from your mobile phone to the TV), your body is getting mixed messages, and taking melatonin won't help.
You cannot build up a tolerance to melatonin. This means that the same dosage of melatonin taken every day will not build up in the body, and you won't need a higher dosage over time to experience the same effect.
The scientists have shown that chronic administration of melatonin at doses (10 mg/kg body weight/day) prevents mitochondrial and endoplasmic reticulum disruption, which play a critical role in the development and pathogenesis of kidney cell (nephron) damage, and its progression to renal failure.
Several of the most popular natural sleep aids include melatonin, GABA, tryptophan, 5-HTP, CBD and THC, valerian root and lavender.