Melatonin is possibly safe when taken long-term. It's been used safely for up to 2 years. But it can cause some side effects including headache, sleepiness, dizziness, and nausea.
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.
“Taking too much melatonin can lead to adverse effects such as headaches, depression, anxiety, pain, irritability, and grogginess,” says Dr.
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 the UK and most of Europe, it's classed as a medicine, not a health supplement and as such, requires a prescription. This is because melatonin is considered “medical by function” which means that it requires a drug licence.
In several clinical trials, melatonin was found to be well tolerated and not associated with serum enzyme elevations or evidence of liver injury. Despite wide scale use, melatonin has not been convincingly linked to instances of clinically apparent liver injury.
Furthermore melatonin has been shown to have valuable effects on cardiovascular health, blood pressure, and endothelial function and it might benefit patients with heart failure.
Melatonin is generally safe for short-term use. 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.
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.
Most people overdo it with melatonin by taking upward of 10 milligrams or more prior to bed and then claim it doesn't work. Taking too much melatonin can actually cause rebound insomnia —either rendering the supplement ineffective or worse, exacerbating your already sleepless nights further.
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.
Natural alternatives to melatonin, such as magnesium, valerian root, l-theanine, chamomile, and passionflower, are all-natural remedies that have been used for centuries to promote relaxation and help people get a better night's sleep.
This may include cramps, nausea, and diarrhea. Dizziness Some people who take melatonin also report mild dizziness, lightheadedness, or vertigo. Irritability Too much melatonin can also affect mood. You may feel cranky, anxious, or have periods of depression.
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).
The melatonin system, including melatonin precursor l-tryptophan and the melatonin derivatives kynuramines, is probably implicated in pancreatic physiology and its malfunctioning, resulting in the impairment of pancreatic functions and pancreatic resistance to inflammation and cancer.
In general, melatonin should not be given to healthy, typically developing children under age 3, as difficulties falling and staying asleep in these children are almost always behavioral in nature.
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.
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 has been linked to headaches, dizziness, nausea, stomach cramps, drowsiness, confusion or disorientation, irritability and mild anxiety, depression and tremors as well as abnormally low blood pressure. It can also interact with common medications and trigger allergies.
The NDPSC considered that insufficient information was available on the safety of melatonin to allow it to remain exempt from scheduling for human therapeutic use and that it should not be available without prescription.
French authorities are urging certain populations to avoid consuming food supplements containing melatonin after incidences of adverse effects were reported to the country's nutrivigilance scheme.
Eggs and fish are higher melatonin-containing food groups in animal foods, whereas in plant foods, nuts are with the highest content of melatonin. Some kinds of mushrooms, cereals and germinated legumes or seeds are also good dietary sources of melatonin.