Melatonin is a supplement that replaces the hormone produced naturally by your body to help control your sleep-wake cycle. Your body makes more melatonin when it’s dark, signaling your body that it’s time to sleep. When it’s light, melatonin levels drop, telling your body to wake up.
When your melatonin levels are low, you can struggle with sleep-related problems like insomnia and jet lag. In these cases, taking melatonin supplements can help improve your sleep quality.[1]
Due to our technology-driven lifestyle, sleep issues have become relatively common. In fact, the U.S. Census Bureau estimated that about five million Americans were using melatonin to improve their sleep in 2017-2018.[2]
How does Melatonin work?
Your body produces melatonin naturally, to help regulate your internal clock (circadian rhythm) and prepare you for sleep.[3]
About two hours before bedtime, the pineal gland in your brain starts producing melatonin in response to darkness, which is why it’s often called the “hormone of darkness.” But if you’re exposed to light (for instance blue light from screens), your melatonin levels drop, making it harder to fall asleep.
Besides promoting sleep, melatonin also has antioxidant properties, protecting your cells from damage.[4]
Although melatonin supplements are made in a lab, they work in the same way as the natural hormone in your body. They help create a relaxed, calm state that makes it easier for you to fall asleep.
What forms of Melatonin are there?
Melatonin is available in different forms, including immediate-release or controlled-release tablets and capsules, with doses ranging from 1mg to 10mg. You can also find it in other forms like gummies, liquid drops, and face sheet masks.
Treated trusted source:
Fatemeh, G., et al. (2021). Effect of melatonin supplementation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Journal of Neurology, 269(1).
Tomás-Zapico, C. and Coto-Montes, A. (2005). A proposed mechanism to explain the stimulatory effect of melatonin on antioxidative enzymes. Journal of Pineal Research, 39(2), pp.99–104.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr. Joseph Palumbo on February 19, 2025. Next review due on February 20, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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How to take Melatonin for insomnia?
Take one tablet by mouth before bedtime with a glass of water. Some experts suggest taking it about two hours before bed to align with your body’s natural melatonin production.
Whether you should take it with or without food depends on the type of tablet you’re using:
if you’re taking a controlled-release tablet, take it with or after food.
if you’re using an immediate-release tablet though, take it on an empty stomach, about two hours before or after eating.
For short-term insomnia, melatonin is usually recommended for one to four weeks. But in some other cases, it may be prescribed for up to six months.
How long does it take for Melatonin to work for insomnia?
Melatonin usually starts working within one to two hours, reaching peak levels about 50 minutes after taking it.[1] Its effects can last anywhere from four to eight hours, but it may take a few days or weeks to notice its full benefits. This is because your body needs time to get back into a healthy sleep routine.
How long does Melatonin stay in your system?
How long melatonin stays in your body can vary based on factors like age, overall health, dosage, and whether you’re taking an immediate- or controlled-release form. But, typically, an oral dose of melatonin stays in your system for about four to five hours. A small study on healthy adult men found that after taking a 10mg dose, melatonin levels in the blood dropped to zero within five hours.[1]
How much Melatonin is too much?
When it comes to melatonin, a little usually goes a long way. A 3 mg dose of immediate-release melatonin can raise your blood levels to about 60 times the normal amount your body produces at night. While everyone’s response to melatonin can vary, most experts recommend keeping the dose under 10mg for adults.
Taking too much can lead to side effects. Overdosing on melatonin can cause symptoms like drowsiness, dizziness, headaches, confusion, nightmares, low blood pressure, rapid heart rate, and low body temperature.[2]
Treated trusted source:
Harpsøe, N.G., et al. (2015). Clinical Pharmacokinetics of melatonin: a Systematic Review. European Journal of Clinical Pharmacology, 71(8), pp.901–909.
T. Gutiérrez Higueras, F. et al. (2022). Attempted suicide by Melatonin overdose: Case report and literature review. European Psychiatry, [online] 65(S1), pp.S836–S837.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr. Joseph Palumbo on February 19, 2025. Next review due on February 20, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Melatonin isn’t suitable for everyone, and there are some things that you need to be aware of when taking it.
Here’s all the official info on it. If anything is unclear, let our experts know, and they can talk with you about it.
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Melatonin: FAQ
Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.
Can I take Melatonin with other medications I’m using?
Answer:
Melatonin can interact with other medications, which may increase your risk of side effects. Some drugs can make melatonin more or less effective, while others can enhance its drowsy effects.
Don’t take melatonin with herbal remedies like berberine or over-the-counter sleep aids like Benadryl, NyQuil, or sedatives like Lunesta. Combining these can make you feel overly sleepy.
You should also let your physician know if you are using any of the following medications before starting taking melatonin:
antidepressants like fluoxetine (Prozac);
blood pressure medications;
anti-inflammatory drugs like ibuprofen and diclofenac;
benzodiazepines like diazepam (Valium);
estrogen-based medications like birth control pills or hormone replacement therapy;
opiates like codeine and morphine;
some antibiotics like quinolones and rifampicin;
epilepsy medications like carbamazepine;
treatments for psoriasis like psoralens;
blood thinners like warfarin;
schizophrenia medications like thioridazine;
stomach ulcer treatments like cimetidine; and:
other sleep medications like zolpidem (Ambien) and eszopiclone (Lunesta).
Can I drink alcohol while taking Melatonin?
Answer:
It’s best to avoid drinking alcohol while taking melatonin. Mixing the two can lead to unwanted effects like increased heart rate, redness in your face, and swelling in your hands or feet. You might also feel more anxious or irritable, experience vivid dreams or nightmares, confusion, and have poor sleep quality.
Another risk is that alcohol can interfere with melatonin’s ability to help you sleep, making you feel even drowsier, and raise the chances of falls or injuries.[1]
Is Melatonin safe?
Answer:
Melatonin is generally safe for most adults when used short-term, though it can occasionally cause side effects like headaches, sleepiness, dizziness and nausea. Since melatonin can make you drowsy, it’s not safe to drive or use heavy machinery for 4 to 5 hours after taking it.
Melatonin might also be unsafe if you have any of these conditions:[2]
a bleeding disorder, as melatonin could worsen the bleeding;
high blood pressure, especially if you take medication for hypertension;
a seizure disorder, as melatonin could increase the risk of seizures;
depression, because melatonin can also make symptoms of depression worse; or:
if you’ve received a transplant, because melatonin can interfere with immune-suppressing medications by enhancing your immune response.
Can you take Melatonin while pregnant?
Answer:
We’re still not sure if melatonin is safe during pregnancy because there isn’t enough solid information yet. So if you’re considering using it, it’s always a good idea to get advice from your physician first.[2]
Our experts continually monitor new findings in health and medicine, and we update our articles when new info becomes available.
Feb 19, 2025
Published by: The Treated Content Team.Medically reviewed by: Dr. Joseph Palumbo, Senior Medical Adviser
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Dr. Joseph Palumbo
Senior Medical Adviser
Joseph joined Treated in 2023, and is one of the lead doctors providing prescribing services for the platform.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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