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Melatonin: Timing, Safety, Kids and Legal Status

Also known as melatonin gummies, slow-release melatonin, prolonged-release melatonin, Circadin, sleep hormone

Short answer

Melatonin is a hormone your brain makes in response to darkness; it helps time your body clock and sleep [1]. The US sells it as a dietary supplement, but the UK makes it prescription-only [1][4]. Short-term use appears safe for most people; long-term safety is unclear [1]. Ask a health care provider before giving it to children [1].

Last reviewed · 8 sources

What is Melatonin?

Melatonin is a hormone made by the pineal gland in the brain. Levels rise just after dark and peak in the early hours of the morning [4]. It helps time your circadian rhythms (the 24-hour body clock) and sleep, and light at night can block its production [1]. Supplements are most often made synthetically [1].

Forms of Melatonin you'll see on labels

  • Tablets, capsules and liquids

    Common US supplement forms; melatonin is also sold as gummies [1]. The NHS calls immediate-release tablets standard tablets [3].

  • Slow-release (prolonged-release) tablets

    Release melatonin gradually during the night. In the UK, melatonin usually comes as 2 mg slow-release tablets on prescription [3].

  • Gummies

    A 2023 study found 22 of 25 melatonin gummy products were inaccurately labeled; they held 74% to 347% of the stated amount, and one had none [1].

  • Synthetic or animal-derived

    Most melatonin supplements are synthetic. Some are made from animals or microorganisms [1].

How Melatonin appears on a label

Melatonin is listed in milligrams (mg). Label amounts may not be accurate: in a 2017 test of 31 supplements, the amount in most did not match the label, and 26% contained serotonin [1]. Flavored products such as gummies are often involved when young children swallow melatonin by accident [1].

When to take Melatonin

NHS guidance for prescribed melatonin says it takes about 1 to 2 hours to work and is usually taken 30 minutes to 2 hours before bedtime, depending on the reason [2][3]. Slow-release tablets are best taken with food and swallowed whole; standard tablets are best taken 2 hours before or 2 hours after food [3]. For jet lag, the NHS says to take it at your normal bedtime at your destination, not before 8pm or after 4am [3].

What to keep apart from Melatonin

  • Alcohol

    The NHS says not to drink alcohol while taking melatonin; together they can make you sleep very deeply, so you do not breathe properly [4].

  • Caffeine

    Caffeine has the opposite effect of melatonin and can stop it working properly [4].

  • Blood thinners such as warfarin

    People taking blood thinners need medical supervision when using melatonin [1][5]. Ask your doctor or pharmacist.

  • Epilepsy medicines

    People with epilepsy need medical supervision when using melatonin; the NHS also lists carbamazepine [1][5]. Ask your doctor.

  • Sleeping pills, benzodiazepines, opioids and some antidepressants

    These can change melatonin's drowsy effects; the NHS lists zolpidem, zopiclone, temazepam, diazepam, codeine, morphine, fluvoxamine and amitriptyline [5]. Ask your pharmacist.

  • Herbal remedies that cause sleepiness

    The NHS says not to take them with melatonin because they can make you much more drowsy [5].

  • Combined pill or HRT

    Melatonin does not affect how contraception works, but melatonin levels can rise when taking the combined pill or HRT [4].

Who should ask a doctor or pharmacist first

Children: talk to a health care provider first [1]. Pregnancy and breastfeeding: research on safety is lacking, and the NHS says melatonin is not usually recommended in pregnancy [1][6]. Older adults: melatonin may stay active longer and cause daytime drowsiness, and sleep experts recommend against it for people with dementia [1]. People with epilepsy or on blood thinners need medical supervision [1]. The NHS also says to check first if you have liver or kidney problems or an autoimmune condition [7].

Keep Melatonin in a routine that fits

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Melatonin: questions people ask

In the US, melatonin is a dietary supplement [1]. In the UK, it is prescription-only, and supplements are not authorized for sale [4]. In Australia, people over 55 can buy a slow-release form over the counter; everyone else needs a prescription [8].

Speak with a health care provider first [1]. US data showed about 11,000 emergency visits from 2019 to 2022 for children 5 and under who swallowed melatonin unsupervised, so store it out of reach [1]. Healthdirect Australia says it should not be given to children under 2 [8].

The NHS says melatonin takes around 1 to 2 hours to work [2].

Short-term use appears safe for most people, but long-term safety information is lacking [1]. In the UK it is usually prescribed for 1 to 4 weeks for short-term sleep problems, sometimes up to 13 weeks [4].

Reported side effects in adults include headache, dizziness, nausea and sleepiness [1]. Some people feel tired, sick or irritable the next day [2].

No. The NHS says alcohol and melatonin together can make you sleep very deeply, so you do not breathe properly and are hard to wake [4].

Research on safety in pregnancy is lacking [1]. The NHS says it is not usually recommended during pregnancy because little is known about its effect on babies [6].

The NHS says that if you take it as prescribed, you are unlikely to become addicted. Ask a doctor about stopping if you have taken it for a long time [4].

Sources

  1. Melatonin: What You Need To Know — NIH National Center for Complementary and Integrative Health (NCCIH)
  2. About melatonin — NHS
  3. How and when to take melatonin — NHS
  4. Common questions about melatonin — NHS
  5. Taking melatonin with other medicines and herbal supplements — NHS
  6. Pregnancy, breastfeeding and fertility while taking melatonin — NHS
  7. Who can and cannot take melatonin — NHS
  8. Melatonin — healthdirect Australia

Educational information, not medical advice. The amounts above are official reference values, not a recommendation for you. Check with your doctor or pharmacist before starting or changing supplements, especially if you take medication, are pregnant or have a health condition. Supin sells a subscription, not supplements. Last reviewed .

Common questions: Melatonin with other supplements

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