Melatonin’s safety is still being researched, and in some countries, the supplement is only available through a prescription. Short-term use, however, appears to be safe for most users, according to the National Center for Complementary and Integrative Health. As it’s considered a dietary supplement, melatonin is not strictly monitored by the Food and Drug Administration (FDA) and there is no official recommended dosage.
What to Consider Before Using Melatonin
Those considering the use of melatonin should speak with their health care provider to determine if the supplement is right for them, as well as the appropriate dosage. Consider the following before taking melatonin:
Side effects: While melatonin is typically well-tolerated, some people experience dizziness, headaches, nausea and daytime sleepiness. Children have also been found to experience these symptoms in addition to the possibility of bed-wetting and overall agitation. Additional reported side effects include vivid dreams or nightmares, stomach cramps, decreased libido, reduced sperm count and male breast enlargement (gynecomastia).
Allergic reactions: Melatonin can cause allergic reactions and interfere with medications. People taking prescription medication should not take melatonin without first discussing it with their doctor.
Mental disorders: Melatonin is not recommended for use by people with dementia, according to the American Academy of Sleep Medicine, and it may worsen symptoms in anyone suffering from depression.
Pregnancy: Medical experts recommend pregnant people do not take melatonin, as there isn’t enough research to determine how it may interfere with fertility, pregnancy or breastfeeding.
Age: Children require different, and oftentimes lower, doses of melatonin, and too high a dose can lead to risk of seizures. Children should only be given melatonin after consulting their pediatrician. Similarly, seniors should consult their health care provider as well before using melatonin, as it may remain active in their system for longer amounts of time and cause drowsiness during the day.
Hormone-related issues: As melatonin is a hormone, experts suggest those with hormone-related issues consult their doctor before use. People with hormone-related issues should only use melatonin under medical supervision.