Safety · Supplement

Melatonin: side effects, safety & interactions

Safe short-term; grogginess and vivid dreams at high doses. It is a hormone, so caution in pregnancy and with autoimmune

Overall grade
Grade B
Last revised
0
graded outcomes
0
references listed

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What is uncertain

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  • Watch with Caffeine: Opposing signals — the afternoon caffeine cutoff protects the melatonin window.
  • Watch with Glycine: Both pre-bed and compatible.

The evidence in words

Safety profile

Safe short-term; grogginess and vivid dreams at high doses. It is a hormone, so caution in pregnancy and with autoimmune conditions; long-term data in children are limited.

Interactions to respect

Caffeine — Opposing signals — the afternoon caffeine cutoff protects the melatonin window. · Glycine — Both pre-bed and compatible. · SSRIs / SNRIs — Some SSRIs (fluvoxamine) spike melatonin levels — microdose or skip.

What Melatonin is

Melatonin is the hormone the pineal gland releases in darkness to signal biological night. Supplements shift the body clock and modestly aid sleep onset.

The honest bottom line

Use it as a clock-setter, not a sledgehammer: 0.3–1 mg timed correctly for jet lag, shift work, or delayed sleep phase. Skip the 10 mg megadoses.

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Sources

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Last revised . A grade is this entry's reading of the evidence, not medical advice.