Melatonin
Also known as: N-acetyl-5-methoxytryptamine
N-acetyl-5-methoxytryptamine derived from tryptophan→serotonin; binds MT1/MT2 receptors to signal darkness and gate sleep onset.
Last reviewed: 2026-06-23 · 1 indexed study
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Overview
Melatonin is the pineal hormone that signals circadian darkness; supplementation supports sleep onset, jet lag, and shift work, with antioxidant effects at higher doses.
Mechanism & Function
Mechanism of Action
Lowers sleep latency, phase-shifts circadian rhythm, and provides direct antioxidant effects in mitochondria.
Physiological Role
Most validated for jet lag (eastward travel), shift workers, and delayed sleep phase syndrome; chronic high-dose use should be reviewed.
Primary Pathways
Performance / Health Relevance
Robust meta-analyses for sleep latency and jet lag; emerging evidence for COVID adjunct and oncology supportive care.
Evidence Review
Practical Use & Dosage
- Minimum Effective Dose
- 0.3 mg
- Optimal Range
- 0.3–1 mg pre-bed (physiologic); 3–5 mg for jet lag
- Upper / Caution Level
- ~10 mg (often unnecessary)
- Timing
- 30–60 min pre-bed
- Best Format
- Sublingual, capsule, gummy
- Bioavailability
- ~15% oral bioavailability; higher sublingual.
- Absorption Considerations
- Rapid; Tmax ~30 min; half-life ~40 min.
Safety & Interactions
Side Effects
- •Morning grogginess
- •Vivid dreams
- •Headache
- •Mild depression at high doses
Contraindications
- Pregnancy
- Autoimmune disease (caution)
- Children without paediatric guidance
Drug Interactions
- •Anticoagulants
- •SSRIs
- •Immunosuppressants
- •Diabetes meds
Who Should Avoid
- •Daytime use
- •Pregnancy
Monitoring
None routine.
Frequently Asked Questions
Auto-generated from indexed evidence — dosage, safety, interactions, and more.
When is Melatonin typically used or indicated?
Melatonin is most commonly used for: Sleep onset, Jet lag, Circadian regulation, Antioxidant. Most validated for jet lag (eastward travel), shift workers, and delayed sleep phase syndrome; chronic high-dose use should be reviewed.
How does Melatonin work?
Lowers sleep latency, phase-shifts circadian rhythm, and provides direct antioxidant effects in mitochondria.
What is the recommended dose of Melatonin?
The optimal range is 0.3–1 mg pre-bed (physiologic); 3–5 mg for jet lag. with a minimum effective dose of 0.3 mg. Best taken: 30–60 min pre-bed. Upper / caution level: ~10 mg (often unnecessary).
What are the side effects of Melatonin?
Reported side effects include: Morning grogginess; Vivid dreams; Headache; and Mild depression at high doses. Monitoring: None routine.
Does Melatonin interact with medications?
Known or theoretical interactions: Anticoagulants; SSRIs; Immunosuppressants; and Diabetes meds. Always check with a clinician before combining with prescription medication.
Who should avoid Melatonin?
Melatonin is generally not recommended for: Daytime use; Pregnancy; Pregnancy; Autoimmune disease (caution); and Children without paediatric guidance.
How strong is the evidence for Melatonin?
Evidence level: Strong (overall score 80/100), based on 1 indexed study on SuppIndex.
Research & References (1)
Melatonin for primary insomnia: meta-analysis
Significant reduction in sleep latency (~7 min) and improved sleep quality vs placebo.
Related Ingredients
Other top-rated ingredients in Sleep and Stress Support Ingredients.
Research Overview
Strong EvidenceCite this ingredient
One-click citation export in APA, MLA, Chicago, BibTeX, or HTML. The URL below is stable and safe to link.
Stable URL
https://thesuppindex.com/ingredients/melatonin
SuppIndex. (2026). Melatonin: Evidence summary, dosage and clinical studies. Retrieved October 16, 2026, from https://thesuppindex.com/ingredients/melatonin
Based on 1 indexed studies · Evidence level: Strong.
Goal Ratings
Stack Compatibility
Pair with magnesium, glycine, L-theanine; UK restrictions apply (Rx only); US/EU OTC.
