Supplement × Prescription·a conflict·Emerging evidence

Melatonin + Theophylline

Conflict Emerging evidence

Theophylline can worsen insomnia and may counter sleep-promoting strategies such as melatonin.

From the database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, and the recommendation.

Substances
Pair type
Conflict
Evidence
Emerging
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
ConflictEmerging evidence

What is happening. Theophylline can worsen insomnia and may counter sleep-promoting strategies such as melatonin.

Mechanism. Adenosine receptor antagonism promotes wakefulness and can oppose circadian sleep support.

Recommendation. Address theophylline timing, serum level, and caffeine intake before escalating sleep supplements.

Stack Score

How it moves the number.

Effect on the composite score

If both Melatonin and Theophylline are in the same stack, this pair applies −10 to your Stack Score (per scored conflict row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1Shannon M. Theophylline poisoning: clinical features and management. Medical Toxicology and Adverse Drug Experience. 1993.Needs sourceNo link

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