Melatonin
Hormone ·Exploratory record · not publication-reviewed ·Updated July 13, 2026
The body's primary sleep-regulating hormone. Also a potent antioxidant with neuroprotective properties. Most people use doses far higher than needed.
Exploratory record, not a reviewed medical publication.
See the editorial and medical-review policies for the publication gate.
This generated database record has not completed a claim-level review by a qualified human medical reviewer. Bibliography links and evidence labels are not approval. The page remains available for reference and is excluded from search indexing.
What the research says.
A quick, data-only summary. The full evidence, dosing, and sources are below.
Melatonin is a hormone most often used for sleep onset, circadian rhythm regulation, jet lag. NutriStack rates the overall evidence as strong. A typical adult dose is 0.3–3 mg (lower is often better), commonly taken as low-dose (0.3-1mg) for sleep onset; extended-release for sleep maintenance. This profile indexes 20 sources.
The bottom line
Evidence rating strong. Most-documented uses: sleep onset, circadian rhythm regulation, jet lag. 20 sources indexed (2007–2025), with 0 interaction records on file.
How it works, mechanistically.
Core mechanism
Binds to MT1 and MT2 melatonin receptors in the suprachiasmatic nucleus (SCN), signaling darkness and initiating sleep cascade. MT1 promotes sleepiness; MT2 shifts circadian phase. Also a direct free radical scavenger (neutralizes hydroxyl radicals) and stimulates antioxidant enzyme production.1,2
Dosing & protocol.
Take 30-60 minutes before desired sleep time. Less is more, 0.3mg is often optimal.1,3
What it actually costs.
Real-world pricing across three quality tiers. Assumes Immediate Release.
Assumes a 1-3 mg bedtime dose. Melatonin is cheap; premium pricing usually reflects timed-release tablets or branded sleep blends. Updated 2026-04-02.
The same dose, as food.
How much you'd eat to match a supplemental dose.
Food melatonin is trace-level and not a reliable substitute for supplemental dosing.
Full safety detail.
Sources, by evidence tier.
Numbered references. Citations throughout the page link here.
Meta-analyses & systematic reviews
13- 1Melatonin Use in the ICU: A Systematic Review and Meta-Analysis.PMIDTang BHY, Manalo J, Chowdhury SR et al. · Critical Care Medicine · 2025
Melatonin supplementation improved sleep quality and reduced incidence of delirium in critically ill ICU patients.
- 2Melatonin as a Novel Drug to Improve Cardiac Function and Quality of Life in Heart Failure Patients: A Systematic Review and Meta-AnalysisPMIDDaliri AS, Goudarzi N, Harati A et al. · Clinical cardiology · 2025
Daliri AS, Goudarzi N, Harati A et al.. Melatonin as a Novel Drug to Improve Cardiac Function and Quality of Life in Heart Failure Patients: A Systematic Review and Meta-Analysis. Clinical cardiology. 2025
- 3Optimizing the Time and Dose of Melatonin as a Sleep-Promoting Drug: A Systematic Review of Randomized Controlled Trials and Dose-Response Meta-AnalysisPMIDSalanitro M et al. · Sleep Med Rev · 2024
Dose-response analysis shows melatonin peaks at 4 mg/day for sleep onset latency and total sleep time; 3 hours before bedtime may be more effective than 30 minutes.
- 4Comparative Efficacy, Tolerability, and Acceptability of Donanemab, Lecanemab, Aducanumab, Melatonin, and Aerobic Exercise for a Short Time on Cognitive Function in Mild Cognitive Impairment and Mild Alzheimer's Disease: A Systematic Review and Network Meta-AnalysisPMIDTerao I, Kodama W · Journal of Alzheimer's disease : JAD · 2024
Terao I, Kodama W. Comparative Efficacy, Tolerability, and Acceptability of Donanemab, Lecanemab, Aducanumab, Melatonin, and Aerobic Exercise for a Short Time on Cognitive Function in Mild Cognitive Impairment and Mild Alzheimer's Disease: A Systematic Review and Network Meta-Analysis. Journal of Alzheimer's disease : JAD. 2024
- 5The use of prolonged-release melatonin in circadian medicine: a systematic reviewPMIDDel Casale A, Arena JF, Giannetti F et al. · Minerva medica · 2024
Del Casale A, Arena JF, Giannetti F et al.. The use of prolonged-release melatonin in circadian medicine: a systematic review. Minerva medica. 2024
- 6Melatonin for sleep disorders in people with autism: Systematic review and meta-analysisPMIDNogueira HA, de Castro CT, da Silva DCG et al. · Progress in neuro-psychopharmacology & biological psychiatry · 2023
Nogueira HA, de Castro CT, da Silva DCG et al.. Melatonin for sleep disorders in people with autism: Systematic review and meta-analysis. Progress in neuro-psychopharmacology & biological psychiatry. 2023
- 7Melatonin supplementation improves rheumatological disease activity: A systematic reviewPMIDde Carvalho JF, Skare TL · Clinical nutrition ESPEN · 2023
de Carvalho JF, Skare TL. Melatonin supplementation improves rheumatological disease activity: A systematic review. Clinical nutrition ESPEN. 2023
- 8Efficacy of melatonin for chronic insomnia: Systematic reviews and meta-analysesPMIDFatemeh G et al. · Sleep Med · 2022
Effective melatonin doses vary by age: 0.5-3 mg in children, 3-5 mg in adolescents, 1-5 mg in adults, 1-6 mg in elderly.
- 9Efficacy of dietary supplements on improving sleep quality: a systematic review and meta-analysis.PMIDChan V, Lo K · Postgraduate Medical Journal · 2022
Melatonin was among the most effective dietary supplements for improving subjective sleep quality and reducing sleep onset latency.
- 10Efficacy and safety of exogenous melatonin for secondary sleep disorders: a meta-analysisLi T, Jiang S, Han M et al. · Front Neuroendocrinol · 2019
- 11Effect of melatonin supplementation on metabolic parameters: a systematic review and meta-analysisMohammadi-Sartang M, Ghorbani M, Mazloom Z · Clin Nutr ESPEN · 2018
- 12Melatonin for preoperative and postoperative anxiety in adults: a Cochrane reviewHansen MV, Halladin NL, Rosenberg J et al. · Cochrane Database · 2015
- 13Meta-analysis: melatonin for the treatment of primary sleep disordersPMIDFerracioli-Oda E et al. · PLoS One · 2013
19 studies (1,683 subjects): melatonin reduced sleep onset latency by 7.06 min, increased total sleep time by 8.25 min; effects do not dissipate with continued use.
Reviews & position papers
4- 14Adverse events in long-term studies of exogenous melatoninPMIDMenczel Schrire Z et al. · J Pineal Res · 2022
Long-term melatonin causes only mild adverse events comparable to placebo; most common: daytime sleepiness (1.66%), headache (0.74%), dizziness (0.74%).
- 15The Safety of Melatonin in HumansPMIDAndersen LP et al. · Clin Drug Investig · 2016
Short-term use is safe even in extreme doses; only mild adverse effects (dizziness, headache, nausea, sleepiness) reported.
- 16Melatonin as an antioxidant: under promises but over deliversPMIDReiter RJ et al. · J Pineal Res · 2016
Melatonin is a direct free radical scavenger, stimulates antioxidant enzyme production, and has been effective against oxidative stress in human trials.
- 17Melatonin as a circadian rhythm regulator in shift workers: a randomized controlled trialLiira J, Verbeek JH, Costa G et al. · Cochrane Database · 2014
Observational studies
1- 18Prolonged-release melatonin for insomnia: an open-label, long-term safety study in older adultsLemoine P, Nir T, Laudon M et al. · J Pineal Res · 2007
Reference material
2- 19Fatemeh G, Sajjad M, Niloufar R et al.. Effect of melatonin supplementation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Journal of neurology. 2022Source linkedPMID
- 20Harpsøe NG, Andersen LP, Gögenur I et al.. Clinical pharmacokinetics of melatonin: a systematic review. European journal of clinical pharmacology. 2015Source linkedPMID
Common questions.
Quick answers about Melatonin, drawn from the data on this page.
What is Melatonin?
The body's primary sleep-regulating hormone. Also a potent antioxidant with neuroprotective properties. Most people use doses far higher than needed.
What is Melatonin used for?
Commonly cited benefits of Melatonin include: Sleep onset; Circadian rhythm regulation; Jet lag; Antioxidant; Neuroprotection. NutriStack rates the overall evidence as strong.
What is a typical dose of Melatonin?
A typical adult dose of Melatonin is 0.3–3 mg (lower is often better). The commonly recommended form is Low-dose (0.3-1mg) for sleep onset; extended-release for sleep maintenance. These are general ranges, not personalized advice; confirm the right dose with a clinician.
What are the side effects of Melatonin?
Reported side effects include morning grogginess (dose too high), vivid dreams, headache, daytime sleepiness. This is educational information; check with a healthcare professional before use.
How strong is the evidence for Melatonin?
NutriStack rates this as Strong, meaning multiple high-quality meta-analyses or systematic reviews converge on the same finding. Full tier criteria are at https://nutristackapp.com/methodology/evidence-tiers.
Use this with your stack
Melatonin in NutriStack.
Add it to your stack, see how it interacts with everything else you take, and get a Stack Score that updates the moment it does.