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Does melatonin help you sleep?

Updated Nov 14, 2026 · 41 papers read from PubMed abstracts · 20 on topic

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Short answer

A small effect, clearer in children.

Pooled trials find melatonin helps people fall asleep 5.05 to 7.06 minutes sooner. Gains are clearer in children with sleep problems. Reviews disagree for adults with insomnia, and long-term safety is barely studied.

Confidence

Low

What “low” means

This page says what the research shows. It does not say whether you should take melatonin.

Where the evidence stands

Each dot is one on-topic paper. Steps near the top answer the question more directly. Select a dot to see the study.

↑ Stronger evidence

  1. Trials in people: sleep onset and sleep quality

    Trials that measured sleep, and safety with long-term use directly.

    8

    2 benefit, 2 mixed, 4 no difference

  2. Trials in people: other measures

    Trials that measured other health or performance measures.

    2

    1 benefit, 1 no difference

  3. Trials in people: lab tests or safety

    Trials that measured lab tests, side effects or safety.

    0

    None among the papers we read.

  4. Population studies

    Studies that followed or surveyed groups of people. They show links, not causes.

    0

    None among the papers we read.

  5. Blood levels and genes

    Studies that link blood levels or genes to health.

    0

    None among the papers we read.

↓ Weaker evidence

  • Points to benefit
  • Mixed
  • No difference
  • No direction
  • Points to harm

Not on the ladder: 9 reviews of many studies (shown below), 1 opinion or narrative paper. Counts are papers, not people. Some studies appear in more than one paper.

See every study

What we found

  • A 2013 review of 19 studies (1683 people) found melatonin cut time to fall asleep by 7.06 minutes and added 8.25 minutes of sleep versus placebo. Ferracioli-Oda 2013
  • In adults with insomnia, prolonged-release melatonin cut time to fall asleep by 6.30 minutes as people reported it and 5.05 minutes as measured; authors call these small to medium effects. Maruani 2023
  • A 2022 review of 24 trials found melatonin helped children and teens with long-lasting insomnia, but not adults without other illnesses. Choi 2022
  • Short trials reported few side effects, but reviews say long-term side effects are unclear and long-term studies in children are lacking. K 2026, Xu 2020, Yue 2023, Owens 2025

What the research says

Falling asleep: a few minutes faster

Pooled trials agree the gain is small. A 2013 review found people fell asleep 7.06 minutes sooner and slept 8.25 minutes longer than on placebo. A 2023 review of prolonged-release melatonin found 6.30 minutes sooner by self-report and 5.05 minutes by measurement.

A 2024 review of 26 trials found the effect grew with dose up to 4 mg/day, and may be larger when taken 3 h before bedtime. In 64 healthy adults, one 2 mg dose cut falling asleep by 7:04 minutes and added 24 minutes of sleep.

Studies: Ferracioli-Oda 2013, Maruani 2023, Cruz-Sanabria 2024, Pachimsawat 2024

Adults with insomnia: reviews disagree on any benefit

A 2022 review of 154 trials found melatonin did not show overall material benefits, and several sleeping pills worked better. Another 2022 review found no clear gain in adults without other illnesses. A 2023 review found small gains, larger in studies with mean age 55 or older.

In a four-week trial of middle-aged adults with insomnia, 3 mg did not change time to fall asleep or sleep quality scores, though waking too early fell by 30.63 minutes. No paper here studied shift workers.

Studies: De Crescenzo 2022, Choi 2022, Maruani 2023, Xu 2020

Children: clearer gains, but long-term data lacking

A 2022 review found melatonin helped children and teens with long-lasting insomnia fall asleep sooner and sleep longer. In a 12-week trial of 120 children with cerebral palsy, melatonin cut time to fall asleep by 27.72 minutes and added 1.31 hours of sleep versus placebo.

In a small trial of 13 people with Dravet syndrome, a severe epilepsy, melatonin did not increase total sleep. A 2025 review says evidence is lacking for typically developing children and for long-term side effects.

Studies: Choi 2022, K 2026, Myers 2018, Owens 2025

Other illnesses and hospital stays: mixed results

A review of 23 trials found melatonin improved a sleep quality score by 1.24 points, with gains in breathing, metabolic and sleep disorders but not mental or brain diseases. Yet a trial in Parkinson's disease, a brain disease, found sleep quality scores 1.87 points better than placebo.

In intensive care, a review of 32 trials found melatonin may improve reported sleep, with low certainty, but a 334-person trial found sleep quality similar to placebo. After hip replacement, 5 mg gave more sleep on day two; after knee replacement, gains were unclear.

Studies: Fatemeh 2022, Sugumaran 2024, Tang 2025, Mekontso Dessap 2025, Haider 2025, Haider 2024

Safety: few side effects reported, long-term unknown

Trials of up to 12 weeks reported few side effects. In a trial of 1,793 adults taking melatonin or CBD capsules, 12% reported a side effect and none were severe. An intensive care review found melatonin may slightly reduce adverse events.

Reviews say long-term side effects are unclear. Fifteen human studies of pregnancy and breastfeeding raised no major safety concerns in trials for other conditions, but none made insomnia the main outcome.

Studies: K 2026, Saleska 2024, Tang 2025, Yue 2023, Owens 2025, Vine 2022

What reviews of many studies found

Reviews pool or sum up earlier studies. They are not on the ladder, because they repeat studies already counted there.

  • Pooled review (meta-analysis) · De Crescenzo 2022

    Pooled 154 double-blind trials (44 089 people) of 30 insomnia drugs in adults. Melatonin, ramelteon and unlicensed drugs did not show overall material benefits; several sleeping pills worked better than melatonin.

  • Pooled review (meta-analysis) · Maruani 2023

    Pooled 22 studies (4875 people, 925 on melatonin) of adults with insomnia. Prolonged-release melatonin cut time to fall asleep by 6.30 minutes self-reported and 5.05 minutes measured: small to medium effects.

  • Pooled review (meta-analysis) · Cruz-Sanabria 2024

    Pooled 26 placebo trials (1689 observations) in people with insomnia and healthy volunteers. The effect on falling asleep and total sleep grew with dose, peaking at 4 mg/day, and with earlier timing.

  • Pooled review (meta-analysis) · Tang 2025

    Pooled 32 trials (3895 patients) in intensive care. Melatonin may improve reported sleep, may reduce delirium and may slightly reduce adverse events; certainty was low because of bias and inconsistency.

How the research grew

The papers we read span 2013 to 2026. 10 of the 20 on-topic papers came out in 2024 to 2026. The earliest trial in people here is from 2018.

Trials in people
Reviews
Opinion
2013
2015
2017
2019
2021
2023
2025
2026
  1. 2013
    Reviews
  2. 2018
    Trials in people
  3. 2020
    Trials in people
  4. 2022
    Reviews
  5. 2023
    Reviews
  6. 2024
    Trials in peopleReviews
  7. 2025
    Trials in peopleReviewsOpinion
  8. 2026
    Trials in people

Each dot is one on-topic paper, colored by what it found. Rings mark key papers:

  1. 2013. 2013 review: minutes faster to fall asleep. Ferracioli-Oda 2013
  2. 2022. Largest review: no material benefit in adult insomnia. De Crescenzo 2022
  3. 2022. Review splits ages: children helped, adults not. Choi 2022
  4. 2024. Dose review: effect peaks at 4 mg/day. Cruz-Sanabria 2024
  5. 2026. Cerebral palsy trial: children fell asleep 27.72 minutes sooner. K 2026

Doses tested

10 trial papers gave a set daily amount in mg a day, from 2 to 10. Each dot shows the dose and what the trial found.

  1. 2 mg a day · Pachimsawat 2024
    64 people · points to benefit
  2. 3 mg a day · Mekontso Dessap 2025
    334 people · 2 weeks · no difference
  3. 3 mg a day · Xu 2020
    97 people · 4 weeks · mixed
  4. 3 mg a day · Sugumaran 2024
    73 people · 8 weeks · points to benefit
  5. 5 mg a day · Haider 2024
    128 people · 2 weeks · no difference
  6. 5 mg a day · Gendy 2020
    60 people · 4 weeks · no difference
  7. 5 mg a day · Haider 2025
    139 people · 2 weeks · mixed
  8. 5 mg a day · Saleska 2024
    1,793 people · 4 weeks · no difference
  9. 6 mg a day · Myers 2018
    13 people · no difference
  10. 10 mg a day · K 2026
    120 people · 12 weeks · points to benefit
  11. mg a day
    024681012
  • Points to benefit
  • Mixed
  • No difference
  • No direction
  • Points to harm

One row per paper, so a trial reported in two papers appears twice.

Who funds this research

2 of 10 trial papers have a company stake: author ties to firms such as Pfizer, MSD, Canopy and Bioprojet, none a melatonin maker. 5 trials have no disclosure in PubMed. This did not change the confidence.

  • Company stake 2
  • No disclosure in PubMed 5
  • No stake declared 3

Funding rule. A stake is always shown. Confidence is lowered only when every supporting study comes from a party with a stake. "No disclosure in PubMed" means the PubMed record has no conflict-of-interest statement. It does not mean there is no conflict.

All 20 on-topic papers

Each paper shows what it tested, what it found, and who has a stake. Every paper also has its own page that explains how much it counts and how it fits. See every study as a list.

  1. Randomized trial · measured the question itselfK et al., 2026Indian journal of pediatrics · PubMed

    Oral Melatonin Supplementation for Sleep Disturbances in Children with Cerebral Palsy: A Randomized Double-Blind Controlled Trial.

    120 people · children aged 3 to 12 with cerebral palsy and sleep problems

    TestedMelatonin 3 mg raised up to 10 mg a day vs placebo for 12 weeks

    At 12 weeks, sleep was 6.29 (0.78) vs 4.98 (0.85) h (MD 1.31; P < 0.001) and time to fall asleep was 43.20 ± 15.57 vs 70.92 ± 14.95 min (MD 27.72; P < 0.001). Side effects were minimal (n = 10).

    Points to benefitNo stake declaredAbstract only

    Conflict of interest: None.

    Read the study page

  2. Randomized trial · measured the question itselfHaider et al., 2025The Journal of arthroplasty · PubMed

    Does Melatonin Improve Sleep Following Primary Total Hip Arthroplasty? A Randomized, Double-Blind, Placebo-Controlled Trial.

    139 people · adults after hip replacement surgery

    TestedMelatonin 5 mg each night vs placebo for 14 days

    Sleepiness scores were similar (melatonin: 6.0 ± 4.0; placebo: 6.8 ± 4.5, P = 0.35). Melatonin users slept more on day 2 (6.5 ± 1.7; 5.7 ± 2.4, P = 0.017) and had lower sleep disturbance scores (52.5 ± 9.3; 56.3 ± 9.2, P = 0.040).

    MixedNo disclosure in PubMedAbstract only

    No disclosure in PubMed.

    Read the study page

  3. Randomized trial · measured the question itselfSugumaran et al., 2024Sleep medicine · PubMed

    Melatonin on sleep in Parkinson's disease: A randomized double blind placebo controlled trial.

    73 people · people with Parkinson's disease and sleep problems

    TestedMelatonin 3 mg vs placebo for 8 weeks

    Melatonin beat placebo on PSQI score (1.87, 95 % CI: 1.5-2.1) and sleep latency 8.36 (95 % CI 4.38-12.34) and total sleep time 14.51 (95 % CI 5.00-24.41). Side effects were minimal.

    Points to benefitNo stake declaredAbstract only

    Authors declare no known competing financial interests.

    Read the study page

  4. Randomized trial · measured the question itselfHaider et al., 2024The Journal of arthroplasty · PubMed

    Does Melatonin Improve Sleep Following Primary Total Knee Arthroplasty? A Randomized, Double-Blind, Placebo-Controlled Trial.

    128 people · adults after knee replacement surgery

    TestedMelatonin 5 mg each night vs placebo for 14 days

    Melatonin patients slept a bit more on days 2 and 3 (placebo: 5.0 ± 2.4, melatonin: 5.8 ± 2.0, P = .084), but differences were not significant. Sleep disturbance scores were similar in both groups.

    No differenceNo disclosure in PubMedAbstract only

    No disclosure in PubMed.

    Read the study page

  5. Randomized trial · measured the question itselfSaleska et al., 2024Journal of the American Nutrition Association · PubMed

    The Safety and Comparative Effectiveness of Non-Psychoactive Cannabinoid Formulations for the Improvement of Sleep: A Double-Blinded, Randomized Controlled Trial.

    1,793 people · adults with sleep problems

    TestedSix capsule products for 4 weeks: 15 mg CBD or 5 mg melatonin, alone or with other cannabinoids; no placebo group

    All products, including 5 mg melatonin, improved sleep disturbance scores within groups (p < 0.001). Melatonin formulas did not differ from CBD isolate. 12% reported a side effect and none were severe.

    No differenceNo disclosure in PubMedAbstract only

    No disclosure in PubMed.

    Read the study page

  6. Randomized trial · measured the question itselfXu et al., 2020Sleep medicine · PubMed

    Efficacy of melatonin for sleep disturbance in middle-aged primary insomnia: a double-blind, randomised clinical trial.

    97 people · middle-aged adults with long-lasting insomnia

    TestedMelatonin 3 mg fast-release, 1 hour before bed, vs placebo for 4 weeks

    Melatonin cut early wake time by -30.63min (95% CI, -53.92 to -7.34) but did not change sleep latency, sleep efficiency or PSQI score [1.53(95% CI, -0.55 to 3.61); p = 0.504]. No serious side effects.

    MixedNo disclosure in PubMedAbstract only

    No disclosure in PubMed.

    Read the study page

  7. Randomized trial · measured the question itselfGendy et al., 2020Scientific reports · PubMed

    Melatonin for Treatment-Seeking Alcohol Use Disorder patients with sleeping problems: A randomized clinical pilot trial.

    60 people · adults seeking treatment for alcohol use disorder with sleep problems

    TestedMelatonin 5 mg a day vs placebo for 4 weeks

    PSQI sleep scores improved in both groups after 4 weeks, with no clear difference between melatonin 5 mg and placebo.

    No differenceCompany stakeAbstract only

    Senior author reports industry research funding and donated drugs from firms such as Canopy, Pfizer, Bioprojet, Alkermes; none named as melatonin maker.

    Read the study page

  8. Randomized trial · measured the question itselfMyers et al., 2018Journal of clinical sleep medicine · PubMed

    Randomized Controlled Trial of Melatonin for Sleep Disturbance in Dravet Syndrome: The DREAMS Study.

    13 people · children and young people with Dravet syndrome (severe epilepsy) and sleep problems

    TestedMelatonin 6 mg regular-release vs placebo, each person tried both

    No difference in total sleep or WASO between melatonin and placebo. Of 11 patients with a clear caregiver-reported difference, 8 reported improvement on melatonin (P < .05).

    No differenceNo disclosure in PubMedAbstract only

    No disclosure in PubMed.

    Read the study page

  9. Randomized trial · other health measuresMekontso Dessap et al., 2025Intensive care medicine · PubMed

    Melatonin for prevention of delirium in patients receiving mechanical ventilation in the intensive care unit: a multiarm multistage adaptive randomized controlled clinical trial (DEMEL).

    334 people · adults in intensive care on breathing machines

    TestedMelatonin 0.3 mg or 3 mg each night vs placebo, up to 14 nights; main goal was delirium, sleep quality was a side measure

    Delirium was 80/147 (54.4%) with low-dose melatonin vs 85/154 (55.2%) with placebo, risk ratio, 0.986 [95% CI 0.803 to 1.211]. Sleep quality and other secondary results were similar between groups.

    No differenceCompany stakeAbstract only

    Some authors report fees from medical device and drug firms; no melatonin maker named.

    Read the study page

  10. Randomized trial · other health measuresPachimsawat et al., 2024Pharmacology research & perspectives · PubMed

    Exogenous melatonin's effect on salivary cortisol and amylase: A randomized controlled trial.

    64 people · healthy adult volunteers

    TestedOne dose of prolonged-release melatonin 2 mg at 8 pm vs placebo, each person tried both

    Melatonin shortened time to fall asleep by 7:04 min (p = .037) and added 24 min of sleep (p = .006). Morning cortisol was higher (p = .023). Main goal was stress hormones.

    Points to benefitNo stake declaredAbstract only

    No conflicts declared; funder (Mahidol University) had no role.

    Read the study page

  11. Pooled review (meta-analysis)Tang et al., 2025Critical care medicine · PubMed

    Melatonin Use in the ICU: A Systematic Review and Meta-Analysis.

    32 studies, 3,895 people · adults in intensive care units

    TestedMelatonin vs no melatonin in the ICU

    Melatonin may improve reported sleep quality (SMD 0.54; 95% CI, 0.01-1.07; low certainty) and may reduce delirium (RR 0.72). Adverse events may be slightly fewer (low certainty).

    Points to benefitCompany stakeAbstract only

    Funders listed are research bodies and unrelated firms (Ceribell, Dexcom); no melatonin maker named.

    Read the study page

  12. Pooled review (meta-analysis)Cruz-Sanabria et al., 2024Journal of pineal research · PubMed

    Optimizing the Time and Dose of Melatonin as a Sleep-Promoting Drug: A Systematic Review of Randomized Controlled Trials and Dose-Response Meta-Analysis.

    26 studies · people with insomnia and healthy volunteers

    TestedMelatonin vs placebo at different doses and times; effect on time to fall asleep and total sleep time

    Melatonin gradually reduced time to fall asleep and raised total sleep time, peaking at 4 mg/day. Taking it 3 h before bedtime may work better than 2 mg 30 min before.

    Points to benefitNo disclosure in PubMedAbstract only

    No disclosure in PubMed; funded by Fondazione Arpa and Italian Ministry of Health.

    Read the study page

  13. Pooled review (meta-analysis)Maruani et al., 2023Journal of sleep research · PubMed

    Efficacy of melatonin and ramelteon for the acute and long-term management of insomnia disorder in adults: A systematic review and meta-analysis.

    22 studies, 4,875 people · adults with insomnia disorder (mostly prolonged-release melatonin trials)

    TestedProlonged-release melatonin or ramelteon vs placebo

    Prolonged-release melatonin cut self-reported time to fall asleep by 6.30 min and measured time by 5.05 min, and raised sleep efficiency by 1.91%. In studies with mean age 55 or older, sleep efficiency rose 2.95%.

    Points to benefitNo disclosure in PubMedAbstract only

    No disclosure in PubMed.

    Read the study page

  14. Pooled review (meta-analysis)Yue et al., 2023Sleep medicine reviews · PubMed

    Efficacy and tolerability of pharmacological treatments for insomnia in adults: A systematic review and network meta-analysis.

    69 studies, 17,319 people · adults with primary insomnia

    Tested20 sleep drugs, including melatonin receptor agonists, vs placebo and each other

    Orexin drugs beat melatonin receptor agonists for time to fall asleep, waking and sleep efficiency. Melatonin receptor agonists may help sleep-onset insomnia with good safety. Long-term side effects of all drugs are unclear.

    Points to benefitNo stake declaredAbstract only

    The authors declare no conflicts of interest.

    Read the study page

  15. Pooled review (meta-analysis)Fatemeh et al., 2022Journal of neurology · PubMed

    Effect of melatonin supplementation on sleep quality: a systematic review and meta-analysis of randomized controlled trials.

    23 studies · adults with various illnesses (lung disease, metabolic disorders, sleep disorders, mental disorders, brain diseases)

    TestedMelatonin vs placebo, sleep quality scored on the Pittsburgh Sleep Quality Index (PSQI, lower is better)

    Melatonin lowered PSQI scores (WMD: - 1.24; 95% CI - 1.77, - 0.71). Studies differed a lot (I2 = 80.7%). Benefit was seen in lung disease, metabolic disorders and sleep disorders, but not in mental disorders or brain diseases.

    Points to benefitNo disclosure in PubMedAbstract only

    No disclosure in PubMed.

    Read the study page

  16. Pooled review (meta-analysis)De Crescenzo et al., 2022Lancet (London, England) · PubMed

    Comparative effects of pharmacological interventions for the acute and long-term management of insomnia disorder in adults: a systematic review and network meta-analysis.

    154 studies, 44,089 people · adults with insomnia disorder

    Tested30 sleep drugs including melatonin, compared with placebo and each other; short-term and long-term use

    Melatonin did not show overall material benefits. Benzodiazepines, eszopiclone, zolpidem and zopiclone were more efficacious than melatonin, ramelteon and zaleplon (SMD 0·27-0·71).

    No differenceCompany stakeAbstract only

    Some authors report fees from Angelini Pharma, Lundbeck-supplied melatonin for another trial, and Janssen trials; one is a Boehringer Ingelheim employee.

    Read the study page

  17. Pooled review (meta-analysis)Choi et al., 2022Sleep medicine reviews · PubMed

    Efficacy of melatonin for chronic insomnia: Systematic reviews and meta-analyses.

    24 studies · children, teens and adults with long-lasting insomnia, with or without other illnesses

    TestedMelatonin vs placebo

    In adults without other illness, melatonin did not clearly help time to fall asleep, total sleep time or sleep efficiency. It helped in children and teens. Only one adult study had other illnesses.

    MixedNo stake declaredAbstract only

    The authors have no conflicts of interest to disclose.

    Read the study page

  18. Systematic reviewVine et al., 2022Revista brasileira de psiquiatria · PubMed

    Melatonin use during pregnancy and lactation: A scoping review of human studies.

    15 studies · pregnant and breastfeeding women

    TestedReview of studies of melatonin use in pregnancy and breastfeeding

    Fifteen studies were found; none had insomnia as the main outcome. Trials for other conditions did not suggest major safety concerns. Authors say use in pregnancy and breastfeeding is probably safe.

    No differenceNo stake declaredAbstract only

    The authors report no conflicts of interest.

    Read the study page

  19. Pooled review (meta-analysis)Ferracioli-Oda et al., 2013PloS one · PubMed

    Meta-analysis: melatonin for the treatment of primary sleep disorders.

    19 studies, 1,683 people · adults and children with primary sleep disorders

    TestedMelatonin vs placebo

    Melatonin cut time to fall asleep by 7.06 minutes [95% CI 4.37 to 9.75] and added 8.25 minutes [95% CI 1.74 to 14.75] of sleep. Sleep quality scores improved (SMD = 0.22).

    Points to benefitCompany stakeAbstract only

    Partly funded by Eli Lilly research fellowship and award; authors say no patents or products to declare.

    Read the study page

  20. Opinion or narrative reviewOwens, 2025World journal of pediatrics · PubMed

    Melatonin use in the pediatric population: an evolving global concern.

    children and teens

    TestedReview of melatonin for children's sleep: how well it works and how safe it is

    Studies, mostly in children with developmental disorders and insomnia, suggest melatonin is generally safe. Evidence is lacking for typically developing children and for long-term side effects. Products vary in content.

    No weight on the ladderNo stake declaredAbstract only

    Author reports no financial or non-financial benefits related to the topic.

    Read the study page

21 papers we read and set aside as off topic
  1. Singh et al., 2023. Blue-light filtering spectacle lenses for visual performance, sleep, and macular health in adults. (systematic review)
  2. Li et al., 2024. Sleep disturbances and female infertility: a systematic review. (systematic review)
  3. Chandra Shekhar et al., 2024. Standardized Extract of Valeriana officinalis Improves Overall Sleep Quality in Human Subjects with Sleep Complaints: A Randomized, Double-Blind, Placebo-Controlled, Clinical Study. (randomized trial)
  4. Xu et al., 2024. Enhanced external counterpulsation improves sleep quality in chronic insomnia: A pilot randomized controlled study. (randomized trial)
  5. Lopresti et al., 2021. An investigation into an evening intake of a saffron extract (affron®) on sleep quality, cortisol, and melatonin concentrations in adults with poor sleep: a randomised, double-blind, placebo-controlled, multi-dose study. (randomized trial)
  6. Shen et al., 2025. Differential benefits of 12-week morning vs. evening aerobic exercise on sleep and cardiometabolic health: a randomized controlled trial. (randomized trial)
  7. Wang et al., 2025. Psychological Interventions and Sleep Improvement for Patients with Gastric Cancer: Effects on Immune Function, Inflammation, and Tumor Progression-A Randomized Controlled Trial. (randomized trial)
  8. Khalid et al., 2024. Effects of magnesium and potassium supplementation on insomnia and sleep hormones in patients with diabetes mellitus. (randomized trial)
  9. Zerón-Rugerio et al., 2025. Daily walnut consumption increases 6-sulfatoxymelatonin urinary levels and can improve sleep quality: a randomized crossover trial. (randomized trial)
  10. Lee et al., 2022. Electroacupuncture for treating cancer-related insomnia: a multicenter, assessor-blinded, randomized controlled, pilot clinical trial. (randomized trial)
  11. Lau et al., 2024. Fecal Microbiota Transplantation for Sleep Disturbance in Post-acute COVID-19 Syndrome. (trial, not randomized)
  12. Cheah et al., 2022. Orthopedic sleep and novel analgesia pathway: a prospective randomized controlled trial to advance recovery after shoulder arthroplasty. (randomized trial)
  13. Lee et al., 2024. A randomized clinical trial of the impact of melatonin on influenza vaccine: Outcomes from the melatonin and vaccine response immunity and chronobiology study (MAVRICS). (randomized trial)
  14. Shechter et al., 2018. Blocking nocturnal blue light for insomnia: A randomized controlled trial. (randomized trial)
  15. Ghotbi et al., 2020. The µMCTQ: An Ultra-Short Version of the Munich ChronoType Questionnaire. (other)
  16. Peketi et al., 2022. Melatonin Prescribing in Assisted Living. (population study: one-time survey)
  17. Shimura et al., 2024. Factors associated with hypnotics polypharmacy in the Japanese population. (population study: one-time survey)
  18. Lin et al., 2025. Effects of Shallow Needling for Chronic Primary Insomnia: Protocol for a Randomized Controlled Trial. (trial plan, no results yet)
  19. Ozone et al., 2024. Efficacy and Safety of Transitioning to Lemborexant from Z-drug, Suvorexant, and Ramelteon in Japanese Insomnia Patients: An Open-label, Multicenter Study. (trial, not randomized)
  20. Pride et al., 2026. Sleep-wake dysregulation and altered melatonin in neurofibromatosis type 1. (population study: one-time survey)
  21. Nygren et al., 2025. Trends in hypnotic drug use in depression 2007-2017: A Swedish population-based study. (population study: followed a group)

Words on this page

SMD (standardized mean difference)
A way to compare results measured on different scales. About 0.2 is a small effect, 0.5 medium, and 0.8 large.
Relative risk (RR)
Compares the risk in two groups. 1 means no difference. 0.85 means 15% lower risk.
95% CI (confidence interval)
The range where the true result likely lies. If the range includes no effect (1 for ratios, 0 for differences), the result is not clear.
p-value (p =)
How likely a result this large would be by chance if there were no real effect. Below 0.05 is usually called a clear result.
Placebo
A dummy pill or fake treatment, so people do not know which group they are in.
Pooled review (meta-analysis)
A study that combines the results of many earlier studies to get one overall answer.

How the short answer is set

Fixed rules turn the studies into the short answer, so the same studies always give the same answer. The rules start from GRADE, a standard system for rating evidence, in plain language.

ConfidenceWhat it means
HighWe are confident the answer is right.
ModerateThe answer is probably right, but it could change.
Low (this page)The answer may well change.
Very lowAny answer is very uncertain.
Not tested in peopleOnly cell or animal studies exist.

Why low here

  • Many placebo trials and reviews measured sleep itself in people.
  • Reviews disagree: some find small gains, a large review found no material benefit.
  • Many trials are small, and one review rated certainty low for bias.
  • Long-term safety is barely studied; the longest trial here lasted 12 weeks.

Hard limit used. The longest trial here lasted 12 weeks, so these papers cannot show melatonin is safe over years of use.

How this page was made

Label

Search
PubMed, Nov 14, 2026. Searches written by Claude Opus 5.5; papers ranked by PubMed
First read of all 41 papers
Claude Sonnet
Independent second read
Claude Haiku
Disagreements settled by
Claude Opus 5.5
Page text written by
Claude Opus 5.5
Charts
Drawn by code from the study records
Source check by a person
Not yet. Required before search engines may list this page.
Expert review
No
Papers read in full
0 of 41; all from PubMed abstracts
Method
v0.2, created Nov 14, 2026
119numbers in the two reads checked against the abstracts. 5 were not found as written and were fixed.
27key numbers on this page checked again against the papers they cite. All were found.
23 / 41papers where both reads agreed on all ten checked fields.
11fields corrected by the reviewer after reading the abstract.

Search. We ran four PubMed searches for melatonin supplements and sleep, and safety with long-term use: pooled and systematic reviews since 2012 (10 of 181), trials in people (22 of 500), population studies (10 of 190). The first number is how many papers we read; the second is how many PubMed found. We took the ones PubMed ranks as most relevant. See the full PubMed search. Of the 41 papers read, 20 were on topic.

Limits. Digestery reads at most about 60 papers per question, so large fields are sampled, not covered in full. Abstracts can leave out key details, such as side effects and funding.

Review queue

These items wait for a person. Search engines are asked not to list the page until the first one is done.

  1. OpenThe short answer is new. It waits for a source check by a person.
  2. OpenHaider 2024 (knee) and Haider 2025 (hip): same team, same design, overlapping 2021 enrolment; check for shared patients.
  3. OpenYue 2023 pools melatonin with ramelteon as one drug class; confirm it belongs on this page.
  4. OpenMekontso Dessap 2025 (ICU delirium trial): sleep quality only a secondary outcome; relevance was disputed between reads.
  5. OpenSugumaran 2024: sleep latency 8.36 and total sleep time 14.51 have no units in the abstract; check the full text.
  6. OpenSaleska 2024: no placebo arm and no disclosure in PubMed; check who made and funded the products.
  7. OpenXu 2020: conclusion claims gains in total sleep time and REM sleep not shown in the abstract results.
  8. OpenCompany stake for Mekontso Dessap 2025 and Tang 2025 rests on firms unrelated to melatonin; confirm the stake rule fits.
  9. OpenNo disclosure in PubMed for trials Xu 2020, Haider 2024, Myers 2018, Haider 2025, Saleska 2024; check full texts.

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Nov 14, 2026Page created from 41 papers.First version of the page.

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