Are Certain People More At Risk When Combining Alcohol And Melatonin
Yes. Certain groups of people are more at risk for complications from alcohol, melatonin, or the combination of both.
People taking certain medications
People taking the following prescription and OTC medications at higher risk for problems when combining with either alcohol or melatonin:
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If you take blood thinners, such as warfarin , alcohol stops your body from properly digesting the medication and could lead to serious bleeding, such as stomach bleeding or a brain bleed. A small study also suggested melatonin could have a similar effect on blood thinners.
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If you have anxiety and use melatonin to help you sleep, consuming alcohol along with anxiety medications, such as alprazolam , can be dangerous to mix with alcohol because the combination can cause life-threatening drowsiness or trouble breathing.
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If you take other OTC sleep aids, such as valerian root, diphenhydramine , or doxylamine , you should avoid both alcohol and melatonin. This combination can lead to more severe drowsiness and a higher risk for accidental injuries.
This is not a complete list of medications that interact with alcohol or melatonin. Please speak with your provider to discuss if other medications you take are safe to combine with these substances.
Older adults
People assigned female at birth
Typical side effects vary, but melatonin supplements are generally well-tolerated. The most common side effects include:
How Long Does It Take For Melatonin To Work
Melatonin reaches peak levels in the body about an hour after taking a typical dose of 1 to 5 mg. Experts often recommend timing melatonin intake at least 20 minutes to one hour before bedtimenot right at bedtimeso its sending your body those time for bed signals as you hit the sheets. Just remember: For conditions like DSPS, you want to take melatonin several hours before your desired bedtime . If you are experiencing chronic sleeplessness or think you may have a condition like DSPS, talk to your physician about what may be best for you.
Why People Take Artificial Melatonin
Since melatonin regulates the sleep cycle, individuals who suffer from sleep-related issues, like insomnia, may take artificial melatonin as a supplement. Similarly, travelers may use melatonin to reduce jet lag and adjust to a different time zone. Night shift workers may also take the supplement to make falling asleep during the day or at odd times easier.
When taken before bed, supplements increase the amount of melatonin in the body. This could make falling asleep or staying asleep easier. However, there is limited scientific evidence regarding the effectiveness of melatonin supplements, so it isnt clear whether people experience the purported benefits or simply a placebo effect.
As shown above, outside factors like sunlight can hinder your bodys production of melatonin. Supplements can bypass those factors and help you feel more ready to sleep, even if your environment is less than ideal.
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When Should I Take Melatonin
Melatonin may be used to improve sleep onset, sleep time, or sleep quality. There are several scenarios where you might benefit from taking melatonin for sleep, according to theNational Center for Complementary and Integrative Health . These include:
- Experiencing jet lag during or after a long flight or after traveling through different time zones
- Performing shift work that disrupts your sleep cycle
- Having temporary instances of anxiety related to events in your life
- Experiencing the occasional sleepless night
- Being diagnosed with delayed sleep-wake phase disorder
Some healthcare professionals also recommend that children who experience difficulty sleeping due to other health conditions, like autism spectrum disorder and attention deficit hyperactivity disorder, take melatoninalthough experts are still unsure about the overall safety and effectiveness of this approach. The American Academy of Pediatrics reminds parents to always discuss supplement use with their childs pediatrician, especially since melatonin is a hormone and may affect the growth and development of a child who has not fully matured.
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How Else Can You Improve Your Sleep Quality

“Melatonin works synergistically with other practices,” says Dr. Dow. “You’ll get the best results by combining a melatonin supplement with simple sleep hygiene strategies like keeping a consistent bedtime, exposing yourself to natural light first thing in the morning, and keeping the bedroom very dark and cool.” That includes avoiding blue light, so no scrolling through your phone or staring at the clock.
Most importantly, you’ll want to seek medical guidance to find the root of your insomnia. “As a sleep clinician, I first ask why is this person not sleeping?” Dr. Singh says. “That’s the fundamental thing.” Mental health and quality sleep go hand-in-hand, and melatonin alone can’t fix those kinds of issuesnor can it cure chronic, long-term insomnia. So, if you think you need to take melatonin everyday, don’t. Instead, talk to your doctor about more effective strategies and treatments for long-term relief.
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May Alleviate Migraine Attacks
A migraine attack is a recurring type of headache that causes severe, throbbing pain or a pulsing sensation, often on the side of your head.
Several prescription drugs help treat migraine, but melatonin may also offer relief due to its ability to inhibit pain sensations .
In a review of 11 studies, taking melatonin significantly reduced migraine severity and frequency compared with a placebo in both children and adults, but with varying effectiveness .
A different review of 25 studies found similar results, suggesting that taking 3 mg of melatonin at bedtime reduced migraine frequency in adults .
Summary
Melatonin may support eye health, ease tinnitus symptoms, treat acid reflux and GERD, and alleviate migraine attacks, but stronger evidence is needed for these uses.
Can I Take Melatonin Every Night
Melatonin is generally safe for short-term use, but further research is required to assess the long-term safety of melatonin use. In the United States, melatonin is considered a dietary supplement, which are regulated less strictly by the Food and Drug Administration than prescriptions and over-the-counter medications. Federal law doesnt require dietary supplements to be proven safe to FDAs standards before they are sold.
Furthermore, some melatonin supplements may not contain what is listed on the product label. Researchers tested 31 commercial supplements and found that most products contained far more or far less melatonin than what was listed on the label. Some supplements contained serotonin, a hormone that wasnt recognized on the product label.
Although melatonin is generally regarded as well-tolerated, it may not be ideal for long-term use, unless specifically instructed by your doctor. Supplemental melatonin shifts the phase of the human circadian clock, and thus warrants caution. The principle of treatment of sleep disorders is first to find the cause of the sleep disturbance, and then treat the conditions causing the distress.
Treatment options for primary sleep disorders, or sleep disorders that arent caused by another medical or psychological condition, often include behavioral therapies. Sleep hygiene, sleep restriction, stimulus control, relaxation training, and cognitive therapy are examples of such therapies.
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Jet Lag And Shift Work
Melatonin is known to reduce jet lag, especially in eastward travel. If the time it is taken is not correct, however, it can instead delay adaptation.
Melatonin appears to have limited use against the sleep problems of people who work shift work. Tentative evidence suggests that it increases the length of time people are able to sleep.
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Extended Release Melatonin Vs Regular Melatonin
Regular melatonin tablets are immediate release supplements. They dissolve as soon as you take them, which instantly releases melatonin into your bloodstream.
On the other hand, extended release melatonin dissolves slowly. It gradually releases melatonin over time, which may mimic the way your body naturally makes melatonin throughout the night. This is thought to be better for staying asleep at night.
Extended release melatonin is also known as:
- slow release melatonin
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May Help Treat Acid Reflux And Gerd
Melatonin may help alleviate acid reflux and gastroesophageal reflux by protecting the lining of your esophagus the tube that connects your throat and stomach against irritants such as acid, alcohol, and nonsteroidal anti-inflammatory drugs .
For example, one study showed that taking melatonin inhibits an enzyme system that damages the esophageal epithelial barrier, which is responsible for protecting deeper layers of your esophagus from damage.
Damage to the esophageal epithelial barrier is known to cause acid reflux and GERD and may eventually lead to more severe health complications such as cancer (
26 ).
A review of five studies concluded that melatonin use alone or alongside tinnitus medications may manage this condition while improving sleep. However, these studies were of low quality, limiting the strength of the reviews findings .
How To Increase Melatonin Levels Naturally
Luckily, you can increase your melatonin levels without supplementing.
A few hours before bedtime, simply dim all lights at home and avoid watching TV and using your computer or smartphone.
Too much artificial light can reduce the production of melatonin in the brain, making it harder for you to fall asleep .
You can also strengthen your sleep-wake cycle by exposing yourself to plenty of natural light during the day, especially in the morning .
Other factors that have been associated with lower natural melatonin levels include stress and shift work.
Summary Fortunately, you can increase your natural melatonin production naturally by sticking to a regular sleep schedule and avoiding artificial light late in the evening.
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Is It Safe To Take Melatonin With Alcohol
Alcohol can disrupt your natural melatonin levels, so experts recommend against taking melatonin when drinking or when using other sleep medications.
There is limited evidence that melatonin might be helpful in recovering from alcohol use disorders due to the antioxidant effects of melatonin. However, more research needs to be done.
Can I Take Melatonin With Trazodone For Sleep

The question, Can I take melatonin with Trazodone for sleep? is more common than youd think. Sleeping problems are notoriously complex, meaning the treatment suitable for one person might not work perfectly for you. This is why so many doctors need to experiment with a range of therapeutic options to overcome insomnia and similar sleep issues.
Melatonin and Trazodone are two of the more common options for facilitating a good nights sleep. However, both of these substances have a very different impact on the body.
In some cases, its even possible to take both medications at the same time. However, its crucial to consider your specific circumstances carefully. The combination of these medications can cause significant drowsiness, and other possible side effects. Read on to discover the pros and cons of Trazodone and melatonin.
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What Is A Safe Melatonin Dosage
The U.S. Food and Drug Administration does not regulate melatonin because it is a dietary supplement. Therefore, there isnt much information on specific dosage recommendations. Studies have shown that 0.5 mg to 3 mg doses of melatonin are adequate to help in falling asleep and staying asleep. You should take the lowest dose of melatonin that helps you sleep. Your doctor or sleep specialist may also recommend a dosage.
What Are The Symptoms Of A Melatonin Overdose
Unwanted or troubling side effects can occur with any supplement, even if it is considered relatively safe. Concerning symptoms have been reported with higher doses of melatonin.
Possible symptoms of too much melatonin include:
- Worsening of alopecia areata
Because melatonin can affect the cardiovascular, dermatologic, and central nervous systems, those with other conditions may be vulnerable to additional risks. Evidence suggests that melatonin supplementation may induce depression, particularly in people predisposed to or currently experiencing it. Research on this topic, however, is conflicting, since some studies have demonstrated the potential for melatonin to treat depression.
People taking blood thinners and benzodiazepines should be careful, as there is a possibility for interaction. Those with epilepsy should also exercise caution, as melatonin has been associated with increased seizures. People who are currently taking medications or supplements should discuss potential interactions directly with their doctor before taking melatonin.
Research suggests that elderly people, who have lower natural levels of melatonin, may be more sensitive to the effects of melatonin supplements. Therefore, older people are encouraged to check with their doctor before taking melatonin and start with the lowest possible dose.
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When To Talk To Your Doctor About Melatonin
To ensure safe usage, it is always a good idea to consult your doctor before taking any over-the-counter sleep aid, including melatonin. They know your personal medical history and can best advise you on the appropriate melatonin dosage for your needs. They will also know whether melatonin might interact with any other medications you may currently be taking.
Certain health conditions and medications may increase your risk of side effects when taking melatonin. If you take any of the following medications, be sure to talk to your doctor before taking melatonin:
- Pregnant or breastfeeding women
The research into melatonins potential benefits and use cases is still evolving, and its long-term effects are still unknown. For many people, melatonin offers mild improvements to sleep problems when used on a short-term basis. For others, it may cause side effects or not impact sleep at all.
If you find your sleep problems persist after trying melatonin, it may be time to talk to a doctor. They can recommend other strategies for improving your sleep, such as better sleep hygiene, changes to diet and exercise, or cognitive-behavioral therapy for insomnia. They can also evaluate other possible causes for your sleep problems.
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What Are The Benefits Of Melatonin For Sleep
Studies consistently show that melatonin can help you fall asleep faster and sleep more effectively but not necessarily increase total sleep time.
Melatonin has also been used effectively to shift sleep schedules, which can be beneficial for people with Delayed Sleep Phase Syndrome and jet lag .
For REM sleep behavior disorder which is characterized by abnormal, often violent body movements during sleep scientists reported major benefits from taking melatonin. This included a marked decrease in muscle tension during REM cycles .
Omega Restore users have frequently commented on similar body-calming effects, even in people without RBD. Partners often report their significant other tends to sleep with less movement and tossing around, as well as snore less and breathe more quietly.
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Are Tryptophan And 5
If you are taking prescription medication, you should first consult your doctor before taking 5-HTP or tryptophan. It is especially important to talk to your doctor if you are taking antidepressants or SSRIs . SSRIs prevent serotonin from breaking down too quickly in the brain, thereby preventing the development of depression. Please use 5-HTP and tryptophan responsibly and stick to the recommended dosages.
In summary, 5-HTP and L-tryptophan are two great nutritional supplements that improve mood and also help you sleep healthier. Both are converted into serotonin in the body and then into melatonin. However, the body must first convert tryptophan to 5-HTP before it can be converted to serotonin and then to melatonin.
Since the conversion of tryptophan to serotonin is slower, L-tryptophan could be described as a milder, gentler form of 5-HTP. Some people appreciate the noticeably faster effect of 5-HTP, others find the milder effect of tryptophan to be more pleasant. Others combine the two products to simultaneously benefit from the long-term effects of L-tryptophan and the rapid effects of 5-HTP.
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The Role Of The Placebo Effect
I have to admit, Ive tried melatonin sleep aids before, and have had good results from them. So Im aware that my positive expectation i.e. placebo effect may play a role when I test a new one. Ive also found that the herbal ingredients valerian and chamomile have a mild sedative effect for me.
And since Im not wired up in a sleep lab when I test a sleep aid, and rely on sleep tracker data and my observations, the outcome is a subjective review.
So please bear in mind that you might not have the same experience as me if you decide to try them.
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Is It Safe To Take Melatonin
For melatonin supplements, particularly at doses higher than what the body normally produces, thereâs not enough information yet about possible side effects to have a clear picture of overall safety. Short-term use of melatonin supplements appears to be safe for most people, but information on the long-term safety of supplementing with melatonin is lacking.
Also keep in mind:
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Interactions with medicines
- As with all dietary supplements, people who are taking medicine should consult their health care providers before using melatonin. In particular, people with epilepsy and those taking blood thinner medications need to be under medical supervision when taking melatonin supplements.
Possible allergic reaction risk
Safety concerns for pregnant and breastfeeding women
Safety concerns for older people
Melatonin is regulated as a dietary supplement
Products may not contain whatâs listed on the label
Can You Take Melatonin Every Night

Short-term use of melatonin supplements appears safe for most people, according to the NCCIH. But whats considered safe short-term use? Depending on why youre taking melatonin, this may vary from a few days to months. You should always consult your doctor or sleep specialist about the right dose and duration for you.
Higher doses of melatonin taken nightly may also put you at increased risk of developing a tolerance to melatonin and potentially producing less of your own, as mentioned above.
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