Sunday, February 18, 2024

Is Melatonin Good For Sleep

How Else Can You Improve Your Bodys Sleep Cycle

Is Melatonin A Good Sleep Aid? | Matthew Walker

Youve probably heard this advice before: Dont look at your phone right before bed. But really, dont.

The single most powerful thing you can do to improve your familys routine is to avoid screens at least an hour before bedtime, Dr. Flower says. This applies to children and adults. We know that melatonin is suppressed by blue light, so removing it before bedtime is key to helping the body fall asleep naturally.

Other ways to improve your sleep, with or without using melatonin supplements, include:

  • Dont exercise too close to bedtime. Work out in the morning or during the day.
  • Expose yourself to daylight early in the morning.
  • Avoid naps during the day.
  • Avoid drinks with caffeine and alcohol in the afternoon or evening hours.

Consider Melatonin Sleep Help For Occasional Insomnia

Even sound sleepers have trouble falling asleep or staying asleep once in a while, Buenaver says. You may want to try melatonin for sleep if you have difficulty for more than a night or two. Research shows that a supplement may help people with insomnia fall asleep slightly faster and may have bigger benefits for those with delayed sleep phase syndromefalling asleep very late and waking up late the next day.

Practice Good Sleep Hygiene

Proper sleep hygiene can also improve sleep quality and quantity. Research shows that good sleep hygiene alone can eliminate pediatric insomnia in 50% of the instances in which melatonin is suggested for treatment. The combination of sleep hygiene and melatonin is more effective at improving sleep in children than melatonin alone.

A bedtime routine at a consistent time each night provides comfort to help your child fall asleep. Your bedtime routine can include soothing activities such as taking a bath and reading a book or singing lullabies.

Experts also recommend that parents limit their childrens use of electronics in the hours before bedtime. The blue light from devices, such as phones, tablets, TVs, and video game consoles, can delay the onset of natural melatonin release.

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What Are The Health Benefits Of Taking Melatonin

Melatonin supplements may help with certain conditions, such as jet lag, delayed sleep-wake phase disorder, some sleep disorders in children, and anxiety before and after surgery.

Jet lag

Jet lag affects people when they travel by air across multiple time zones. With jet lag, you may not feel well overall and you may have disturbed sleep, daytime tiredness, impaired functioning, and digestive problems.

Research suggests that melatonin supplements may help with jet lag. This is based on medium-sized reviews from 2010 and 2014.

  • Four studies that included a total of 142 travelers showed that melatonin may be better than a placebo in reducing overall symptoms of jet lag after eastward flights. Another study of 234 travelers on eastward flights looked at only sleep quality and found low-quality evidence that melatonin may be better than placebo for improving sleep quality.
  • Two studies that included a total of 90 travelers showed that melatonin may be better than a placebo in reducing symptoms of jet lag after westward flights.

Delayed sleep-wake phase disorder

People with DSWPD have trouble falling asleep at the usual times and waking up in the morning. They typically have difficulty getting to sleep before 2 to 6 a.m. and would prefer to wake up between 10 a.m. and 1 p.m.

Some sleep disorders in children

Because of these uncertainties, itâs best to work with a health care provider if youâre considering giving a child melatonin for sleep problems.

How To Take Melatonin

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If youre considering trying melatonin for insomnia, starting with a low dose supplement is recommended.

For instance, start with 0.51 mg 30 minutes before going to bed. If that doesnt seem to help you fall asleep, try increasing your dose to 35 mg.

Taking melatonin in excess of 5 mg is unlikely to help you fall asleep faster. The goal is to find the lowest dose that helps you sleep.

However, its best to follow the instructions that come with your supplement and talk with a healthcare professional before adding OTC melatonin to your routine.

Because melatonin comes in different forms, you may also want to consult a doctor or pharmacist about the best form for you.

Melatonin is widely available in the United States. Youll need a prescription for melatonin in other places, such as the European Union and Australia .

Summary

If you want to try melatonin, start with 0.51 mg 30 minutes before bed. However, its a good idea to consult a healthcare professional before using melatonin.

  • diabetes medications
  • immunosuppressants

If you have a health condition or take any of the above medications, its best to talk with your doctor before starting to use melatonin.

Melatonin may also interact with alcohol. Some research suggests that moderate to heavy alcohol use reduces melatonin levels and thus disrupts sleep quality, though results are mixed .

The effectiveness of melatonin in children and adolescents is still being investigated.

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Is Melatonin Habit Forming

Melatonin is not considered to be habit-forming or cause dependencies. It is generally safe for short-term use. If you find yourself using it every day for longer than 2 weeks, its important to talk to your doctor about your symptoms to rule out underlying conditions causing problems with your sleep.

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How Long Does It Take For Melatonin To Kick In

With the recommended dose of melatonin , it takes around one to two hours to induce sleep. Hence, you should take melatonin supplements two hours before your bedtime.

If you want to take melatonin to avoid getting jetlag, you need to start taking the pills a few days before you make your trip. Once you reach the new time zone, take the melatonin sleeping aid two hours before you go to bed.

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How And When To Take It

The dose will vary depending on why you’re taking it. Follow the instructions that come with your medicine if you’re taking melatonin to:

  • prevent headaches
  • treat jet lag

If your child is prescribed melatonin, follow the doctor’s instructions carefully. Find out more about giving melatonin to children from Medicines for Children.

Can Melatonin Supplements Improve Sleep

What are the pros and cons of using melatonin for sleep?

It is well established that melatonin produced by the body plays a fundamental role in getting quality sleep, so it is natural to consider whether melatonin supplements can be used to address sleeping difficulties.

Research to date has shown that melatonin supplements may be useful in certain situations for both adults and children.

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Bu Today: Are There Alternatives To Melatonin That People Can Use To Help Them Get A Better Nights Sleep

Auerbach:You want to make sure you have a regular routine for going to sleep and waking up in the morning, because our clocks are geared for that. Factor in adequate amounts of time for relaxation at bedtime, time to wind down. Exercise is great for maintaining good quality sleep however, you dont want to do a lot of aerobic exercise and then pop into bed. The sleep environment has to be appropriate, a comfortable bed, not too much noise.And then we get to this tricky part about the other stuffreading and watching television. Theres something in that that makes many people relax and transition to sleep. Screens have a lot of blue light, and this light helps activate this circadian system and so you want to minimize or eliminate this. The biggest culprit we see are people who just cant relax.

Caveats In Using Melatonin

If, after a thorough assessment, melatonin use seems appropriate in a given child with insomnia, it should never be a stand alone solution and should always be accompanied by behavioral interventions. These include temporarily delaying the bedtime to more closely match the actual fall asleep time, using check-ins at bedtime, and providing positive reinforcement for staying in bed. Paying attention to healthy sleep practices like having a regular bedtime and wake time seven days a week and having a regular bedtime routine are also key. Case in point: melatonin wont help a child or teen whos on their electronic device just before bed. These light-emitting devices suppress the bodys natural release of melatonin.

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Is It Safe To Take More Than One Dose During The Night

You may be wondering what happens if you take a dose of melatonin and find that you still cant fall asleep. Can you take another dose?

While taking an additional dose is unlikely to cause harm, it may increase your risk for experiencing unwanted side effects.

If you find that melatonin isnt helping you fall asleep, stop using it. Your doctor may be able to suggest different medications or strategies to help you fall asleep.

There are some important things to know about melatonin, its interactions with other substances, and when its best to avoid it. Lets take a closer look.

How Much Melatonin Is Too Much

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Melatonin doses for adults range from 0.5 milligrams to 5 milligrams taken about an hour before bedtime.

The recommended appropriate dosage of melatonin for children varies among experts. There is no standardized melatonin dosage chart by age or weight in the United States.

Additionally, there are no set guidelines for what time or how frequently children should take melatonin. Consult your pediatrician to determine what dosage of melatonin and timing is right for your child.

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Melatonin For Older Adults

The amount of melatonin your body produces decreases with age. Because of this, melatonin supplements may be helpful for older adults who are having trouble falling asleep.

Researchers are still looking into the optimal melatonin dosage for older adults. One 2016 review of sleep aids for older adults suggests a dosage of 1 to 2 mg of immediate-release melatonin 1 hour before bedtime.

Additional Steps To Improve Sleep

People with sleep problems can benefit from taking steps to develop healthy sleep habits. Even if melatonin offers relief, improving your sleep routines and environment can promote better sleep quality.

  • Optimize your sleep hygiene: Sleep hygiene refers to behaviors that affect sleep quality for better or worse. Guidelines for healthy sleep hygiene include going to bed and waking up at the same times each day, abstaining from caffeine and alcohol in the hours leading up to bed, and maintaining a quiet, relaxing bedroom environment that is conducive to relaxation. It may also help to invest in a better mattress and new bedding.
  • Limit your screen time in the evening: Cellphones, tablets, televisions, and computers all feature screens that emit blue light, which can interfere with the circadian rhythm that guides your sleep cycle. Studies have shown that reducing your exposure to screened devices can help you fall asleep more easily.
  • Schedule quick afternoon naps: Napping is an effective way for sleep-deprived people to catch up on their daily sleep allotment. However, long naps can make it more difficult for you to fall asleep at your normal bedtime. Naps that last between 10 to 20 minutes are considered ideal because they are long enough to help you feel refreshed afterward without allowing you to enter the deep sleep stages of your sleep cycle.

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Not All Melatonin Is Alike

What you see may not be what you get when it comes to melatonin. A recent study measured the actual amount of melatonin in 31 different brands and found a huge amount of variation from the melatonin content listed on the label, both significantly less than and greater than the claimed amount. This variability was found across brands and even from one lot to another within a given brand. Some products also have other components added. For these reasons, we strongly recommend use of pharmaceutical grade melatonin to produce reliable and consistent effects .

You should also be aware that many non-sleep products may contain melatonin as a secondary ingredient. Two examples are childrens nighttime cough syrup and relaxation drinks. Always check the label.

In general, melatonin should not be given to healthy, typically developing children under age 3, as difficulties falling and staying asleep in these children are almost always behavioral in nature. Furthermore, children younger than age 5 are much more likely to accidentally ingest melatonin, especially in child-friendly forms like gummies.

Finally, melatonin should not be used in children without sleep problems just to help them get better/more restful sleep, as advertised for some pediatric melatonin products.

Can Melatonin Help My Child Sleep

Mayo Clinic Minute: What to consider before using melatonin supplements for sleep

There is good scientific evidence that melatonin can shorten the time to fall asleep in children with insomnia, including children with ADHD, autism, and other neurodevelopmental disorders. While melatonin can be an effective short-term solution to address bedtime problems, children with neurodevelopmental disorders may benefit from longer-term use in some cases. It should be noted that the immediate release formulation does not help with difficulty staying asleep . There is some evidence to suggest that extended-release melatonin may help with night awakenings in children, but there are far fewer studies to support this use, and the extended-release formulations typically require the ability to swallow capsules.

There are many reasons why children may have trouble falling asleep: anxiety, restless legs symptoms , circadian rhythm changes , or a too-early bedtime are just a few. Before considering melatonin, have your pediatrician conduct a thorough evaluation for other potential causes.

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Increasing Melatonin With Supplements

A second way to increase melatonin is by taking it in a supplemental form. This can be done orally, and it is generally taken about 30 minutes prior to bedtime.

There are a number of different brands and types of melatonin that can be purchased at your neighborhood pharmacy or at your local health food store. There are natural and synthetic forms of melatonin, sublingual tablets that melt under the tongue and dont have to be swallowed , and time-released versions for better sleep all night.

For children and people who have difficulty swallowing, in addition to the sublingual forms, there are liquid versions, gummies, tinctures, and sprays.

Melatonin is not covered by insurance because it is considered a nutritional supplement. It not regulated by the FDA, and considered a PRN, a remedy that you can take as needed. It is, however, fairly inexpensive. When traveling, it is suggested that you start taking melatonin several days before you leave, two hours before bedtime.

Dosage

Supplementing with melatonin is considered a safe and effective way to improve sleep as long as you keep dosage in an acceptable range. The ubiquitous recommendation is to start with a very low dose and increase over time. You can raise the dosage by .5mg every three or four days until you reach a level between 1-3mg, something in that range should work well for most people.

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How Does Melatonin Help You Sleep

Your body follows a circadian rhythm in which various physical, mental and behavioral processes are carried out depending on the time of day. In reaction to daytime and natural daylight, your brain releases the hormone serotonin, which regulates your mood, appetite and memory. At night, in response to darkness, your brain switches off serotonin and starts releasing melatonin. This hormone helps calm your body down and prepare for sleep by making you feel tired or drowsy.

Once that sun goes down, your melatonin system turns back on and a couple hours later, your melatonin levels are high enough for you to be able to fall asleep, explains Dr. Roth. This is why in some places, like Ohio, our energy levels are lower during the winter because we dont have a lot of natural sunlight during the day. So, were not as energetic, and we never quite get that burst of melatonin production at night.

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How Does Melatonin Work

Natural melatonin is predominantly made in your pineal gland, which is located in your brain. Light exposure inhibits the production of melatonin, but darkness stimulates it.

Melatonin levels in your brain begin to increase at dusk as the sun goes down and darkness falls. They reach their peak levels in the middle of the night and start decreasing as dawn gets closer.

The action of melatonin inhibits signals in your brain that promote wakefulness. This helps encourage sleep by making you feel tired or drowsy as you get closer to bedtime.

Because of melatonins sleep-promoting effects, melatonin supplements are used to treat a variety of sleep problems. These can include:

1 and 5 mg .

Melatonin typically takes 1 to 2 hours to work, so its often taken up to 2 hours before bedtime.

If youre looking to try melatonin for the first time, it may be best to begin with a lower dose. Your doctor can help recommend a safe dose for you to start with.

Who May Benefit From A Melatonin Supplement

Melatonin Gummies for Kids Sleep Aid

While a number of groups may benefit from melatonin supplements, keep in mind that melatonin may not be a long-term solution. It treats the symptoms rather than the underlying cause of your sleep issues. You always want to address the reason youre not sleeping well, says Sharon Puello, MA, RDN, CDN, CDEC. With that in mind, the following people may benefit from melatonin supplements:

People with insomnia: While taking melatonin is not a guaranteed ticket to a restful night of sleep, research does suggest that it improves sleep in those with insomnia.

People with some sleep disorders: It may also be helpful for people with some sleep disorders like idiopathic REM sleep behavior disorder and delayed sleep-wake phase disorder.

People who experience migraines: Research suggests that melatonin may improve or prevent migraine symptoms, though research is limited.

Those who take beta-blockers: Its also been shown to be effective at improving sleep for those who have trouble sleeping because of beta-blocker usage.

Those with Parkinson-related sleep disorders: Melatonin may help improve sleep for individuals with Parkinson’s and related sleep disorders.

Those with IBS: Its been proposed that melatonin can be an effective therapy for a number of other conditions, including IBS. Research is limited in these areas, but some small studies show symptom improvements.

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