Melatonin Overdose

Melatonin can affect your cardiovascular, dermatologic (related to your skin), and central nervous systems. If you have a condition related to one or more of these, you might be at risk of other side effects if you take melatonin.

Melatonin Overdose

In large amounts, melatonin supplements can disrupt your circadian rhythms, which includes your sleep patterns. They may also react with body chemicals to cause other symptoms. However, there is no standard dose as people react differently. This makes it hard to define an overdose.

While melatonin is a hormone naturally produced in the body, taking too much supplementary melatonin can disrupt your circadian rhythm (also called your sleep-wake cycle). It may also cause other unwanted side effects.

So, yes, you can technically overdose on melatonin.

However, a melatonin overdose can be hard to define since there isn’t an official standard safe dosage for everyone.

Some people are more sensitive than others to the effects of melatonin. A dose that might trigger side effects in one person may have little effect on someone else.

Patients, too, are unhappy with the care they receive during those brief interactions with their doctors. Healthcare communications company West Corporation reported that 25% of patients don’t feel that their provider cares about them as an individual and nearly 20% aren’t convinced their doctor is focused on improving their health – even though 93% of doctors strongly agree that patient satisfaction is important.

Young children should avoid melatonin unless otherwise directed by a doctor. Doses between 1 and 5 milligrams (mg) may cause seizures or other complications for young children.

In adults, the standard dose used in studies ranges between 1 and 10 mg, although there isn’t currently a definitive “best” dosage. It’s believed doses in the range of 30 mg may be harmful.

In general, starting low and moving up slowly and carefully is better if you see encouraging results. Speak with a doctor if your sleep problems persist.

A safe dose of melatonin is the lowest dose that’s effective in helping you fall asleep without causing side effects. Generally, a dose between 0.2 and 5 mg is considered a safe starting dose.

A safe dose will depend on your body weight, age, and sensitivity to the supplement.

Too much melatonin can have the opposite effect of its intended purpose. It can make it harder to sleep because your circadian rhythms will be disrupted.

An overdose can also leave you groggy and sleepy during the day and give you nightmares or vivid dreams at night. You can also experience:

For some people, too much melatonin can affect their blood pressure. Medications that lower blood pressure, such as calcium channel blockers and beta-blockers, may reduce your body’s natural production of melatonin.

However, taking a supplement to make up for lower melatonin levels may not always be advisable. Be sure to talk with your doctor about melatonin and other supplements you take if you’ve been prescribed medications to help control your blood pressure.

Because melatonin can affect your sleep-wake cycle, avoid taking it with alcohol or caffeine. These can interfere with your circadian rhythm and your natural melatonin production.

Before starting melatonin or any over-the-counter medication or supplement, talk with your doctor. This is especially true if you take other medications.

For example, birth control pills may cause your body to produce more melatonin, so taking a supplement could push your levels into an unhealthy range.

Taking melatonin with anticoagulant drugs, such as warfarin (Coumadin), could increase your risk of bleeding.

You should also avoid taking melatonin if you take corticosteroids to suppress your immune response in conditions such as rheumatoid arthritis or lupus.

If you think you may have overdosed on melatonin, call Poison Control at 800-222-1222.

You should call 911 and seek emergency help if you have symptoms such as:

• shortness of breath
• sudden chest pain
• blood pressure that’s 180/120 mm Hg or higher

These signs may not be related to melatonin or an interaction between melatonin and other medications. However, they shouldn’t be ignored, as they can indicate a medical emergency.

Though melatonin can be very helpful for some people needing a little extra help falling and staying asleep, it’s not for everyone. You may not tolerate it well, even at low doses. You may find that it doesn’t help you sleep, regardless of the dose.

If insomnia is a problem, talk with a sleep specialist. There may be other lifestyle changes you can make that can help, such as cutting back on caffeine and alcohol or changing your bedtime routine.

You’re not likely to have any serious medical problems due to taking melatonin but you should treat it carefully.

The Food and Drug Administration doesn’t regulate this supplement, so there are no official dosing guidelines to follow. For further questions, talk with a doctor, a healthcare professional specializing in sleep health, or a pharmacist.

Last medically reviewed on November 7, 2022

Melatonin Overdose

Melatonin is a hormone that your body makes. It helps you sleep at night. It also comes in an over-the-counter dietary supplement for sleep for adults and kids as pills, creams, gargles, or gels. If you use it for short periods, melatonin should be safe. But experts still have a lot to understand about the supplement. In some situations, a melatonin overdose is possible.

It’s important to understand how to use the sleep aid safely. You should also be aware of the signs of a melatonin overdose.

What Are the Recommended Doses of Melatonin?

You can legally buy melatonin in any amount. You don’t need a prescription in the United States. But you can’t get melatonin over the counter in countries like Japan, Australia, the United Kingdom, and some parts of the European Union.

So far, experts haven’t come up with a specific dose or timing for the supplement to help insomnia. Many studies look at doses from 0.1 to 10 milligrams of melatonin. But doctors believe that 2 to 3 milligrams are usually a good amount to start with.

If you’re an adult, you can usually take up to 8 milligrams per day for about 6 months. For kids, experts suggest about 3 milligrams daily for 3 months.

It’s tough to tell exactly how much melatonin each person should take. Everyone’s body may react differently to the supplement based on their:

• Age
• Gender
• Sleep issues
• Health conditions
• Timing when they take melatonin

Studies have also found that sleep aid products may have more or less of the listed melatonin amount. Experts found that certain supplements may have anywhere from under 83% to over 478% of what’s listed on the bottle label. This may mean that you’ve taken more or less of the amount you believe you took. The reason for the poor quality control is that melatonin is considered a dietary supplement. This means that it’s not regulated by the FDA for its indication, potency, or purity.

What Are the Symptoms of a Melatonin Overdose?

Too much melatonin can lead to unwanted side effects. But it’s very rare that an overdose of the supplement could kill you. Each form of medication has a lethal dose, or LD 50. This term refers to the amount of supplement that would cause 50% of people to die. Experts haven’t been able to find an LD 50 for melatonin. Very high doses of melatonin weren’t even fatal in animals.

Common melatonin side effects include:

• Headache
• Dizziness
• Nausea
• Drowsiness

If you take too much melatonin, you might have less common symptoms. These include:

• Short-lasting depression
• Mild anxiety
• Tremors
• Stomach cramps
• Irritability
• Less of an ability to be alert
• Confusion or disorientation
• Very low blood pressure

If you take certain medications, you could be at risk of a melatonin interaction. The sleep aid won’t mix well with:

• Anticonvulsants (drugs to treat seizures)
• Anticoagulants and anti-platelet drugs (drugs to prevent blood clots)
• Contraceptive (birth control) drugs
• Diabetes medications
• Immunosuppressants (medications that suppress your immune system)

If you want to start melatonin supplements, ask your doctor first. They can tell you if you’re on any medications that would interact with the sleep aid.

Melatonin can affect your cardiovascular, dermatologic (related to your skin), and central nervous systems. If you have a condition related to one or more of these, you might be at risk of other side effects if you take melatonin.

In addition, if you are older, you may be more sensitive to the supplement. This is because you have a naturally low level of melatonin. So your doctor may suggest that you start with a lower amount of melatonin.

You can also have an allergic reaction to melatonin, but this is rare. In some cases, people may have anaphylaxis, which is a life-threatening allergic reaction, after they use melatonin.

Other signs of an allergic reaction to melatonin may include:

• A skin rash that may have itchy, red, swollen, blistered, or peeling skin
• Wheezing
• Tightness in your chest or throat
• Trouble breathing or talking
• A swollen mouth, face, lips, tongue, or throat

If this happens, you may need to visit the emergency room to get treatment right away.

What Can You Expect With a Melatonin Overdose?

If you think you’ve taken too much melatonin and begin to have unwanted side effects, don’t worry. Compared to other sleep supplements and medications, melatonin moves through your body very fast. Because of this, its effects don’t last very long.

If you develop slight side effects, try to wait it out a bit and let your body fully process the supplement.

But if the symptoms become strong or you feel concerned, it might be a good idea to call your doctor or poison control at (800) 222-1222. They can help you find the next step or guide you through certain symptoms.

If your child has taken too much melatonin, first make sure that they no longer have access to the supplement. Then, wipe their mouth out with a soft, wet cloth. Don’t try to make them throw up the melatonin that they took.

Afterward, call poison control right away. They’ll help you figure out your treatment options based on how much melatonin your child took.

How Can You Get Help for a Melatonin Overdose?

If you think you’ve overdosed from melatonin or are having an allergic reaction to the supplement, call your doctor, 911, or poison control right away. While it’s rare to have issues with melatonin supplements, it’s better to be cautious if you notice strange side effects from the sleep aid.

Show Sources

CDC: “Pediatric Melatonin Ingestions – United States, 2012-2021.”

National Capital Poison Control: “Melatonin Potential Uses and Benefits.”

St. Luke’s Health: “5 Harmful Medication Interactions You Need to Know.”

Sleep Foundation: “Melatonin Overdose.”

Medline Plus: “Melatonin.”

Sleep Advisor: “Can You Overdose on Melatonin? How Much Should You Take?”

Mayo Clinic: “Is Melatonin a Helpful Sleep Aid — and What Should I Know About Melatonin Side Effects?”

Missouri Poison Center: “Melatonin.”