Melatonin

N-acetyl-5-methoxytryptamine
Also known as: N-acetyl-5-methoxytryptamine
Supplement

Content by: OpenSupplement Editorial Team  |  Medical review: pending  |  Last updated: April 13, 2026

Evidence ★★★★4/5
Best for
TinnitusSleep
Typical dose3-5 mg before bed
SafetyNo significant concerns
OnsetSame day
Cost$5-10/mo
References3 studies cited

TL;DR

  • The body's primary 'sleep hormone' and a potent antioxidant

  • High evidence for jet lag and delayed sleep phase syndrome

  • Moderate evidence for neuroprotection in Alzheimer's (prevention)

  • Low-dose (0.3mg - 1mg) is often more effective than high-dose (5mg+)

  • Safe for short-term use; may cause vivid dreams

  • Very cheap: ~$5-10/month

  • Best for: Jet lag, shift work, sleep-onset issues

What it is

Produced by the pineal gland in response to darkness, melatonin signals to every cell in the body that it's time for 'nighttime maintenance.' Beyond sleep, melatonin is one of the most powerful antioxidants in the body, specifically capable of entering the mitochondria to protect DNA.

What the research says

SleepRelevance: High
Evidence
4/5
Onset speed
5/5
Typical dose: 0.5-3 mg, 30-60 min before bed

Melatonin is a 'circadian shifter' rather than a sedative. Evidence. A meta-analysis of 19 studies found that melatonin significantly reduces sleep latency (time to fall asleep). It is most effective for people with low natural production, such as the elderly or those with 'blue light' exposure before bed. [2][3]

TinnitusRelevance: Moderate
Evidence
3/5
Onset speed
4/5
Typical dose: 3-5 mg before bed

Several RCTs specifically in tinnitus patients. Hurtuk et al. showed improved tinnitus matching scores. May work via sleep disruption pathway and direct antioxidant effects on cochlea. [1]

DISCLAIMER: The information on this page is for educational purposes only and has not been evaluated by the Food and Drug Administration. This content is not intended to diagnose, treat, cure, or prevent any disease. Consult a qualified healthcare professional before using any dietary supplement, especially if you are pregnant, nursing, taking medication, or have a medical condition.

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Melatonin on Amazon

$5-10/mo (estimated)
See on Amazon

Safety

Generally safe. Contrary to popular belief, short-term use does not appear to suppress the body's natural production. High doses can cause morning grogginess or 'melatonin nightmares.'

Interactions

  • Blood Thinners: May slightly increase bleeding risk.
  • Diabetes Meds: May impact blood sugar control in some users.

Dosing

For Sleep: 0.3 mg to 3 mg taken 30-60 minutes before bed. Tip: Start with the lowest possible dose; 'more' often leads to worse sleep quality.

Cost

Extremely affordable. $5-10 per month.

The bottom line

Melatonin is a sleep-cycle regulator, not a hammer. Use it to reset your clock or support brain health, but keep the doses low.

References

  1. RCTTinnitusPubMed
  2. Meta-analysisSleepPubMed
  3. ReviewSleepPubMed

Sources for this page include published meta-analyses, systematic reviews, and NIH dietary supplement fact sheets. All claims reflect the evidence as of early 2026.

This is not medical advice. Consult your healthcare provider before starting any supplement, especially if you take medications.