Melatonin
Return to Melatonin overviewAfter a couple of weeks my sleeping patterns regulated to how they had been before I began the medication
Melatonin can be used to treat the following conditions
Headmeds fills the medicines information gaps for young people - things you might want to know about meds like will it affect my sex life? Can I still study? Can I drink?
Headmeds does not give medical advice so this is just general information.
Each medicine has a balance of good and bad effects, and each person gets their own individual effects.
You might want to know just one thing about your medicine, but on each page we have given you the ‘safety headlines’. Please read them as they are important.
We have included lots of information about each medicine - but if you want all the details, please look at the patient information leaflet – which is inside every pack. These leaflets are also at www.medicines.org.uk – where there will be the most up-to-date information.
Safety headlines
- If you have taken more melatonin than it said on the label, you must go somewhere safe with someone to watch over you while you sleep off the effects and tell your doctor.
- Rarely, melatonin can cause serious side effects, such as allergic reactions (difficulty breathing, swelling of your face or throat, itching skin lumps). If you get these or other serious symptoms, then you must go to a hospital straight away, taking your medicine with you.
- You might feel sleepy in the first few days after taking melatonin, this is normal – do not drive a car, ride a bike or operate machines until you see how this affects you.
- If you take melatonin while you are pregnant, we do not know if it can affect the developing baby. Use good contraception while you are taking melatonin. Talk to your doctor or midwife about this and get their help if you want to get pregnant or think you might be pregnant.
Basic details
Melatonin is a medicine that helps to treat difficulty sleeping (insomnia)
- Melatonin is a natural hormone in the body.
- It helps to reset your body clock and sleep pattern, to help your sleep get back in line with day and night.
- It will usually be started by a specialist at a hospital.
- Melatonin should be used alongside good “sleep hygiene” techniques. These include:
o Making sure that your room is dark and the right temperature.
o Avoiding looking at backlit screens around bedtime.
o Avoiding drinking caffeine-containing drinks in the afternoon and evening (such as cola, tea, and coffee).
o Doing exercise during the day (but not the last couple of hours before bed).
o Avoiding taking naps during the day. - The aim of using melatonin is to establish a good sleeping pattern with the lowest effective dose
- Do not take other medicines to help sleep if you are taking melatonin.
You take melatonin as a long-acting tablet
- Melatonin comes as 2mg tablets
- Melatonin is available as a modified release tablet, which releases the medicine slowly into your body over a few hours
- There are other forms available, including liquids and capsules, but they need to be ordered specially by the pharmacist
Melatonin is used to help you to sleep better
- Melatonin has been shown to help older people to sleep better
- Melatonin is not licensed for use unless you are over 55 years of age, as clinical trials have not yet been done in children and young people
- However, it is sometimes used by specialists for children and young people
- It can be very helpful to use alongside other medicines for young people with ADHD or autism spectrum disorders
The tablets contain lactose
The tablets may not be suitable for you if you have problems eating some sugars or dairy (milk-based) foods, as they contain lactose.
Reference sources
- Circadin SPC last updated 31/7/15
https://www.medicines.org.uk/emc/medicine/25643
Accessed 18/01/17 - Circadin PIL last updated 12/2/14
https://www.medicines.org.uk/emc/medicine/27475
Accessed 18/01/17 - Taylor D, Paton C, Kapur S. Maudsley Prescribing Guidelines in Psychiatry, 12th edition. Oxford: John Wiley & Sons, 2015
- British National Formulary (BNF) 72nd edition. London: BMJ Group / Pharmaceutical Press, 2016
- British National Formulary for Children (BNFc) 2016-2017. London: BMJ Group / Pharmaceutical Press, 2016
- WADA Prohibited List 2014. Available at http://www.wada-ama.org/Documents/World_Anti-Doping_Program/WADP-Prohibited-list/2014/WADA-prohibited-list-2014-EN.pdf
- Neal MC. Medical Pharmacology at a Glance (7th Edition). Oxford: John Wiley & Sons, 2012
- Royal Pharmaceutical Society of Great Britain. Medicines Ethics and Practice (37th edition). London: RPS, 2013
- www.choiceandmedication.org (accessed 05/11/2016; content usually available for free via your mental health trust)