Melatonin
Also known as: N-Acetyl-5-methoxytryptamine, MT, Circadin, Slenyto
Pineal Hormone | Sleep & Circadian Rhythm Regulator
Overview
Melatonin is an indolamine hormone synthesised primarily by the pineal gland from serotonin in response to darkness. It is the principal endogenous signal of biological night, peaking 4-5 hours after lights-out and declining rapidly toward dawn. Endogenous production is suppressed by light exposure (particularly short-wavelength blue light), which is why screen use late in the evening can shift sleep onset later. Supplemental melatonin is one of the most-used sleep aids globally, available without prescription in the US and as a regulated medicine in much of Europe. Its evidence base is strongest for circadian-rhythm sleep disorders (jet lag, shift-work disorder, delayed sleep-phase syndrome) and for sleep onset in older adults whose endogenous melatonin production has declined. Effects in younger adults with primary insomnia are more modest. The popular consumer perception that more is better is wrong — physiologic doses of 0.3-1 mg often outperform the 5-10 mg products on store shelves, both for efficacy and because high doses produce supraphysiologic plasma levels that persist into the morning, causing next-day grogginess. Beyond sleep, melatonin is a potent free-radical scavenger and modulates immune function; its longevity-research interest stems from these antioxidant and anti-inflammatory effects.
Key benefits
- Reduced sleep-onset latency in older adults and circadian-disorder patients
- Effective phase-shifting for jet lag (eastward travel) and shift-work adaptation
- Useful in delayed sleep-phase syndrome (DSPS) — adolescents and young adults
- Potent free-radical scavenger with mitochondrial-protective effects
- Modest immune-modulating effects (anti-inflammatory in chronic settings)
- Reduces oxidative damage in animal models of neurodegeneration
- Non-habit-forming, no withdrawal, no rebound insomnia
- Available OTC; very wide therapeutic window
Mechanism of action
Melatonin acts via two G-protein-coupled receptors: MT1 and MT2. MT1 is concentrated in the suprachiasmatic nucleus (SCN, the master circadian pacemaker) and mediates the soporific effect — activation reduces SCN firing and lowers core body temperature, both pro-sleep signals. MT2 is more involved in phase-shifting circadian rhythms; activation in the early evening shifts the circadian clock earlier (advancing sleep onset), while activation late at night or early morning shifts it later. This biphasic phase-response curve is why melatonin works for jet lag — the timing of the dose matters as much as the dose itself. Beyond receptor binding, melatonin is a potent antioxidant that directly scavenges hydroxyl radicals and peroxynitrite and stimulates the activity of antioxidant enzymes including superoxide dismutase and glutathione peroxidase. It is highly lipophilic and crosses the blood-brain barrier and mitochondrial membranes readily, where it reduces oxidative damage to mitochondrial DNA. Immunomodulation occurs via melatonin receptors on T-cells and macrophages — the relevance of these effects to disease prevention or treatment is still being characterised.
Molecular data
- Type
- Indolamine — N-acetyl-5-methoxytryptamine (C13H16N2O2)
- Half-life
- ~30-50 minutes (immediate release); ~3-4 hours (sustained release)
Indications
What the research community uses this compound for, with self-reported effectiveness.
Sleep
Circadian Rhythm Disorders
Other Investigational
Dosing protocols
Common protocols by delivery method. Adjust the curve below to model accumulation in your own cycle.
Oral
Bioavailability: ~15% systemic for immediate-release (high first-pass); higher for sublingualTake 30-60 min before desired sleep onset. Avoid blue light after dosing. Start low — 0.3-1 mg often more effective than 5-10 mg.
| Protocol | Dose | Frequency | Duration |
|---|---|---|---|
| Sleep onset (low-dose physiologic) | 0.3-1 mg | 30-60 min before bed | Ongoing or as-needed |
| Sleep onset (pharmacologic) | 3-5 mg | 30-60 min before bed | Avoid prolonged daily use |
| Jet lag (eastward) | 0.5-3 mg | 30 min before destination bedtime, for 3-5 days | 3-5 days |
Safety
Reported adverse effects, contraindications, and what to monitor on cycle.
Common side effects
- Next-morning grogginess (especially at higher doses)
- Vivid dreams or nightmares
- Headache
- Mild dizziness
Uncommon side effects
- Mood changes (irritability, depressive symptoms)
- Reduced sex drive
- Hypotension (mild)
Rare side effects
- Worsened seizure control in epilepsy patients (mixed evidence)
Contraindications
- Pregnancy and breastfeeding (safety not established)
- Autoimmune disease (theoretical immune-modulating effect)
Monitoring
- None required for typical use. Reassess if morning grogginess persists — drop the dose.