Using Melatonin to Help Reset Circadian RhythmSep 03, 2019
Timothy Culbert, MD, IFMCP
Is Melatonin Safe?
I've found melatonin to be quite helpful for kids and teens with ADHD for both sleep onset and sleep maintenance issues. However, some concerns have popped up about kids and teens using melatonin for long periods of time (more than 6 months) or at high-doses. However, little has been substantiated through research studies.
A recent systematic review of 13 RCTs assessed the safety and efficacy of melatonin for pediatric patients with ND disorders (e.g, ADHD and Autism). Studies included a total of 632 children who took either regular melatonin or controlled release melatonin. The review found that:
- Kids who took the melatonin fell asleep faster and slept longer compared to those given a placebo pill (Abdelgadir).
- No major side effect concerns were apparent in any of the studies.
How Should You Use Melatonin?
Increase Dose Slowly
I start my kid and adult patients who are dealing with sleep onset problems on a low dose of immediate release melatonin (about 1-2 mg, preferably sublingual), taken about one hour before bedtime. I then very slowly increase the dose every 2-3 days until an effective dose is reached. If an individual is not getting any benefit from doses of melatonin around 5-6 mg, then I usually think about other options. A common indicator that I look for to gauge success is sleep onset in about 25 minutes or less.
For those with sleep maintenance problems, I use a controlled release product. Usual dose for these products is 3-5 mg, also taken about one hour before bedtime.
Add Skills & Disconnect
At minimum, use of melatonin should be combined with two additional strategies to support sleep:
- Calming mind-body skills before bedtime. Try this Calming Breath Technique.
- All electronic devices should be turned off at least 60 minutes prior to sleep onset, as exposure to the light spectrum emitted by computer screens and cell phones can suppress the normal release of melatonin. If you're a late-night scroller, be sure to read more about the impact of tech on sleep and mental health.
Melatonin Supplements at Resilient Remedies
Our Sleep CBD is formulated to promote a sense of calm and relaxation, easing you into longer, more restful sleep. These unique gummies include broad-spectrum CBD, melatonin, and cannabinol (CBN), a blend that can help with challenging sleep problems, allowing you to wake up feeling refreshed.
What if Melatonin Doesn't Work?
I often look to Relax Powder and Serene Sleep for folks who don't see a benefit from Melatonin. L-theanine (Peace of Mind) or 5-HTP at 50-100 mg can also be considered. Be sure to speak with your doctor before starting any of these supplements.
- Relax Powder features Albion chelated magnesium plus MagteinTM (magnesium L-threonate), the only form of magnesium proven in animal studies to cross the blood-brain barrier.
- Serene Sleep is a comprehensive formulation created for patients experiencing occasional sleeplessness. It promotes a healthy sleep cycle by naturally boosting levels of serotonin, GABA and melatonin using bioactive cofactors and amino acids.
- L-theanine has been found to reduce stress by promoting relaxation without drowsiness, easing nervousness due to overwork and fatigue, and reducing nervous irritability.
*Note: Some of the supplements discussed in this series can cause side effects, but many people tolerate them much better than prescription medications. They are generally considered safe, however, they should not be started without your doctor’s knowledge and supervision. If you are taking medication already, be sure to talk with your doctor before adding any of these items. If you are considering going off medication, remember never to stop your medication suddenly—always consult with your doctor about how to safely taper off any psychiatric medication.
*Statements made in this article have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
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