What you see is not always what you get
Melatonin supplements are not regulated by the FDA for effectiveness, safety or ingredients. Over-the-counter melatonin has been banned in the UK, EU, Japan, Australia and Canada. Only the US has melatonin readily available over the counter. A review of 31 OTC melatonin supplements in Journal of Clinical Sleep Medicine revealed that the melatonin content was between -83% to +478% compared to the label. High doses of melatonin can cause side effects, especially in those who take medications that interact with it and those with diabetes. In addition, the hormone serotonin was found in 26% of the samples. This can be potentially dangerous for people who are taking SSRIs which increase serotonin in the brain. Too much serotonin can lead to serotonin syndrome which can cause shivering, diarrhea, fever and seizures.
There can be unwanted side effects and interactions
The most common side effects are headaches, dizziness, nausea and drowsiness during the day. Less common side effects could include mild depression and anxiety, confusion and disorientation and hypotension.
Melatonin can interfere with some important drugs for: diabetes, seizures, immune suppression and even some contraceptives. It is also not considered safe to take melatonin with alcohol.
People with auto-immune conditions like rheumatoid arthritis, asthma, dementia or restless leg syndrome should avoid melatonin. No studies have been conducted to determine if melatonin is safe if you’re pregnant or breastfeeding.
The secrets to a good night’s sleep:
1. Stick to the same sleep routine. It’s recommended that you go to bed by 10 pm and get up by 6 am to be more in sync with the effect of darkness and light on your body.
2. Avoid caffeine and other sleep inhibitors like alcohol, chocolate and soda.
3. Stay off screens for an hour or two before you want to sleep.
4. Keep your bedroom cool. Experts think between 60-65 degrees is ideal.
5. Don’t watch anything too violent or stimulating right before bed.
6. If you can’t sleep, don’t just toss and turn. That can ratchet up your anxiety. Get up and do something. Read until you’re sleepy or do something else relaxing.
To your health,
Pamela & Wendy