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Melatonin Timing & Doses: How to Use It Safely

Melatonin is a circadian signal, not a knockout drug. Getting value from it is mostly about when you take it and how much you use. This guide summarizes best-practice timing windows, conservative dose ranges, and travel strategies, with safety reminders along the way.


Quick Start

  • For general sleep onset: 0.5–1 mg immediate‑release, taken 30–60 minutes before bed. Increase slowly only if needed.
  • For delayed sleep phase (DSWPD): 0.3–3 mg taken 3–5 hours before your natural bedtime (roughly 3–5 h before DLMO). Keep the schedule for 1–2 weeks.
  • For jet lag (eastbound): begin 0.5–3 mg in the early evening at destination, pair with bright morning light and dim evenings.

Choosing a Form

  • Immediate‑release (IR): best for sleep onset and for phase‑shifting (clock changes).
  • Prolonged‑release (PR/MR): broader curve; commonly used in older adults (e.g., 2 mg PR 1–2 h pre‑bed).

Dose Ranges (Conservative)

  • Onset help (adults): 0.5–1 mg IR, 30–60 min pre‑bed; may titrate to 3–5 mg only if needed.
  • DSWPD/phase advance: 0.3–3 mg, 3–5 h before DLMO (≈ 4–6 h before habitual bedtime).
  • Jet lag: 0.5–3 mg for several evenings after arrival (especially eastbound).

Jet‑Lag Playbook (Eastbound)

  1. Evening melatonin (0.5–3 mg) at local time for several days.
  2. Morning bright light exposure; avoid late‑night light.
  3. Keep caffeine to the first half of the day.

Westbound travel generally benefits more from morning light and avoiding late‑evening melatonin.


Safety Notes

  • Short‑term use is generally well tolerated; possible headache, dizziness, or next‑day grogginess.
  • Interactions include CYP1A2 (e.g., fluvoxamine), anticoagulants; smoking/caffeine alter kinetics.
  • For children, use clinician guidance; prioritize schedule and light first.

Non‑sedative supports

For comfort (not timing), consider Glycine 3 g about 30–60 minutes before bed.


FAQs

How long before bed should I take melatonin?
Usually 30–60 minutes for onset; 3–5 hours before biological night for shifting the clock.

What’s the lowest effective dose?
Many adults respond to 0.5–1 mg IR; higher isn’t always better.

How many nights until it helps?
Onset benefits can appear the first night; clock shifts take several days of consistent timing plus light.

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