Sleep medicine reviews

Melatonin’s role in adjusting the body’s internal clock

Updated

Abstract

Melatonin is associated with sleep and biological timing, being secreted at night to regulate various physiological processes.

  • Melatonin helps signal the length of night, impacting reproductive timing in mammals.
  • Exogenous melatonin induces sleepiness and lowers body temperature during daytime if timed correctly.
  • Timing of melatonin administration can shift the human circadian clock, advancing or delaying sleep patterns.
  • Melatonin may help synchronize sleep in blind individuals with non-24-hour sleep-wake disorder.
  • It has been used successfully for various sleep disorders linked to circadian timing, such as jetlag and shift work.
  • No long-term safety data is currently available, and optimal dosage and formulation remain unclear.

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