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[43] [44] Prolonged-release melatonin is safe with long-term use of up to 12 months. [11] Although not recommended for long-term use beyond this, [45] low-dose melatonin is generally safer, and a better alternative, than many prescription and over-the-counter sleep aids if a sleeping medication must be used for an extended period of time.
The popular sleep aid can have side effects.
Ramelteon, sold under the brand name Rozerem among others, is a melatonin agonist medication which is used in the treatment of insomnia. [3] [5] It is indicated specifically for the treatment of insomnia characterized by difficulties with sleep onset. [3]
Melatonin supplements for sleep come with side effects and their use may raise safety concerns, experts say. There's little evidence they help with insomnia.
Melatonin supplements can lull you to sleep on restless nights, but too much may lead to more rest disruption; here's what sleep experts say about proper dosage for adults and children.
Sleep specialists measure the patient's sleep onset and offset, dim light melatonin onset, and evaluate Horne-Ostberg morningness-eveningness questionnaire results. Sleep specialists may also conduct a polysomnography test to rule out other sleep disorders like narcolepsy. Age and family history of the patient is also taken into consideration. [2]
Because the FDA doesn’t regulate dietary supplements like melatonin as strictly as prescription and over-the-counter drugs, buyers need to beware. Be cautious when using melatonin as a sleep aid ...
Melatonin, vitamin B 12, sleep aids, wake aids, and other medications may also be used. [6] [7] Exposure to light during the daytime and activities occurring at regular times each day may help to restore a normal rhythm. [6] [7] The management of this disorder may vary for different subgroups of patients.
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