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Can Melatonin Make Anxiety Worse? What Science Says

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March 13, 2025

Can Melatonin Make Anxiety Worse? What Science Says

Medically reviewed by: 

Dr. Shiyan Ooi

School of Medical Sciences, University of Manchester

Introduction

Melatonin is widely used as a natural sleep aid, but for some people, it may have unexpected side effects, including increased anxiety. While melatonin is primarily known for regulating sleep cycles, its influence on the brain extends beyond sleep, affecting mood, stress, and even anxiety levels.

So, can melatonin actually make anxiety worse? In this article, we'll explore the scientific research on melatonin's effects, why some people experience anxiety after taking it, and safer alternatives for improving sleep without triggering anxiety.

What Is Melatonin?

Melatonin is a hormone produced by the pineal gland in response to darkness. It plays a key role in regulating the sleep-wake cycle by signaling to the body that it's time to sleep. Many people take melatonin supplements to help with insomnia, jet lag, or shift work sleep disorders. Learn about how melatonin affects sleep.

How Melatonin Affects the Brain

Melatonin interacts with receptors in the brain to promote relaxation and sleep. However, it also influences neurotransmitters such as serotonin and GABA, which are involved in mood regulation and anxiety responses.

Melatonin's Connection to Serotonin

Melatonin is synthesized from serotonin, a neurotransmitter associated with mood stability. While serotonin generally promotes feelings of well-being, changes in serotonin signaling can contribute to anxiety. Read about serotonin's role in anxiety.

Can Melatonin Increase Anxiety?

While melatonin is generally considered safe, some people report feeling more anxious after taking it. There are several reasons why this may happen:

1. Overstimulation of Brain Activity

Melatonin influences multiple neurotransmitter systems, and in some individuals, this interaction may lead to an overstimulated brain state, causing restlessness and increased anxiety.

2. Hormonal Sensitivity

Some people are more sensitive to hormonal fluctuations, and taking melatonin supplements may temporarily disrupt the balance of stress-related hormones such as cortisol.

3. Incorrect Dosage

Melatonin is effective in small doses (0.3-1 mg), but many commercial supplements contain much higher amounts (3-10 mg). Excessive melatonin can lead to paradoxical effects, including grogginess, vivid dreams, and increased heart rate, which can mimic anxiety. Learn about melatonin dosage and effects.

4. Interaction with Medications

Melatonin can interact with antidepressants, blood pressure medications, and other drugs that influence the nervous system, potentially worsening anxiety symptoms.

Who Is Most at Risk for Melatonin-Induced Anxiety?

Individuals who are more likely to experience anxiety from melatonin include:

           
  • People with a history of generalized anxiety disorder (GAD)
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  • Those who are sensitive to hormonal changes
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  • Individuals taking high doses of melatonin
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  • People with adrenal imbalances or cortisol dysregulation
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How to Reduce the Risk of Anxiety from Melatonin

1. Use the Right Dosage

Start with a low dose of melatonin (0.3-1 mg) rather than high-dose formulations to minimize the risk of side effects.

2. Take It at the Right Time

Melatonin should be taken 30-60 minutes before bed. Taking it too early or too late can disrupt natural sleep rhythms.

3. Try Natural Alternatives

If melatonin causes anxiety, consider natural alternatives such as:

           
  • Magnesium: Supports relaxation and muscle recovery. Read about magnesium and sleep.
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  • L-Theanine: An amino acid that promotes relaxation without drowsiness.
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  • Valerian Root: A herbal supplement that has calming effects.
  •        
  • Cognitive Behavioral Therapy for Insomnia (CBT-I): A structured, non-medication treatment for sleep issues. Learn about CBT-I.
  •    

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Conclusion

While melatonin can be an effective sleep aid for many people, it may contribute to anxiety in some individuals due to its effects on neurotransmitters, hormonal sensitivity, and dosage issues. If you find that melatonin worsens your anxiety, adjusting your dosage or exploring natural alternatives can help.

By prioritizing sleep hygiene, stress management, and behavioral sleep strategies, you can achieve restful sleep without the risk of anxiety-related side effects.

Dr. Shiyan Ooi

Dr. Shiyan Ooi is a medical doctor with over a decade of experience treating patients with chronic conditions. She graduated from the University of Manchester with a Bachelor of Medicine and Surgery (MBChB UK) and spent several years working at the National Health Service (NHS) in the United Kingdom, several Singapore government hospitals, and private functional medicine hospitals. Dr. Ooi specializes in root cause analysis, addressing hormonal, gut health, and lifestyle factors to treat chronic conditions. Drawing from her own experiences, she is dedicated to empowering others to optimize their health. She loves traveling, exploring nature, and spending quality time with family and friends.