A woman stretching in bed as morning sun comes through the curtains.

How much melatonin is too much? A nurse on high doses, overdose, and what to do

The short answer

There is no official maximum dose for melatonin sold as a supplement in the US. Poison Control reports that taking too much usually causes mild problems, like drowsiness, headache, dizziness, or nausea.1 But more is not better. A higher dose keeps melatonin in your blood into the next morning, which is a common reason people wake up groggy.2

Many people sleep well on much less than they think. In adults over 50, just 0.3 mg was enough to bring night levels back to normal.2 If you think someone took too much and feels unwell, call Poison Help at 1-800-222-1222. Call 911 if they are hard to wake or have trouble breathing.1

Why more melatonin is not better

When friends or family tell me they take a high dose of melatonin, my first question is why. Our culture tells us that more is always better. With melatonin, it is not about more. It is about the right dose, for the right person, at the right time.

They usually tell me it works because it knocks them out. Then they tell me they do not function well the next day.

Melatonin is a timing signal. It tells your body that night has started. It was never meant to knock you out like a sleeping pill. That is why the right dose and the right time matter more than a big dose.

What too much looks like the next morning

The next day is where I see the real cost. People tell me they wake up irritable. They snap at their husband. They yell at their kids. They are just not themselves. Often that is because they did not get good sleep, and their timing was off.

There is a reason for this. In a study of adults over 50, a 3 mg dose pushed melatonin levels far above normal, and levels stayed high into the next day.2 Many store products hold 5 mg to 10 mg or more. I explain more about this in why you feel groggy after melatonin.

Is 5 mg, 10 mg, or 20 mg too much?

Here is how common doses compare with what research shows. This is general information, not a dose plan for you.

Dose What the research and rules say
0.3 mg Brought night melatonin levels back to normal in adults over 50.2
1 mg The amount behind the European Union's approved claim that melatonin helps you fall asleep faster.3
2 mg The dose of the slow release melatonin prescribed in Europe for adults 55 and older.4
3 mg Pushed levels far above normal and kept them high into the next day in adults over 50.2
5 mg to 10 mg Common store doses. Much more than your body makes on its own at night.2
20 mg or more Far more than your body makes on its own. More melatonin means more of it left in your blood the next morning.2

For a full guide to choosing a dose, read how much melatonin should I take.

Can you overdose on melatonin?

You can take too much. Poison Control says the effects of too much melatonin are usually the same as its normal side effects, just stronger: headache, dizziness, nausea, and sleepiness during the day.1 In one case they describe, a man who took 24 mg became drowsy and confused within 20 minutes, and did not remember the evening the next morning. He recovered without lasting problems.1

The bigger risks come from three places:

  • Mixing. Taking melatonin with alcohol, sleep medicine, or other calming supplements.
  • Labels you cannot trust. In a 2023 test of 25 melatonin gummies, 22 did not match their labels. Actual amounts ranged from 74% to 347% of what the label said, and one product had no melatonin at all.5
  • Children. Calls to US poison centers about children taking melatonin rose 530% from 2012 to 2021. Over those years, more than 4,000 children were hospitalized, and 2 died.6

Why mixing makes it worse

Alcohol makes most people drowsy. If you take melatonin with alcohol, you complicate one drug by adding another. I see people stack teas, gummies, and other supplements on top of each other too. If you really want to work on your sleep, mixing different chemicals with unpredictable results is not the best path.

Valerian, a common sleep herb, can also add to sleepiness when it is taken with alcohol or sleep medicine.7 For more on drinking, read melatonin and alcohol. To plan your timing, read how long melatonin lasts.

What to do if you took too much

  1. Call 911 right away if the person is hard to wake, has trouble breathing, or has a seizure.
  2. Call Poison Help at 1-800-222-1222 (US) if they feel unwell, or if a child swallowed melatonin. It is free, private, and open 24 hours a day. You can also use the online tool at webPOISONCONTROL.1
  3. Do not drive or do anything that needs you to be alert until the drowsiness is gone.
  4. Skip alcohol and other sleep aids for the rest of the night.
  5. Keep the bottle so you can tell them the product and how much was taken.

How to lower your dose

When someone wants to cut back, I usually tell them they can do it right away. I do not think most people need to step down slowly. Go to the lowest dose that works for you. When people lower their dose, they often tell me they feel better.

Research supports this. In studies where adults 55 and older took melatonin for up to 6 to 12 months, people did not have withdrawal or rebound sleep trouble when they stopped.8,9 If you take melatonin along with prescription medicine, check with your doctor or pharmacist before you change anything.

Not sure a lower dose will work? Read why low dose melatonin often works better.

Tips that help when you lower your dose:

  1. Take it at the same time each night, about 30 minutes before bed.
  2. Dim the lights and put your phone away in the hour before bed.
  3. Keep the same wake time, even on weekends.
  4. Give it two weeks before you decide if the lower dose works.

If a lower dose still does not help, read why melatonin is not working for you.

Talk to your doctor first if

  • You take sleep medicine, blood thinners, blood pressure medicine, diabetes medicine, or antidepressants.
  • You are pregnant or breastfeeding.
  • You need more and more melatonin to sleep.
  • You snore loudly or stop breathing in your sleep.
  • Your sleep trouble has lasted more than a few weeks.

Where Driffly fits

One low dose strip, instead of a stack

Many of the people I talk to take a tea, a gummy, and another supplement every night. That is why I chose one strip with a low dose: 1 mg of melatonin, the same amount behind the European Union's approved sleep claim,3 with valerian root, lavender, chamomile, and hibiscus to support a calm wind down.*

  • 1 mg of melatonin in each strip.
  • Melts on your tongue. No water and no sugar.
  • Take it about 30 minutes before bed. Do not take it with alcohol or other sleep aids.

Every order comes with a 30 night money back guarantee.

See Driffly Night Reset Strips

Common questions about too much melatonin

Is 10 mg of melatonin too much?

It is much more than your body makes on its own, and more than many people need. In adults over 50, 0.3 mg brought night levels back to normal.2 If 10 mg leaves you groggy, a lower dose taken at the right time may work better. Ask your doctor before changing your plan.

Is 20 mg of melatonin too much?

For most adults, it is far more than needed. It is many times what your body makes on its own, and more of it stays in your blood the next morning.2 Talk to your doctor before taking that much.

Can you overdose on melatonin?

You can take too much. The effects are usually mild, like drowsiness, headache, dizziness, or nausea.1 The risk is higher in children and when melatonin is mixed with alcohol or other sleep aids.6

What is the maximum dose of melatonin?

There is no official maximum for melatonin supplements in the US. Prescription melatonin in Europe is 2 mg for adults 55 and older.4

Do I need to taper off melatonin?

Most people do not. Studies of up to 6 to 12 months did not find withdrawal or rebound sleep trouble when people stopped.8,9

What should I do if my child ate melatonin gummies?

Call Poison Help at 1-800-222-1222 right away, even if your child seems fine. Call 911 if your child is hard to wake or has trouble breathing.1,6

Sources

  1. Poison Control (National Capital Poison Center). Too much melatonin? Article and case report, poison.org.
  2. Zhdanova IV, Wurtman RJ, Regan MM, et al. Melatonin treatment for age-related insomnia. The Journal of Clinical Endocrinology and Metabolism. 2001;86(10):4727-4730.
  3. European Commission. Commission Regulation (EU) No 432/2012 establishing a list of permitted health claims made on foods (melatonin: reduction of time taken to fall asleep, at least 1 mg per portion). 2012.
  4. European Medicines Agency. Circadin (melatonin 2 mg prolonged release tablets): summary of product characteristics.
  5. Cohen PA, Avula B, Wang YH, Katragunta K, Khan I. Quantity of melatonin and CBD in melatonin gummies sold in the US. JAMA. 2023;329(16):1401-1402.
  6. Lelak KA, Vohra V, Neuman MI, Toce MS, Sethuraman U. Pediatric melatonin ingestions, United States, 2012 to 2021. Morbidity and Mortality Weekly Report. 2022;71(22):725-729.
  7. MedlinePlus. Valerian. US National Library of Medicine.
  8. Lemoine P, Nir T, Laudon M, Zisapel N. Prolonged-release melatonin improves sleep quality and morning alertness in insomnia patients aged 55 years and older and has no withdrawal effects. Journal of Sleep Research. 2007;16(4):372-380.
  9. Lemoine P, Garfinkel D, Laudon M, Nir T, Zisapel N. Prolonged-release melatonin for insomnia: an open-label long-term study of efficacy, safety, and withdrawal. Therapeutics and Clinical Risk Management. 2011;7:301-311.
Tyler Smith, RN, founder of Driffly

Tyler Smith, RN, BSN, BA is a registered nurse and the founder of Driffly. He writes and reviews the articles in the sleep education hub. About Tyler

The author is the founder of Driffly, which sells the product mentioned in this article. This article is for education and is not medical advice. *These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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