A recent study highlights a significant health concern for adults with insomnia who use melatonin over an extended period. Findings suggest that long-term melatonin use may raise the risk of developing heart failure by 90%.
The research, presented at the American Heart Association (AHA) Scientific Sessions 2025, analyzed health records from over 130,000 adults suffering from insomnia without prior heart failure. It compared those who used melatonin for more than a year to those who never used it.
In the United Kingdom, melatonin is regulated and only available by prescription. Even among those who had at least two prescriptions filled 90 days apart, the risk of heart failure remained elevated by 82%.
"Adults with insomnia who took melatonin for at least a year had a much higher chance of developing heart failure," said the researchers.
In the United States, melatonin is one of the most widely used over-the-counter supplements, with nearly six million Americans relying on it to improve sleep duration or speed up falling asleep.
This study raises important concerns for anyone taking melatonin regularly, suggesting the need for caution and medical guidance regarding long-term use.
"Compared with similar adults who did not use melatonin, long-term users have a much greater chance of being hospitalized for heart failure or dying within five years," researchers emphasized.
Summary: Long-term melatonin use in adults with insomnia significantly increases their risk of heart failure, hospitalization, and death over five years, urging careful consideration of this common sleep aid.