Rankings / Sleep

Melatonin

Sleep · Pineal hormone

Tier B+

circadianprescriptionotc
7.3 / 10
Tier B+
Ev 8.0 Bn 3.5 Sf 9.0 Ax 10.0

What this is

Low-dose (0.3-1 mg) often works as well as higher doses and produces fewer next-day effects. Sleep-onset insomnia in older adults is the best-established indication. Supplement quality varies wildly — some reputable brands (Life Extension, Pure Encapsulations, Nature Made USP) test better than others.

Mechanism

Endogenous pineal hormone signaling circadian darkness; binds MT1/MT2 receptors; shifts circadian phase and promotes sleep onset; also free-radical scavenger; minimally hypnotic at low doses

Dose & route

0.3-3 mg 30-60 min before desired sleep time; much higher doses (5-10 mg) common but not better

This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.