A recent study indicates that adults with insomnia who use melatonin long-term face a significantly higher risk of heart failure. Those taking melatonin for at least one year had a 90% greater chance of developing heart failure compared to non-users.
The research analyzed health records of over 130,000 adults with insomnia and no previous history of heart failure. It compared individuals using melatonin for more than a year against similar individuals who never used the supplement.
In the United Kingdom, melatonin is available only by prescription. Despite this, individuals with at least two prescriptions filled 90 days apart demonstrated an 82% elevated risk of heart failure.
"Adults with insomnia who took melatonin for at least a year had a much higher chance of developing heart failure."
"Long-term users were nearly 3.5 times more likely to be hospitalized for heart failure compared with nonusers."
Melatonin is among the most common over-the-counter sleep aids in the United States, with nearly six million Americans using it to fall asleep faster or prolong sleep.
The findings were presented at the American Heart Association (AHA) Scientific Sessions 2025, highlighting serious concerns regarding long-term melatonin consumption.
Author's Summary: Long-term melatonin use in adults with insomnia is linked to nearly double the risk of heart failure and significantly higher chances of hospitalization and death within five years.