MELATONIN

65/100 · Elevated

Manufactured by Professional Complementary Health Formulas

Melatonin Adverse Events: Moderate Safety Concerns

110,180 FDA adverse event reports analyzed

Last updated: 2026-05-12

About MELATONIN

MELATONIN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Professional Complementary Health Formulas. Based on analysis of 110,180 FDA adverse event reports, MELATONIN has a safety score of 65 out of 100. This moderate score indicates a notable volume of adverse event reports that patients and providers should be aware of. The most commonly reported adverse reactions for MELATONIN include FATIGUE, NAUSEA, OFF LABEL USE, DRUG INEFFECTIVE, DIARRHOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for MELATONIN.

AI Safety Analysis

Melatonin has a safety concern score of 65 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 110,180 adverse event reports for this medication, which is primarily manufactured by Professional Complementary Health Formulas.

The most commonly reported adverse events include Fatigue, Nausea, Off Label Use. Of classified reports, 65.6% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Fatigue and dizziness are the most common adverse events reported.

Serious adverse events, such as death and pneumonia, are reported but at a lower rate. Drug interactions and misuse are significant concerns, especially in elderly patients. The majority of adverse events are non-serious, but the diversity of reactions is notable.

Patients taking Melatonin should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Melatonin can interact with other medications, potentially affecting their efficacy. Misuse, including off-label use and intentional overdose, is a significant concern. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 65/100

Melatonin received a safety concern score of 65/100 (elevated concern). This is based on a 65.6% serious event ratio across 51,323 classified reports. The score accounts for 110,180 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

FATIGUE4,195 reports
NAUSEA3,592 reports
OFF LABEL USE3,225 reports
DRUG INEFFECTIVE3,031 reports
DIARRHOEA2,865 reports
HEADACHE2,797 reports
DYSPNOEA2,437 reports
INSOMNIA2,428 reports
FALL2,300 reports
PAIN2,250 reports
DIZZINESS2,218 reports
VOMITING2,124 reports
DEATH2,031 reports
SOMNOLENCE1,843 reports
ASTHENIA1,818 reports
CONSTIPATION1,799 reports
ANXIETY1,702 reports
PNEUMONIA1,622 reports
ARTHRALGIA1,517 reports
CONDITION AGGRAVATED1,483 reports
WEIGHT DECREASED1,460 reports
MALAISE1,426 reports
PRODUCT DOSE OMISSION ISSUE1,412 reports
COUGH1,350 reports
DEPRESSION1,312 reports
DECREASED APPETITE1,262 reports
PYREXIA1,259 reports
RASH1,240 reports
PAIN IN EXTREMITY1,226 reports
PRURITUS1,210 reports
URINARY TRACT INFECTION1,168 reports
CONFUSIONAL STATE1,162 reports
ABDOMINAL PAIN1,159 reports
FEELING ABNORMAL1,143 reports
WEIGHT INCREASED1,134 reports
TREMOR1,110 reports
BACK PAIN1,102 reports
GAIT DISTURBANCE1,058 reports
SEIZURE1,046 reports
HYPERTENSION1,006 reports
COVID 19951 reports
HYPOTENSION945 reports
PRODUCT USE IN UNAPPROVED INDICATION914 reports
MUSCLE SPASMS909 reports
HALLUCINATION905 reports
NASOPHARYNGITIS905 reports
GASTROOESOPHAGEAL REFLUX DISEASE842 reports
ACUTE KIDNEY INJURY827 reports
ABDOMINAL PAIN UPPER824 reports
ANAEMIA793 reports
DRUG INTERACTION792 reports
MEMORY IMPAIRMENT771 reports
CHEST PAIN749 reports
PERIPHERAL SWELLING741 reports
INTENTIONAL OVERDOSE731 reports
SEPSIS730 reports
BLOOD PRESSURE INCREASED727 reports
ABDOMINAL DISTENSION721 reports
SUICIDAL IDEATION690 reports
ABDOMINAL DISCOMFORT678 reports
BALANCE DISORDER673 reports
SLEEP DISORDER673 reports
DEHYDRATION656 reports
PRODUCT USE ISSUE655 reports
MUSCULAR WEAKNESS650 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION649 reports
SINUSITIS649 reports
PARAESTHESIA648 reports
AGITATION640 reports
MYALGIA637 reports
GENERAL PHYSICAL HEALTH DETERIORATION625 reports
HYPOAESTHESIA621 reports
STRESS617 reports
ALOPECIA609 reports
DRY MOUTH587 reports
HOSPITALISATION586 reports
CONTUSION578 reports
VISION BLURRED565 reports
INFLUENZA554 reports
HEART RATE INCREASED547 reports
HYPERHIDROSIS547 reports
INTENTIONAL SELF INJURY536 reports
LOSS OF CONSCIOUSNESS533 reports
DRUG HYPERSENSITIVITY532 reports
ERYTHEMA528 reports
INFECTION515 reports
DYSPHAGIA513 reports
OEDEMA PERIPHERAL513 reports
HYPONATRAEMIA512 reports
INJECTION SITE PAIN510 reports
HYPERSENSITIVITY502 reports
MIGRAINE502 reports
ILLNESS496 reports
NEUROPATHY PERIPHERAL496 reports
CHRONIC KIDNEY DISEASE490 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS486 reports
RENAL FAILURE474 reports
TACHYCARDIA473 reports
WHITE BLOOD CELL COUNT DECREASED470 reports
PALPITATIONS466 reports

Key Safety Signals

  • Frequent reports of falls and dizziness suggest potential risks, especially in the elderly.
  • Serious adverse events like death and pneumonia indicate a need for caution, particularly in vulnerable populations.
  • A wide range of reactions, including psychiatric and gastrointestinal issues, highlight the complexity of melatonin's safety profile.

Patient Demographics

Adverse event reports by sex: Female: 28,000, Male: 19,380, Unknown: 27. The most frequently reported age groups are age 80 (906 reports), age 64 (842 reports), age 72 (780 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 51,323 classified reports for MELATONIN:

  • Serious: 33,689 reports (65.6%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 17,634 reports (34.4%)
Serious 65.6%Non-Serious 34.4%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female28,000 (59.1%)
Male19,380 (40.9%)
Unknown27 (0.1%)

Reports by Age

Age 80906 reports
Age 64842 reports
Age 72780 reports
Age 74756 reports
Age 70731 reports
Age 76717 reports
Age 69708 reports
Age 73703 reports
Age 71697 reports
Age 68675 reports
Age 75674 reports
Age 67662 reports
Age 63655 reports
Age 65654 reports
Age 66645 reports
Age 62621 reports
Age 61592 reports
Age 77588 reports
Age 78577 reports
Age 59547 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Melatonin can interact with other medications, potentially affecting their efficacy. Misuse, including off-label use and intentional overdose, is a significant concern.

What You Should Know

If you are taking Melatonin, here are important things to know. The most commonly reported side effects include fatigue, nausea, off label use, drug ineffective, diarrhoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Always consult a healthcare provider before using melatonin, especially if you are taking other medications. Follow recommended dosages and use as directed to minimize the risk of adverse events. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is ongoing, with a focus on ensuring proper use and monitoring for serious adverse events, especially in elderly populations.

Frequently Asked Questions

How many adverse event reports has the FDA received for Melatonin?

The FDA has received approximately 110,180 adverse event reports associated with Melatonin. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Melatonin?

The most frequently reported adverse events for Melatonin include Fatigue, Nausea, Off Label Use, Drug Ineffective, Diarrhoea. By volume, the top reported reactions are: Fatigue (4,195 reports), Nausea (3,592 reports), Off Label Use (3,225 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Melatonin.

What percentage of Melatonin adverse event reports are serious?

Out of 51,323 classified reports, 33,689 (65.6%) were classified as serious and 17,634 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Melatonin (by sex)?

Adverse event reports for Melatonin break down by patient sex as follows: Female: 28,000, Male: 19,380, Unknown: 27. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Melatonin?

The most frequently reported age groups for Melatonin adverse events are: age 80: 906 reports, age 64: 842 reports, age 72: 780 reports, age 74: 756 reports, age 70: 731 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Melatonin?

The primary manufacturer associated with Melatonin adverse event reports is Professional Complementary Health Formulas. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Melatonin?

Beyond the most common reactions, other reported adverse events for Melatonin include: Headache, Dyspnoea, Insomnia, Fall, Pain. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Melatonin?

You can report adverse events from Melatonin to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Melatonin's safety score and what does it mean?

Melatonin has a safety concern score of 65 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Fatigue and dizziness are the most common adverse events reported.

What are the key safety signals for Melatonin?

Key safety signals identified in Melatonin's adverse event data include: Frequent reports of falls and dizziness suggest potential risks, especially in the elderly.. Serious adverse events like death and pneumonia indicate a need for caution, particularly in vulnerable populations.. A wide range of reactions, including psychiatric and gastrointestinal issues, highlight the complexity of melatonin's safety profile.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Melatonin interact with other drugs?

Melatonin can interact with other medications, potentially affecting their efficacy. Misuse, including off-label use and intentional overdose, is a significant concern. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Melatonin.

What should patients know before taking Melatonin?

Always consult a healthcare provider before using melatonin, especially if you are taking other medications. Follow recommended dosages and use as directed to minimize the risk of adverse events.

Are Melatonin side effects well-documented?

Melatonin has 110,180 adverse event reports on file with the FDA. Serious adverse events, such as death and pneumonia, are reported but at a lower rate. The volume of reports for Melatonin reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Melatonin?

Regulatory oversight is ongoing, with a focus on ensuring proper use and monitoring for serious adverse events, especially in elderly populations. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

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Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.