Melatonin and Children’s Sleep: Safety, Evidence, and Practical Tips

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There is limited evidence that melatonin supplementation reliably helps children with insomnia. The American Academy of Sleep Medicine (AASM) has weighed in on this topic, as reported by Health Day.

A new AASM survey revealed that 46% of parents give melatonin to children under age 13, while about 30% of teenagers have tried it. The findings underscore that many families explore melatonin as a sleep aid, even when uncertainty remains about effectiveness and safety.

The academy urges parents to consult a healthcare professional before giving melatonin or any other supplement to a child. Guidance from a clinician can help weigh benefits against potential risks and consider alternative approaches.

Non-drug options carry important safety considerations as well. Melatonin products found in the market may contain higher levels than advertised. In a number of studies, researchers detected melatonin content two to four times above the labeled amount. Some supplements also included other chemicals that could require medical oversight. These discrepancies highlight the need for careful product selection and professional input, especially for younger children.

Dr. Adil Rishi, chair of the AASM Public Safety Committee, notes that many sleep problems in children respond to behavioral strategies. He emphasizes that parents should help their children establish reliable sleep routines and practice healthy sleep hygiene before turning to melatonin. Behavioral approaches can often address root causes of sleep difficulties without the need for supplements.

Good sleep habits involve a consistent schedule, with going to bed and waking up at the same time every day, including weekends. Limiting screen time in the hour before bed is important, and creating a calming pre-sleep routine can make a big difference. Encouraging activities such as a warm bath, gentle stretching, journaling, or reading can help children unwind and prepare for restful sleep. Additionally, dimming lights and keeping the sleeping environment comfortable supports longer, more restorative sleep cycles.

Because sleep health is linked to daytime attention, mood, and overall well being, families in Canada and the United States are urged to approach sleep challenges with a balanced plan. When sleep problems persist, seeking guidance from pediatricians or sleep specialists can help identify underlying issues, determine appropriate treatment options, and ensure safety when considering supplements like melatonin. The focus remains on evidence, safety, and long term healthy sleep habits that support growing minds and bodies.

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