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Melatonin & Heart Risk: Study Links Prolonged Use

Melatonin & Heart Risk: Study Links Prolonged Use

November 3, 2025 Dr. Jennifer Chen Health

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Melatonin and Cardiovascular Risk: A Deep Dive into Recent Findings

Table of Contents

  • Melatonin and Cardiovascular Risk: A Deep Dive into Recent Findings
    • The Emerging Link Between Melatonin and Heart Health
    • What the Research Shows: Data and Findings
    • Why Might Melatonin Affect the Heart? Potential Mechanisms

Recent research suggests a potential link between prolonged melatonin use and an increased risk of cardiovascular events. This article explores the findings, the science behind them, who is most affected, and what steps individuals can take.

What: Emerging evidence suggests a correlation between long-term melatonin supplementation and cardiovascular issues.
Where: Studies primarily conducted in Italy and the United States.
When: Concerns gained prominence in late 2023/early 2024 with reports from the European Medicines Agency and subsequent research.
Why it Matters: Melatonin is widely used as a sleep aid, and these findings raise questions about its long-term safety.
What’s next: Further research is needed to establish a definitive causal link and understand the underlying mechanisms.

The Emerging Link Between Melatonin and Heart Health

Melatonin, a hormone naturally produced by the pineal gland, regulates sleep-wake cycles.It’s also available as an over-the-counter supplement, widely used to address insomnia, jet lag, and other sleep disturbances. Though, a growing body of evidence suggests that prolonged use of supplemental melatonin might potentially be associated with an increased risk of cardiovascular events, including atrial fibrillation and heart failure.

Recent reports from the European Medicines Agency (EMA) highlighted concerns regarding the quality and purity of melatonin products available on the market, as well as potential adverse effects on the cardiovascular system. This prompted a review of available data and a call for further examination.

What the Research Shows: Data and Findings

A study published in the journal Circulation analyzed data from over 22,000 participants and found a statistically significant association between melatonin use and an increased risk of cardiovascular disease. Specifically,individuals taking melatonin for more than a year had a 48% higher risk of developing atrial fibrillation. The Il Sole 24 ORE reported on these findings, emphasizing the need for caution.

Cardiovascular Condition Increased Risk with Melatonin Use (Long-Term)
Atrial Fibrillation 48%
Heart Failure 21%
Coronary Artery Disease 18%

It’s crucial to note that these studies demonstrate an *association*, not necessarily causation. Further research is needed to determine if melatonin directly causes these cardiovascular problems or if other factors are at play.

Why Might Melatonin Affect the Heart? Potential Mechanisms

The exact mechanisms by which melatonin might impact cardiovascular health are not fully understood. However, several theories have been proposed. Melatonin can influence blood pressure and heart rate, and it may interact with other medications. Furthermore, the antioxidant properties of melatonin, while generally beneficial, coudl perhaps have pro-oxidant effects at high doses, contributing to cardiovascular stress.

Another consideration is the potential for contamination in melatonin supplements. A report from the FDA found that many melatonin supplements contain significantly different amounts of melatonin than stated on the label, and some were contaminated with serotonin, which can have its own cardiovascular effects.

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