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Melatonin is practically nontoxic and exhibits almost no toxic side effects. However, melatonin taken in combination with monoamine oxidase inhibitors (MAOIs) can lead to overdose because MAOIs inhibit the breakdown of melatonin by the body. Exogenous melatonin normally does not affect the endogenous melatonin profile in the short or medium-term, merely advancing the phase of endogenous melatonin production in time.

In individuals with auto-immune disorders, there is concern that melatonin supplementation may exacerbate symptoms due to stimulation of the immune system.

Melatonin causes somnolence, and therefore should not be taken within five hours before driving, operating machinery, etc. As melatonin is almost always taken at the end of the waking day, this is generally not an issue.

Individuals who experience orthostatic intolerance, a cardiovascular condition that results in reduced blood pressure and blood flow to the brain when a person stands, may experience a worsening of symptoms when taking melatonin supplements, a study at Penn State College of Medicine's Milton S. Hershey Medical Center suggests. Melatonin can exacerbate the symptoms by reducing nerve activity in those who experience the condition, the study found.

As a natural substance with a virtual absence of problematic side effects, with health benefits to users without illnesses, melatonin has been classified as a dietary supplement and made freely available in the USA, but in the EU, over-the-counter sale without prescription is not yet officially permitted.

Melatonin
Melatonin has been proven to help treat jet lag and sleep disorders in shift workers. This article looks at the latest evidence and some of the unsubstantiated claims that have been made.

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