A new study suggests that adults with insomnia who take melatonin regularly for over a year may face a 90% greater risk of developing heart failure compared to nonusers. These individuals are also at increased risk of hospitalization or death within five years.
"Long-term use of melatonin appears to significantly raise the risk of heart failure and other serious outcomes in adults with insomnia," noted the researchers at the American Heart Association Scientific Sessions 2025.
Melatonin remains among the most popular over-the-counter sleep aids in the United States. Nearly six million Americans use it to fall asleep more quickly or to improve sleep quality. However, the findings highlight the potential dangers of prolonged use and call for more cautious, medically guided consumption.
Experts emphasize that while melatonin can help manage temporary sleep issues, long-term reliance without medical oversight might expose users to cardiovascular risks. They recommend patients consult healthcare providers before continuing extended use.
Long-term melatonin consumption for insomnia may greatly elevate heart failure and mortality risks, prompting calls for medical guidance and careful use.