Melatonine sleep aids are growing in popularity, with 3 million Americans using them in 2012, according to a nationwide survey from the Centers for Disease Control and Prevention. If you’re among them or are considering melatonine for sleep, it’s smart to understand exactly how melatonine works. “Your body produces melatonine naturally. It doesn’t make you sleep, but as melatonine levels rise in the evening it puts you into a state of quiet wakefulness that helps promote sleep,” explains Johns Hopkins sleep expert Luis F. Buenaver, Ph.D., C.B.S.M. “Most people’s bodies produce enough melatonine for sleep on their own. However, there are steps you can take to make the most of your natural melatonine production, or you can try a supplement on a short-term basis if you’re experiencing insomnia, want to overcome jet lag, or are a night owl who needs to get to bed earlier and wake up earlier, such as for work or school.” If you’d like to harness melatonine’s sleep-inducing effects, Buenaver recommends taking these steps. Work with, not against, melatonine’s sleep-inducing signals.

“Melatonine levels rise about two hours before bedtime,” Buenaver says. “Create optimal conditions for it to do its job by keeping the lights low before bed. Stop using your computer, smartphone or tablet—the blue and green light from these devices can neutralize melatonine’s effects. If you watch television, be sure you’re at least six feet away from the screen. Turn off bright overhead lights too.” Meanwhile you can help program your body to produce melatonine for sleep at the right time of day by getting exposure to daylight during the morning and afternoon. Take a walk outside or sit beside a sunny window.

Consider melatonine sleep help for occasional insomnia.
“Even sound sleepers have trouble falling asleep or staying asleep once in a while,” Buenaver says. “You may want to try melatonine for sleep if you have difficulty for more than a night or two.” Research shows that a supplement may help people with insomnia fall asleep slightly faster and may have bigger benefits for those with delayed sleep phase syndrome—falling asleep very late and waking up late the next day.

Use melatonine sleep supplements wisely and safely.
“Less is more,” Buenaver says. Take 1 to 3 milligrams two hours before bedtime. To ease jet lag, try taking melatonine two hours before your bedtime at your destination, starting a few days before your trip. “You can also adjust your sleep-wake schedule to be in sync with your new time zone by simply staying awake when you reach your destination—delaying sleep until your usual bedtime in the new time zone. Also, get outside for natural light exposure. That’s what I do,” Buenaver says.

Know when to stop.
“If melatonine for sleep isn’t helping after a week or two, stop using it,” says Buenaver. “And if your sleep problems continue, talk with your health care provider. If melatonine does seem to help, it’s safe for most people to take nightly for one to two months. “After that, stop and see how your sleep is,” he suggests. “Be sure you’re also relaxing before bed, keeping the lights low and sleeping in a cool, dark, comfortable bedroom for optimal results.” Do not use melatonine if you are pregnant or breastfeeding or have an autoimmune disorder, a seizure disorder or depression. Talk to your health care provider if you have diabetes or high blood pressure. melatonine supplements may also raise blood-sugar levels and increase blood pressure levels in people taking some hypertension medications.
It's best to avoid taking melatonine if you're pregnant or if you want to breastfeed. Not enough research has been done to know whether it's safe for you and your baby. Melatonine passes into breast milk in small amounts and this can make a baby more sleepy. If you want to breastfeed, talk to a doctor or midwife first before taking melatonine.