Melatonin Dosing Guidance
Use this tool to review recommended starting doses, safe maximums, and titration increments for melatonin in pediatric and adult patients.
Increase dose gradually. Avoid very high doses without guidance.
Recommendation
Suggested range
1–10 mg nightly
Most adults respond to 1–3 mg; avoid >10 mg without clinician supervision.
Titration suggestion
Current dose 0.0 mg is outside the suggested range.
Next dose: 1.0 mg (increase by 1 mg if needed, not exceeding 10 mg).
How to Use This Calculator
Select the patient age group
Melatonin data differs for children vs adults. Avoid in infants unless advised.
Enter the current or planned dose
The calculator provides a recommended range and titration guidance.
Review sleep hygiene measures
Melatonin complements behavioral sleep strategies; ensure bedtime routines are optimized.
Formula
No strict mg/kg formula; dosing is standardized by age group. Start low, titrate carefully.
Guidance references: American Academy of Sleep Medicine, pediatric sleep medicine literature.
Frequently Asked Questions
Is melatonin safe long term?
Short-term use is generally safe. Long-term data limited—consult healthcare providers for chronic use.
Can melatonin help jet lag?
Yes—take 0.5–5 mg near target bedtime for several nights when traveling across time zones.
Any drug interactions?
Moderate interactions with anticoagulants, anticonvulsants, immunosuppressants. Consult pharmacists.
What about delayed-release melatonin?
Extended-release forms help with sleep maintenance; typical adult dose 2 mg ER nightly.
Does melatonin work for ADHD-related insomnia?
Evidence supports melatonin 3–6 mg nightly in children with ADHD. Coordinate with pediatrician.