A recent study highlights a significant health risk associated with prolonged melatonin use in adults suffering from insomnia. The research indicates that individuals using melatonin for over a year are nearly twice as likely to develop heart failure.
Researchers analyzed health data from more than 130,000 adults diagnosed with insomnia, none of whom had a prior history of heart failure. They compared those who used melatonin long-term to those who never used the supplement.
Melatonin is among the most popular over-the-counter sleep aids in the United States, with nearly six million Americans using it to either fall asleep faster or extend sleep duration.
"Long-term use may carry serious risks, including a significantly higher chance of developing heart failure," researchers presented at the AHA Scientific Sessions 2025.
While melatonin remains a widely used sleep supplement, prolonged use in adults with insomnia is linked to a substantially elevated risk of heart failure, hospitalization, and increased mortality.
Careful evaluation of melatonin’s long-term safety is essential, especially for insomnia patients, given its strong association with heart failure risk and mortality.