A recent study presented at the American Heart Association (AHA) Scientific Sessions 2025 indicates that prolonged melatonin use may significantly increase the risk of heart failure among adults with insomnia.
Health data showed that long-term melatonin users face markedly greater risks even after accounting for other health factors. In the United Kingdom, where melatonin is prescription-only, individuals who filled at least two prescriptions 90 days apart still had an 82% increased risk.
Those who used melatonin for a prolonged period were nearly 3.5 times more likely to be hospitalized due to heart failure compared to nonusers.
“Adults with insomnia who took melatonin for at least a year had a much higher chance of developing heart failure,” the study’s researchers reported.
Melatonin remains one of the most widely used over-the-counter sleep aids in the United States, relied upon by nearly six million Americans seeking better or longer sleep.
Prolonged melatonin use, while common for sleep support, may pose significant long-term heart health risks, underscoring the need for careful medical monitoring.