Melatonin: strongest when the problem is timing
A meta-analysis of 19 placebo-controlled studies found modest improvements in sleep latency, total sleep time and sleep quality across primary sleep disorders.[9] A separate adult review found especially convincing evidence around delayed sleep phase and other circadian-related problems.[10] The AASM chronic-insomnia pharmacologic guideline, however, suggested against melatonin for adult sleep-onset or sleep-maintenance insomnia based on the evidence available for that indication.[5]
Best interpretation: melatonin is a circadian tool with modest sleep effects, not a universal natural sleeping pill.
Melatonin evidence profile →