It's been a while since I've posted, got caught up in spring semester.
I've recently stopped taking melatonin and I'll tell you why.
But some quick background info first:
+ 32 yrs old, migraineur since 21
+ have a great need for regular sleep schedule as part of permanent migraine prophylaxis plan
+ sleep onset insomnia, chronic, and on ambien 10mg (not CR) indefinitely after a variety of failures with other sleep aids and methods and beaucoup migraines
+ did not suffer the semi-common ambien side effect of waking up around 2-3am until nearly two years of nightly use
+ things like gabapentin with ambien enabled successful full night's sleep but were undesirable due to side effects
+ began taking 1/2 to 1/4 of a 3mg sublingual tablet of melatonin (Natrol brand) nightly partway through this last semester
First couple of weeks in: it works to regulate sleep as it should, to keep you asleep instead of waking up too early. At appropriate doses (should not be more than 1 mg really, 1.5 mg is pushing it, that's way more than a healthy body makes for itself and doses over 3 mg are absurdly unwise) inital side effects were minor and tolerable; greater resistance to getting up in the morning at 6am, some slight mental sluggishness for up to two hours after waking, proportional to amount of melatonin consumed the night before. I also noticed a slight reduction in agitation/irritation/anxiety during the day, slight increase in sensory tolerance (I'm on the autism spectrum and have some of the usual sensory overstimulation problems)
After two weeks: depression worsening? I'm not sure, it could have just been a response to the high stress of course work in a bioscience major. Also noticed an acne breakout on my face, which is weird for a 30-something with no significant acne issues ever including high school.
After a month: notable increase in periods of carb cravings, along with increasing intensity of cravings. I usually snack on fav foods like fresh spinach, fresh yellow/red bell peppers (I eat them like you would an apple, literally) baby carrots, thai corn, broccoli, jasmine rice with chia seed, you get the picture. I cannot have the typical students' junkfood diet due to migraine concerns, and have natural autistic desires for specific foods like those--yet my eating habits were changing so subtly that it was quite a while before I realized I had eaten a whole bag of Ruffles each day for 4 straight days. 4 big bags of chips in 4 days, which is just disgusting. I don't own a scale but noticed my pants were getting tight, a trip to the nurse's office revealed a 12 lb weight gain since my last visit there 2 months prior.
Two months in: by now I knew the melatonin was seriously fucking with my hormones even at the low doses; acne was still going strong, 5 more lbs gained despite terrific resistance of carb cravings (which all by itself put me in a rotten mood regularly). I kept up the routine because it was a critical time near finals and any change would send me into migraine hell and threaten my GPA. Mind you, I had recently been prescribed ritalin (after a rough trial with adderall-do not recommend) and have been taking bupropion almost as long as the ambien, both of which are known to suppress appetite and cause weight loss in some people.
I immediately quit the melatonin after finals, a couple of weeks ago; already my face is clearing up, still not quite there yet though, but the cravings stopped and I've lost 6 lbs without any effort, just by going back to my normal diet, no extra exercise or anything to deliberately lose the weight. The only weird thing is that I've gone back to sleeping properly all night on just the usual 10 mg ambien, but maybe that side effect will pop up again after my hormones fully return to baseline.
So that's my anecdote. I won't tell people to stop taking it because hormone therapy affects everyone differently but just wanted to put my experience out there.
TLDR; melatonin does what it's supposed to but may have unacceptable adverse effects
Edited by Duchykins, 13 June 2015 - 06:02 AM.