Daytime and nighttime results are different questions
A 2024 review of randomized trials reported a small pooled reduction in daytime diastolic pressure, but no significant overall systolic effect. The review examined several body-composition and blood-pressure outcomes; its total participant count does not mean every outcome was measured in every participant. [1]
An average result does not predict a personal response
Formulation, timing, baseline blood pressure and concurrent medicines matter. The review called for larger and longer studies. A statistically detectable average change is not an established treatment plan for hypertension or evidence that every melatonin product lowers pressure. [1]
Medication review is essential
NHS specifically lists blood-pressure medicines among drugs to discuss before taking melatonin. Do not assume an apparent supplement-related reading means the prescribed medicine should be stopped. Review the product and a properly recorded pattern of readings with the prescriber or pharmacist. [2]
Avoid adjusting two treatments from one reading
Imagine a person sees a higher reading after starting melatonin. Record when it occurred, how it was measured and all medicines taken, then seek advice about the pattern. One observation cannot establish whether melatonin, measurement conditions or another factor caused it. [1][2]
| Detail | Why it matters |
|---|---|
| Systolic versus diastolic | Different endpoints |
| Day versus night | Different measurement windows |
| Average trial effect | Not an individual guarantee |
| Other medicines | Possible interaction |

Sources for this article
- Effect of melatonin supplementation on body composition and blood pressure in adults: A systematic review and Dose-Response meta-analysis of randomized controlled trial.
Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product. - Taking melatonin with other medicines and herbal supplements - NHS
Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product.