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Melatonin for reflux: a short trial tested an omeprazole add-on

A four-week study found better symptom scores when sublingual melatonin accompanied omeprazole. It did not test replacing omeprazole or preventing long-term reflux complications.

Read the evidence ↓

Supplement Science Insights Editorial Team

Published September 23, 2026

What the study measured

Seventy-eight people with reflux symptoms were randomized to omeprazole plus sublingual melatonin or omeprazole plus placebo. Seventy-two completed the four-week trial. [1]

Heartburn, upper-abdominal pain and overall reflux symptom scores improved more with the combination. Quality-of-life scores also favored it. Reported adverse events were similar between groups, with no serious events reported. [1]

How far the finding goes

Both groups received omeprazole, so the comparison concerns an adjunct. It does not show that melatonin alone is equivalent to standard treatment or that it prevents erosions, cancer or other long-term complications. The authors declared no conflicts; funding was not established from the abstract. [1]

A short trial cannot exclude uncommon or delayed harms. Its specific sublingual formulation and symptom-based outcomes should remain visible when interpreting a claim that melatonin relieves reflux. [1]

A hypothetical distinction

Imagine two groups share a treatment while one receives an additional agent. A difference estimates the added strategy’s effect; it does not tell us how the additional agent would perform by itself.

Evidence summary — Melatonin for reflux
DetailInterpretation
Four weeksShort follow-up
Omeprazole in both armsAdd-on comparison
Long-term complicationsNot established
Melatonin for reflux: a short trial tested an omeprazole add-on — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Is the Addition of Sublingual Melatonin to Omeprazole Superior to Omeprazole Alone in the Management of Gastroesophageal Reflux Disease Symptoms: A Clinical Trial - PubMed
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.