London Daily

Focus on the big picture.
Saturday, Sep 19, 2026

Not enough proof it works: UK’s National Health Service won’t pay for melatonin to help you sleep

Not enough proof it works: UK’s National Health Service won’t pay for melatonin to help you sleep

The NHS says that the trendy but controversial hormone shouldn’t be prescribed for free by doctors in the UK. Is it being stingy, or is the science on melatonin genuinely as shaky as officials claim?

The verdict came from the Drug and Therapeutics Bulletin, a subsidiary publication of the British Medical Journal that performs independent reviews of new drugs and treatments, after two drugs featuring melatonin were approved for jet lag treatment last year.

Clinigen, the company behind one of the treatments, an oral solution, had called jet lag "an unmet medical need in the UK" and hoped to make big bucks in contractts with the NHS.


What is Melatonin?

Melatonin (not to be confused with melanin, the skin pigment) has been called the sleep hormone. It regulates the body’s natural sleep-wake cycle and its circadian rhythm, which uses cues from the environment (such as sunlight levels) to tell the brain what time it is.

It is this finely-tuned internal mechanism that is thrown out of whack by long aeroplane journeys. Melatonin is naturally secreted by the pineal gland which is inside the brain.

Furthermore, a lack of melatonin is linked to a variety of diseases including breast and prostate cancers, and not getting enough sleep is a well-known risk factor for all sorts of negative health outcomes, obesity among them.


So what gives? Does melatonin work or not?

Somewhat, appears to be the answer. The independent review found that when asked to score the severity of their jet lag out of 100, the average score for those given melatonin was 27, compared to 45 for those who did not take it.

So perhaps it does do some good, although it depends largely on variation between people, extent of jet lag and time of day.

But according to the independent review, the studies put forward as evidence by the Medicines and Healthcare products Regulatory Agency were streaky at best.

Most of them were small and at least 15 years old. Furthermore, the reviewers stated that the trials did not always make it clear what form of melatonin was being used, or indeed whom it was being used on. Therefore, they did not recommend it for NHS rollout.

Regarding side effects, the most severe were nausea and possibly increasing the chance of seizures for epileptics. Unsurprisingly, then, melatonin is not recommended for pregnant or breastfeeding women.

But the most common side effects from using melatonin to treat jet lag were drowsiness, sleepiness and headaches-pretty much the same effects as jet lag itself, then? With this in mind, perhaps the best ways to get over a bout of jet lag are the old-fashioned ones-coffee and willpower to help you stay up for your new bedtime.

Newsletter

Related Articles

0:00
0:00
Close
England Tightens School Food Standards With Restrictions on Deep-Fried and High-Sugar Foods
Oxfordshire Village Votes Symbolically to Leave UK Over Proposed Asylum Centre
Michael Marra Elected Leader of Scottish Labour
BBC Cash Reserves Fall Sharply as Financial Pressures Mount
George Osborne Calls for UK to Rejoin EU Customs Union
UK Explores Joining Canada-Led Global Defence Bank
Thirlwall Inquiry Highlights Management Failures Surrounding Lucy Letby Crimes
Parliamentary Committee Calls for New UK Law to Address AI Risks to Human Rights
UK Considers Giving Regional Mayors Greater Oversight of Water Companies
UK Opposition Presses Burnham for Stronger Response to Russian Security Threats
Reform UK Faces Scrutiny Over £72 Million in Donations as Political Finance Rules Tighten
Millisecond Software Failure Behind UK Air-Traffic Outage That Cancelled More Than 2,000 Flights
Bank of England Holds Interest Rate at 3.75% as Energy Prices Complicate Inflation Outlook
Burnham Warns of Difficult Choices in October Budget as UK Inflation Rises to 3.1%
Addison Lee Founder Loses £20.5 Million Non-Domicile Tax Case
BrewDog Creditors Face Heavy Losses After Collapse
Thirteenth Metropolitan Police Officer Dismissed Over Charing Cross Conduct
Oxfordshire Village Votes Symbolically to Leave UK Over Asylum Accommodation Plan
NHS Approves Life-Extending Treatment for Women With Incurable Breast Cancer
Software Defect Blamed for Major UK Air Traffic Disruption
Twenty Women Underwent Unnecessary Mastectomies at County Durham NHS Trust
British Steel Costs Taxpayers £1.3 Million a Day as MPs Demand Long-Term Plan
UK Parliament Advances Sovereign Grant Reform Setting Royal Funding at £99.9 Million
King Charles Urges Human-Centred Approach to Artificial Intelligence at Scotland Summit
House of Lords Begins Scrutiny of Voting-Age and Political Finance Reforms
UK Labour Market Shows Growing Divide Between Younger and Older Workers
Nearly Seven in 10 UK Small Businesses Delay or Cancel Growth Plans as Costs Rise
Andy Burnham Reaffirms UK Net-Zero Target Amid North Sea Energy Debate
UK Parliament Demands Credible Financial and Decarbonisation Plan for British Steel
MPs Urge Government to Reject Thames Water Rescue Deal and Prepare Special Administration
Bank of England Holds Rate at 3.75% as Energy Shock Raises Inflation Risks
TUC Calls for Social Energy Tariff Funded by Higher Taxes on Bank Profits
UK Parliament Enters Conference Recess After Advancing Sovereign Grant Legislation
King Charles Hosts Artificial Intelligence Leaders at Dumfries House Summit
Nearly Seven in Ten UK Small Businesses Delay or Cancel Growth Plans as Costs Rise
Anthropic Details Malicious Use of Claude in Cyber, Weapons and Influence Operations
McLaren Announces £500 Million UK Investment and 1,000 New Jobs
Scotland and Wales Sign Cardiff Agreement to Deepen Cooperation on Shared Policy Priorities
UK Government Moves to Fully Fund Teacher Pay Award as Strike Threat Recedes
UK Competition Regulator Deepens Scrutiny of Microsoft’s Business Software and AI Market Position
NHS England Reforms Focus on Cutting Waiting Lists and Improving Digital Care
England Maintains Mandatory Housing Targets in Push for 1.5 Million New Homes
UK Government Plans Statutory Industrial Strategy Council to Strengthen Long-Term Economic Policy
Asthma Charity Warns of Major Gaps in Childhood Diagnostic Testing Across England
TUC Chief Paul Nowak Appointed to Bank of England Court
Bristol Opens £35 Million Deep-Tech Innovation Hub at Temple Quarter
Oxfordshire Village Votes Symbolically to Leave UK Over Asylum Housing Plan
Andy Burnham Deepens UK Defense and AI Cooperation With NATO and Canada
UK Government Announces Neonatal Safety Reforms After Thirlwall Inquiry
Bank of England Weighs Rate Decision as UK Inflation Rises to 3.1%
×