Updated
Updated · Sci.News · Jul 1
Melatonin Cuts Chronic Pain by 9 Points in 2,028-Patient Review
Updated
Updated · Sci.News · Jul 1

Melatonin Cuts Chronic Pain by 9 Points in 2,028-Patient Review

3 articles · Updated · Sci.News · Jul 1

Summary

  • 23 randomized trials involving 2,028 patients found melatonin lowered chronic musculoskeletal pain by nearly nine points on a 100-point scale versus combined comparators.
  • The PAIN review linked that benefit partly to better sleep quality, with researchers saying the effect size was roughly comparable to common NSAIDs such as ibuprofen.
  • Mild nausea, dizziness and headache were the main side effects, generally occurring at rates similar to placebo across the studies reviewed.
  • Doses varied from 3 to 10 mg for chronic pain, and the authors found no clear best dose, advising patients to use melatonin only with medical guidance.
  • Researchers said the supplement should be considered an adjunct—not a replacement—for standard pain treatment, especially for patients whose pain is tied to poor sleep.

Insights

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Melatonin Reduces Chronic Musculoskeletal Pain by 9–10 Points: 2026 Meta-Analysis Reveals Comparable Efficacy to OTC Painkillers and Added Sleep Benefits

Overview

A major 2026 systematic review and meta-analysis brought new attention to melatonin as a potential adjunctive therapy for chronic musculoskeletal pain. By analyzing data from 23 randomized controlled trials with over 2,000 participants, the review found that melatonin led to a modest but clinically meaningful reduction in pain intensity—about 9 to 10 points on a 100-point scale. This level of pain relief is similar to what is seen with common over-the-counter painkillers. Additionally, melatonin improved sleep quality and showed a favorable short-term safety profile, though information on its long-term safety remains limited.

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