The older we get, we might find it more difficult to fall asleep or stay asleep. In fact, insomnia is one of the most common sleep disorders among elderly.
One might consider using melatonin, which is largely considered a safe sleep aid supplement for healthy adults. Though it may be fairly safe for most people, there may be a different risk for older people.
Sleeping less as we age
Getting less sleep as we age can be characterized by shorter durations of sleep, more naps, increasingly disrupted sleep, and taking longer to fall asleep.
This is largely due to the changes in our body. As we get older, we produce less suprachiasmatic nucleus (SCN), which plays a role in regulating our circadian rhythm. Less SCN has been found correlated to disruptions in this rhythm, which affects biological processes like sleep.
These changes might also contribute to why we produce less melatonin as you age as well, another factor that could play a role in decreased sleep.
How much sleep should elderly people get?
People in the senior age group ideally need around 7 to 9 hours of sleep a day. But as we age, it gets harder to get that much.
Getting less sleep as we age can be characterized by shorter durations of sleep, more naps, increasingly disrupted sleep, and taking longer to fall asleep.
Can elderly people use melatonin?
One study notes additional benefits to melatonin being that it is hard to abuse as there are no withdrawal symptoms from using it. This same study suggests melatonin might be considered as a healthier alternative to using sleeping pills.
In addition to melatonin being hard to abuse, even long term, the use of melatonin was found to have some general improvement in sleep quality, supporting its potential benefits in trials concerning elderly people with insomnia.
Because we naturally produce less melatonin as we age, older people might be more sensitive to larger amounts of melatonin supplements. Elderly people who want to use melatonin should speak with their physician before use.
Side effects of taking too much melatonin for elderly people
Because our sensitivity to melatonin changes as we age, your risk for experiencing these side effects may also vary.
Some side effects might include:
- Headaches
- Nausea
- Dizziness or grogginess
- Feeling tired in the morning
- Elevations or drops in blood pressure
- Nightmares
There are some reported fracture risks due to falls with using melatonin, although the same can be said with using sleeping pills. Elderly people should be cautious about when and where they take melatonin supplements.
How much melatonin should I take?
We highly recommend starting at the smallest amount possible before gradually increasing the dosage. The average recommended dose for healthy adults is anywhere between 0.5mg to 10mg.
The dose should be adjusted for children, elderly people, and people who have health conditions that might affect their sensitivity to melatonin.
Because we naturally produce less melatonin as we age, older people might be more sensitive to larger amounts of melatonin supplements. Discuss an appropriate dosage with your physician beforehand.
Read more about melatonin dosages.
Sleeping pills vs. melatonin for elderly people
Research does suggest that melatonin might be considered to be a safer alternative to taking sleeping pills, which have more prominent side effects.
Sleeping pills are sedative hypnotics that include some categories of benzodiazepines, barbiturates, and various hypnotics. These can be over-the-counter or prescription.
It’s important to highlight that neither sleeping pills nor melatonin are cures for sleep problems or disorders. Both have potential side effects, although sleeping pills' effects tend to be more pronounced.
Sleeping pills have more side effects
Unlike melatonin, you can develop a tolerance to sleeping pills, possibly requiring more and more to be used to achieve the same effect.
For elderly people, substances might stay in the body for longer or they might develop a dependence on the medication. It is not recommended to take sleeping pills long term to avoid growing dependent on them.
Benzodiazepine sleep aids were also found to be correlated to more falls among elderly people, even if limited to short-time use.
Regardless of age, there are greater documented side effects to taking sleeping pills than there are for melatonin. Some side effects of sleeping pills might include:
- Headaches
- Nausea
- Dizziness or grogginess
- Feeling tired in the morning
- Elevations or drops in blood pressure
- Nightmares
- Agitation or mood swings
- Poor concentration and memory loss; poor cognitive functioning
- Digestion problems (constipation or diarrhea)
- Weakness
Rather than sleeping pills, it’s worth trying other solutions that carry less risks. In such cases, melatonin has been tested as such an alternative.