Drug & supplement interaction

Melatonin + Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate brand name: Xywav.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Melatonin has a moderate interaction with Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate. Theoretically, taking melatonin with drugs that lower the seizure threshold might increase the risk of seizure activity.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Melatonin and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

Here is the interaction we found between these two, with the evidence behind it.

Moderate

SEIZURE THRESHOLD LOWERING DRUGS

Why this applies to Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate falls under SEIZURE THRESHOLD LOWERING DRUGS — the group Melatonin interacts with.

Theoretically, taking melatonin with drugs that lower the seizure threshold might increase the risk of seizure activity.
Some clinical evidence suggests that melatonin may increase the frequency of seizures in certain patients, particularly children with neurological disabilities.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the situation with Xywav (the calcium, magnesium, potassium, and sodium oxybate combo) and melatonin. This isn't about one canceling out the other or building up in your blood. The concern is more subtle: some research hints that melatonin may slightly lower the seizure threshold in certain people, especially children with neurological conditions. Xywav itself can also nudge that threshold a bit.

So the worry is a small, theoretical bump in seizure risk when both are on board. I'll be honest, this is based on pharmacology and limited reports, not strong proof, so most people won't run into trouble. Still, both are central nervous system agents, and Xywav already causes drowsiness and deep sedation. Please loop in your pharmacist or doctor before pairing them, particularly if a child is involved.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Sheldon SH. Pro-convulsant effects of oral melatonin in neurologically disabled children. Lancet 1998;351:1254. PubMed
  2. Stewart LS. Endogenous melatonin and epileptogenesis: facts and hypothesis. Int J Neurosci 2001;107:77-85.. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Melatonin Also Interacts With Other Medications

Melatonin has 1,115 moderate, 345 minor known drug interactions in our database — the Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate one above is one of them. If you take anything else, check it against the full list below.

Moderate 1,115 Minor 345 No known interaction 1,370 (incl. Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate)
Taking anything else?

Check Another of Your Medications Against Melatonin

Covers the 2,830 medications we’ve checked against Melatonin. Pick one to open its full report.

From our Q&A

Questions About Melatonin or Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Melatonin or Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

This page covers Melatonin only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate page lists 23 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Biofeedback (moderate), Coffee Charcoal (moderate), Dendrobium (moderate) and European Mandrake (moderate).

By severity: 1 major · 13 moderate · 9 minor.

From our pharmacist’s overview on the Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate page

“Xywav combines calcium, magnesium, potassium, and sodium oxybates to treat cataplexy and daytime sleepiness in narcolepsy, and because each nightly dose is measured and timed with real precision, this list deserves genuine attention rather than a quick skim. The one major entry, activated charcoal, can bind the drug in the gut and shar…”

Reviewed by 2 · Jul 18, 2026

Open the Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate interaction page

One more smart check

Taking Melatonin as Part of a Dietary Supplement Product? Check It for Interactions

We hold 2,885 real supplement products containing Melatonin, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Melatonin. Your product may carry other ingredients that interact with Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate too, on top of Melatonin — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Melatonin and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Melatonin
Top 5%

#53 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate
Steady interest

#1,770 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Melatonin

What is Melatonin?

Melatonin
  • Trouble falling asleep (insomnia)
  • Jet lag
  • Delayed sleep phase syndrome
  • Non-24-hour sleep-wake disorder
  • Shift-work sleep problems
  • Sleep problems in some children with conditions like autism or ADHD

Melatonin is a hormone your body makes naturally to help control your sleep-wake cycle, and the supplement form is widely used to help with sleep timing problems and jet lag. The evidence is strongest for certain circadian (body-clock) disorders and is more mixed for everyday insomnia. It is generally well tolerated for short-term use, but talk with your pharmacist or doctor before starting, especially for children or during pregnancy.

Read the full Melatonin monograph & all interactions
Medication

About Calcium, Magnesium, Potassium, and Sodium Oxybate

What Is Calcium, Magnesium, Potassium, and Sodium Oxybate Used For?

Brand name: Xywav

Xywav (calcium, magnesium, potassium, and sodium oxybate) is approved to treat two symptoms of narcolepsy — cataplexy (sudden muscle weakness triggered by emotion) and excessive daytime sleepiness (EDS) — in patients 7 years of age and older.

Xywav is also approved to treat idiopathic hypersomnia (IH) — a sleep disorder that causes excessive sleepiness even after long periods of sleep — in adults.

See full Calcium, Magnesium, Potassium, and Sodium Oxybate drug information
Keep checking

Other Drugs & Melatonin

Browse every other medication we’ve checked against Melatonin — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
1,115Moderate
345Minor
1,369No known interaction
1,115 Moderate 345 Minor 1,369 No interaction
Moderate

1,115 interactions

Showing 60 of 1,115 moderate interactions — see all 1,115 on the Melatonin page.

Minor

345 interactions

Showing 60 of 345 minor interactions — see all 345 on the Melatonin page.

No interaction 1,369 drugs checked — show the list

We also checked Melatonin against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 1,369 medications checked with no known interaction — see the full Melatonin list.

See the full Melatonin interactions page
See every supplement checked against Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Melatonin monograph › Uses, safety, and every drug interaction in one place Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate supplement interactions › Every supplement checked against Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate, ranked by severity Calcium, Magnesium, Potassium, and Sodium Oxybate drug information › The full plain-English guide to this medication Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Melatonin and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate Together: Common Questions

Can you take Melatonin with Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Melatonin and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate and Melatonin?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.