Melatonin + Zaleplon
Zaleplon brand names: Sonata, Starnoc.
Zaleplon falls into 2 drug categories that Melatonin can interact with; the most serious is rated moderate. Theoretically, taking melatonin might increase the sedative effects of CNS depressants.
Read the full interaction reportMelatonin and Zaleplon
These two interact in 2 distinct ways. Each one is explained separately below.
Why Are There 2 Interactions?
Melatonin interacts with whole categories of medication. Zaleplon falls into 2 of those categories, so it can interact with Melatonin in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).
CNS DEPRESSANTS
1 of 2Why this applies to Zaleplon
Zaleplon falls under CNS DEPRESSANTS — the group Melatonin interacts with.
Melatonin has sedative effects. Theoretically, concomitant use of melatonin with alcohol, benzodiazepines, or other sedative drugs might cause additive sedation.
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.
Here's the simple version: both Zaleplon (Sonata) and melatonin push your brain toward sleep, just by different routes. Zaleplon is a sleep medicine that calms brain activity, while melatonin sends an "it's nighttime" signal. Stack them together and those calming effects can add up. That could mean feeling extra drowsy, groggy, dizzy, or unsteady on your feet, especially if you get up during the night.
To be fair, this caution is theoretical, based on how the two work rather than strong studies, so it's not a guarantee you'll feel it. Still, since both touch sleep and alertness, it's worth a quick chat with your pharmacist or doctor before combining them. Don't start, stop, or change anything on your own.
- Foster BC, Cvijovic K, Boon HS, et al. Melatonin Interaction Resulting in Severe Sedation. J Pharm Pharm Sci 2015;18(2):124-31. PubMed
CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES
2 of 2Zaleplon also falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES.
Laboratory research shows that certain lots of melatonin inhibit CYP3A4. Theoretically, combined administration of melatonin with certain drugs metabolized by CYP3A4 may reduce the metabolism of these drugs, resulting in increased serum levels. Until more is known, use melatonin cautiously in patients taking drugs metabolized by these enzymes.
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.
Here's the short version: melatonin and zaleplon (Sonata) are both used for sleep, so the most obvious overlap is simple additive drowsiness. Taking them together could leave you more sedated, groggy, or unsteady than you'd expect, especially if you have to get up during the night.
There's also a lab-based theory worth mentioning. Some batches of melatonin slowed down an enzyme called CYP3A4 in test-tube studies, and that's the same enzyme that helps clear zaleplon. In theory, that could let zaleplon build up a bit and feel stronger. This is only animal and lab data, not something proven in people, so I wouldn't lose sleep over it. Still, since both make you drowsy, check with your pharmacist or doctor before combining them.
- Foster BC, Cvijovic K, Boon HS, et al. Melatonin Interaction Resulting in Severe Sedation. J Pharm Pharm Sci 2015;18(2):124-31. PubMed
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- 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.
- 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.
Melatonin Also Interacts With Other Medications
Melatonin has 1,115 moderate, 345 minor known drug interactions in our database — the Zaleplon one above is among them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Melatonin
We haven’t checked that one against Melatonin yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Melatonin. Pick one to open its full report.
Questions About Melatonin or Zaleplon
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 Zaleplon, 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:
- Is Melatonin Appropriate for a 15-Year-Old to Take for Sleep? ›
- Help! Trazodone Is Not Working Well To Help Me Sleep ›
- Can You Take Melatonin With Temazepam? ›
- Can You Take Eliquis With Melatonin? ›
Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.
See Every Supplement That Interacts With Zaleplon
This page covers Melatonin only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Zaleplon page lists 195 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Grapefruit (major).
By severity: 9 major · 147 moderate · 39 minor.
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 Zaleplon 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:
Where Melatonin and Zaleplon 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.
#55 of 1,452 supplements looked up here in the last 7 days
#2,302 of 2,830 medications looked up here in the last 7 days
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.
About Melatonin
What is 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.
About Zaleplon
What Is Zaleplon Used For?
Brand names: Sonata, Starnoc
Zaleplon capsules are approved for the short-term treatment of insomnia. Specifically, they help reduce the time it takes to fall asleep (sleep onset). Clinical studies showed this benefit for up to 30 days of use.
Zaleplon has not been shown to increase total sleep time or reduce the number of times you wake up during the night. It is intended for short-term use, and if sleep problems continue beyond 7–10 days, a doctor should evaluate you for an underlying cause.
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.
No drugs match “”.
1,115 interactions
- Diclofenac Sodium ›
- Diltiazem ›
- Theophylline ›
- Nifedipine ›
- Ibuprofen ›
- Metronidazole ›
- Diphenhydramine ›
- Aspirin ›
- Hydrocortisone ›
- Insulin (rdna) ›
- Methylphenidate ›
- Naproxen ›
- Doxycycline ›
- Estradiol ›
- Minocycline ›
- Propranolol ›
- Lidocaine ›
- Amoxicillin ›
- Hydrochlorothiazide ›
- Verapamil ›
- Levonorgestrel ›
- Prednisone ›
- Quinidine ›
- Cyclosporine ›
- Dexamethasone ›
- Flurazepam ›
- Glyburide ›
- Insulin (pork) ›
- Triazolam ›
- Zopiclone ›
- Bupropion ›
- Chloroquine ›
- Ciprofloxacin ›
- Fentanyl ›
- Oxycodone ›
- Penicillin V Potassium ›
- Phenytoin ›
- Prednisolone ›
- Tacrolimus ›
- Temazepam ›
- Triamcinolone ›
- Amphotericin B ›
- Ampicillin ›
- Carbamazepine ›
- Ceftazidime ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Formoterol ›
- Hydralazine ›
- Indomethacin ›
- Insulin (human) ›
- Morphine Sulfate ›
- Nitrazepam ›
- Penicillin G Potassium ›
- Pseudoephedrine ›
- Acetaminophen ›
- Acyclovir ›
- Amphetamine ›
- Baclofen ›
- Buprenorphine ›
Showing 60 of 1,115 moderate interactions — see all 1,115 on the Melatonin page.
345 interactions
- Erythromycin ›
- Norethindrone ›
- Testosterone ›
- Colchicine ›
- Oxybutynin ›
- Budesonide ›
- Clindamycin ›
- Dextromethorphan ›
- Doxorubicin ›
- Fluticasone ›
- Miconazole ›
- Conjugated Estrogens ›
- Everolimus ›
- Ivabradine ›
- Medroxyprogesterone ›
- Medroxyprogesterone Acetate ›
- Rifampin ›
- Testosterone Undecanoate ›
- Dapsone ›
- Erythromycin Ethylsuccinate ›
- Erythromycin Stearate ›
- Etoposide ›
- Fluticasone Propionate ›
- Itraconazole ›
- Modafinil ›
- Vortioxetine ›
- Abiraterone Acetate ›
- Almotriptan ›
- Amiodarone ›
- Aprepitant ›
- Budenoside ›
- Cabazitaxel ›
- Clarithromycin ›
- Cocaine Hydrochloride (prescription Drug) ›
- Dasatinib ›
- Dihydroergotamine ›
- Disopyramide Phosphate ›
- Dronabinol ›
- Ergotamine Tartrate (prescription Drug) ›
- Esterified Estrogens ›
- Finasteride ›
- Fluticasone Furoate ›
- Fosamprenavir ›
- Fosaprepitant ›
- Galantamine ›
- Indacaterol ›
- Irinotecan ›
- Lacosamide ›
- Lovastatin ›
- Maraviroc ›
- Mifepristone ›
- Mometasone ›
- Mometasone Furoate ›
- Nevirapine ›
- Paclitaxel ›
- Quinine Sulfate ›
- Ranolazine ›
- Rilpivirine ›
- Roflumilast ›
- Ruxolitinib ›
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.
- Levothyroxine ›
- Ivermectin ›
- Rosuvastatin ›
- Escitalopram ›
- Docusate ›
- Hydroxyurea ›
- Sumatriptan ›
- Azithromycin ›
- Isotretinoin ›
- Methylene Blue ›
- Levothyroxine, Liothyronine ›
- Cyclopentolate ›
- Roxithromycin ›
- Pegunigalsidase Alfa-iwxj ›
- Daptomycin ›
- Hexobarbitone ›
- Levothyroxine Sodium ›
- Factor 7a ›
- Thyroid Hormone ›
- Mitomycin ›
- Lenvatinib ›
- Ezetimibe ›
- Hethylphenidate Hcl ›
- Phenylephrine ›
- Vancomycin ›
- Bentoquatam ›
- Hydroxychloroquine ›
- Dirithromycin ›
- Triptorelin ›
- Pizotifen ›
- Digoxin ›
- Procainamide ›
- Tocainide ›
- Azelaic Acid ›
- Dextrothyroxine ›
- Lomustine ›
- Rocuronium ›
- Mitomycin C ›
- Chenodiol ›
- Desflurane ›
- Succimer ›
- Digitoxin ›
- Niacin (prescription Drug) ›
- Halothane ›
- Caspofungin ›
- Cabergoline ›
- Alendronate ›
- Ranitidine ›
- Ribavirin Aerosol ›
- Anastrozole ›
- Allopurinol ›
- Naltrexone ›
- Salbutamol Sulfate ›
- Flutemetamol F-18 ›
- Droxidopa ›
- Naratriptan ›
- Fam-trastuzumab, Deruxtecan-nxki ›
- Hydroxyprogesterone ›
- Bethanechol Chloride ›
- Nicotine ›
Showing the 60 most looked-up of 1,369 medications checked with no known interaction — see the full Melatonin list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
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
Taking Melatonin and Zaleplon Together: Common Questions
Can you take Melatonin with Zaleplon?
Why are there 2 interactions listed for Melatonin and Zaleplon?
How serious is the Melatonin and Zaleplon interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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.