{"id":38673,"date":"2019-12-09T12:41:14","date_gmt":"2019-12-09T20:41:14","guid":{"rendered":"https:\/\/selfhacked.com\/?p=38673"},"modified":"2020-07-28T02:23:51","modified_gmt":"2020-07-28T09:23:51","slug":"melatonin-th1-th2-inflammation-autoimmune-diseases","status":"publish","type":"post","link":"https:\/\/selfhacked.com\/blog\/melatonin-th1-th2-inflammation-autoimmune-diseases\/","title":{"rendered":"Melatonin in Inflammation, Autoimmune Diseases &#038; Immunity"},"content":{"rendered":"<p>Melatonin plays many important roles in the immune system and inflammation control. Scientists have observed abnormalities in melatonin function in a range of autoimmune conditions. Read on to learn more about the effects of melatonin on immunity and inflammation and discover the potential side effects of supplementation.<\/p>\n<p><!--more--><\/p>\n<h2><span id=\"Melatonin_Reduces_Inflammation_and_Supports_Immunity\"><a id=\"post-38673-_o0clqhfdnxxe\"><\/a><strong>Melatonin Reduces Inflammation and Supports Immunity<\/strong><\/span><\/h2>\n<p><strong><em>Please note<\/em><\/strong><em>: the beneficial roles of melatonin as a naturally occurring hormone may not imply the same benefits of melatonin supplementation.<\/em><\/p>\n<p><a href=\"https:\/\/selfhacked.com\/blog\/melatonin\/\">Melatonin<\/a> receptors are present in a wide variety of immune cells (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3645767\/\">R<\/a>).<\/p>\n<p>Melatonin is immunomodulatory, which means that it reduces excessive immune function in inflammatory conditions and enhances immune function in immunocompromised people.<\/p>\n<p><img loading=\"lazy\" class=\"alignnone wp-image-89714 size-medium\" src=\"https:\/\/selfhacked.com\/app\/uploads\/2017\/06\/source-http-www-jpp-krakow-pl-journal-archive-1-480x333.png\" alt=\"Source: http:\/\/www.jpp.krakow.pl\/journal\/archive\/12_07_s6\/pdf\/115_12_07_s6_article.pdf\" width=\"480\" height=\"333\"><\/p>\n<p>Source: http:\/\/www.jpp.krakow.pl\/journal\/archive\/12_07_s6\/pdf\/115_12_07_s6_article.pdf<\/p>\n<p>Melatonin plays an important role in the immune system. The membranes of immune cells such as CD4+ T cells, <a href=\"http:\/\/selfhacked.com\/blog\/homing-fundamenal-cause-epstein-barr-reactivation\/#Top_Supplements_to_Increase_CD8_T_Cells\">CD8+ T cells<\/a>, and B cells all have melatonin receptors [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>Melatonin can either activate or suppress immune cells [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>In mice, melatonin treatment increased the production of T cells, <a href=\"http:\/\/selfhacked.com\/blog\/intro-natural-killer-cells-increase-decrease\/\">natural killer cells<\/a>, and <a href=\"https:\/\/selfhacked.com\/blog\/monocytes\/\">monocytes<\/a>. The nuclear melatonin receptor also induces cytokine production [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<h3><span id=\"Relationship_with_Th1Th2Th17_Cells\"><a id=\"post-38673-_jxmd6svspckd\"><\/a><strong>Relationship with Th1\/Th2\/Th17 Cells<\/strong><\/span><\/h3>\n<p>Melatonin is involved in <a href=\"https:\/\/selfhacked.com\/blog\/supplements-people-th1-dominant\/\">Th1<\/a>\/<a href=\"https:\/\/selfhacked.com\/blog\/supplements-people-th2-dominant\/\">Th2<\/a> development. The balance of T helper 1 and T helper 2 cells plays a critical role in controlling cellular immune responses [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11431004\">R<\/a>].<\/p>\n<p>Th1 cells play a key role in the development of inflammatory responses. They help with the production of proinflammatory cytokines like <a href=\"https:\/\/selfhacked.com\/blog\/interferon-gamma-how-to-increase-decrease-high-low-levels\/\">IFN-y<\/a> and <a href=\"http:\/\/selfdecode.com\/gene\/il2\/?utm_source=seo&amp;#38;utm_medium=selfhacked&amp;#38;utm_campaign=id00002\">IL-2<\/a> [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3645767\/\">R<\/a>].<\/p>\n<p>On the other hand, Th2 is anti-inflammatory. Th2 cells produce cytokines like <a href=\"https:\/\/selfdecode.com\/gene\/il4\/?utm_source=seo&amp;#38;utm_medium=selfhacked&amp;#38;utm_campaign=id00002\">IL-4<\/a>, <a href=\"http:\/\/selfdecode.com\/gene\/il5\/?utm_source=seo&amp;#38;utm_medium=selfhacked&amp;#38;utm_campaign=id00002\">IL-5<\/a>, <a href=\"http:\/\/selfhacked.com\/blog\/il-10\/\">IL-10<\/a> and <a href=\"http:\/\/selfdecode.com\/gene\/IL13\/?utm_source=seo&amp;#38;utm_medium=selfhacked&amp;#38;utm_campaign=id00002\">IL-13<\/a> [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3645767\/\">R<\/a>].<\/p>\n<p>Depending on its concentration, melatonin promotes both Th1 and Th2 responses. In mice, low doses of melatonin increased Th1 cytokine levels. In contrast, high doses decreased the pro-inflammatory cytokines [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3645767\/\">R<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11431004\">R<\/a>].<\/p>\n<p>Melatonin suppresses the development of <a href=\"https:\/\/selfhacked.com\/blog\/th17\/\">Th17<\/a> cells and increases <a href=\"http:\/\/selfhacked.com\/blog\/treg\/\">regulatory T cells<\/a> [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26359987\">R<\/a>].<\/p>\n<h3><span id=\"Suppresses_Pro-Inflammatory_Cytokine_Production\"><a id=\"post-38673-_xborlisf39ni\"><\/a><strong>Suppresses Pro-Inflammatory Cytokine Production<\/strong><\/span><\/h3>\n<p>According to preliminary research, melatonin blocks the release of the following cytokines and inflammatory substances:<\/p>\n<ul>\n<li><a href=\"http:\/\/selfhacked.com\/blog\/supplements-lifestyle-factors-influence-tnf-interleukin-6-il-6\/\">TNF-alpha<\/a> from macrophages in response to <a href=\"https:\/\/selfhacked.com\/blog\/lipopolysaccharides\/\">LPS<\/a> (lipopolysaccharides) [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1906083\/\">R<\/a>]<\/li>\n<li>Nitric oxide (which causes <a href=\"https:\/\/selfhacked.com\/blog\/oxidative-stress-101\/\">oxidative stress<\/a>) from immune cells in response to <a href=\"https:\/\/selfhacked.com\/blog\/lipopolysaccharides\/\">LPS<\/a> [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18212405\">R<\/a>]<\/li>\n<li><a href=\"https:\/\/selfdecode.com\/gene\/nos2\/?utm_source=seo&amp;#38;utm_medium=selfhacked&amp;#38;utm_campaign=id00002\">iNOS<\/a>, <a href=\"http:\/\/selfhacked.com\/blog\/cox2-natural-cox2-inhibitors\/\">COX-2<\/a>, and<a href=\"https:\/\/selfhacked.com\/blog\/mmp9\/\"> MMPs<\/a> (by blocking<a href=\"https:\/\/selfhacked.com\/blog\/nuclear-factor-kappa-b\/\"> NF-\u03baB<\/a>) [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>]<\/li>\n<li><a href=\"http:\/\/selfhacked.com\/blog\/interleukin-1\/\">IL-1\u03b2<\/a> and <a href=\"http:\/\/selfhacked.com\/blog\/interleukin-6\/\">IL-6<\/a> [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>]<\/li>\n<\/ul>\n<h2><span id=\"Melatonin_and_Autoimmune_Diseases\"><a id=\"post-38673-_vj6g9efmx9a4\"><\/a><strong>Melatonin and Autoimmune Diseases<\/strong><\/span><\/h2>\n<p><strong><img loading=\"lazy\" class=\"alignnone wp-image-89715 size-medium\" src=\"https:\/\/selfhacked.com\/app\/uploads\/2017\/06\/word-image-15-480x285.jpeg\" alt=\"\" width=\"480\" height=\"285\"><\/strong><\/p>\n<p><strong>Connection Between Melatonin and the Immune System<\/strong><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/figure\/f1-ijms-14-11742\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/figure\/f1-ijms-14-11742\/<\/a><\/p>\n<h3><span id=\"1_Type_1_Diabetes\"><a id=\"post-38673-_dajii37uw719\"><\/a><strong>1) Type 1 Diabetes<\/strong><\/span><\/h3>\n<p>Autoimmune destruction of <a href=\"https:\/\/selfhacked.com\/blog\/insulin-101\/\">insulin<\/a>-producing \u03b2 cells in the pancreas causes Type 1 diabetes (insulin-dependent diabetes mellitus). Pro-inflammatory cytokines like <a href=\"http:\/\/selfhacked.com\/blog\/supplements-lifestyle-factors-influence-tnf-interleukin-6-il-6\/\">TNF-\u03b1<\/a> and <a href=\"https:\/\/selfhacked.com\/blog\/interferon-gamma-how-to-increase-decrease-high-low-levels\/\">IFN-\u03b3<\/a> contribute to \u03b2 cell destruction [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>In non-obese diabetic mice (an animal model of type 1 diabetes), chronic administration of <strong>melatonin increased survival and delayed the onset of diabetes<\/strong> [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8797184\/\">R<\/a>].<\/p>\n<p>Type 1 diabetes is a Th1-cell-dominant disease, while melatonin shifts the immune response toward Th2 cells [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>By reducing<a href=\"https:\/\/selfhacked.com\/blog\/supplements-lifestyle-factors-influence-tnf-interleukin-6-il-6\/\"> TNF-\u03b1<\/a> and <a href=\"https:\/\/selfhacked.com\/blog\/interferon-gamma-how-to-increase-decrease-high-low-levels\/\">IFN-\u03b3<\/a> production, melatonin may protect against \u03b2 cell destruction [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>Surgical transplantation of pancreatic islet grafts (cluster of cells) that produce insulin is a potential therapy for type 1 diabetes. However, the immune system might attack or reject the transplants. Melatonin might be able to prolong graft survival [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>In diabetic mice, melatonin administration decreased Th1 cells and increased anti-inflammatory IL-1o cytokines. This inhibits the autoimmune response to the islet transplants. On average, the islet grafts survived for 17 days with melatonin treatment in comparison to 7 days in untreated mice [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19708865\/\">R<\/a>].<\/p>\n<h3><span id=\"2_Multiple_Sclerosis\"><a id=\"post-38673-_xc0ypnffxz0p\"><\/a><strong>2) Multiple Sclerosis<\/strong><\/span><\/h3>\n<p>Multiple sclerosis (MS) is a disease that affects the central nervous system. Immune cells wrongly attack the neurons\u2019 <a href=\"https:\/\/selfhacked.com\/blog\/myelin\/\">myelin<\/a> sheaths. This causes <a href=\"https:\/\/selfhacked.com\/blog\/23-ways-to-combat-pain-naturally-by-increasing-your-opioids\/\">pain<\/a>, fatigue, weaknesses, and may even cause vision loss [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>Multiple sclerosis patients excrete an abnormal amount of melatonin metabolites in the urine at night. This indicates a dysregulation of melatonin production [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>Melatonin deficiency plays an important role in the fluctuation of multiple sclerosis symptoms, fatigue, and mood disorders in patients [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3678214\/\">R<\/a>].<\/p>\n<p><a href=\"https:\/\/selfhacked.com\/blog\/th17\/\">Th17<\/a> cells also contribute to multiple sclerosis. <strong>Melatonin suppresses Th17 cells<\/strong>, which may help stop the progression of the disease [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27561251\">R<\/a>].<\/p>\n<p>In rats with MS, oral melatonin administration significantly reduced paralysis severity. These effects were due to the suppression of intracellular adhesion molecule-1 production in the spinal cord [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/14614276\/\">R<\/a>].<\/p>\n<p>However, there were conflicting results from a different study. Luzindole is a melatonin receptor blocker, which means that it inhibits melatonin receptor activity. Luzindole-treated mice did not develop EAE, while control mice did [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9396042\/\">R<\/a>].<\/p>\n<h3><span id=\"3_Inflammatory_Bowel_Disease\"><a id=\"post-38673-_p9ywattq01lz\"><\/a><strong>3) Inflammatory Bowel Disease<\/strong><\/span><\/h3>\n<p>Crohn\u2019s disease and <a href=\"https:\/\/selfhacked.com\/blog\/ibd-ulcerative-colitis-crohn-genetics-lifestyle-stress-infections\/\">ulcerative colitis<\/a> are referred to as<a href=\"https:\/\/selfhacked.com\/blog\/ibd-ulcerative-colitis-crohn-genetics-lifestyle-stress-infections\/\"> inflammatory bowel disease<\/a> (IBD). Characteristics of IBD include the accumulation of immune cells in the intestinal tissues and inflammation in the intestines [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>The immune cells that accumulate in the intestinal tissues include B cells, T cells, <a href=\"https:\/\/selfhacked.com\/blog\/neutrophils\/\">neutrophils<\/a>, macrophages, and dendritic cells. Activation of these cells causes inflammation and increases proinflammatory cytokine levels [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>Melatonin might protect against IBD by reducing pro-inflammatory markers (TNF-a and NF-\u03baB), DNA damage, and oxidative stress [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3709754\/\">R<\/a>].<\/p>\n<p>Short-term melatonin administration reduces inflammation in a mouse model of colitis [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16313498\/\">R<\/a>].<\/p>\n<p>However, the same study found that long-term administration of <strong>melatonin worsened colitis symptoms<\/strong> and caused intestinal cell death in mice [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16313498\/\">R<\/a>].<\/p>\n<p>Various case studies also showed <strong>conflicting effects of melatonin<\/strong> in humans. While daily melatonin supplementation helped one patient reduce colitis symptoms, it worsened IBD symptoms in two others [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3198018\/\">R<\/a>].<\/p>\n<p>In a study of 60 ulcerative colitis patients, melatonin reduced intestinal inflammation when added to standard treatment. It also helped the patients sustain remission (disease symptoms became less severe) [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21893693\/\">R<\/a>].<\/p>\n<h3><span id=\"4_Systemic_Lupus_Erythematosus\"><a id=\"post-38673-_wg7q1x9v10tk\"><\/a><strong>4) Systemic Lupus Erythematosus<\/strong><\/span><\/h3>\n<p>Melatonin administration may help treat animal models of lupus. However,<strong> its effects may depend on the timing of administration and the gender of the subject<\/strong> [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3645767\/\">R<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22288898\/\">R<\/a>].<\/p>\n<p>Daily melatonin injections enhanced survival rates in female mice in the morning. However, evening treatments did not change survival rates [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8586486\/\">R<\/a>].<\/p>\n<p>One month of melatonin administration in female rats decreased inflammatory cytokine production. It also increased the induction of anti-inflammatory IL-10 production [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16373423\/\">R<\/a>].<\/p>\n<p>However, in the same study, <strong>melatonin treatment worsened lupus symptoms in male mice<\/strong>. It increased inflammatory cytokines and autoantibodies [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16373423\/\">R<\/a>].<\/p>\n<p>When melatonin reduces <a href=\"https:\/\/selfhacked.com\/blog\/testosterone-will-add\/\">testosterone<\/a>, it increases pro-inflammatory cytokines. This might be the cause of melatonin\u2019s negative effects in male mice [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18507713\/\">R<\/a>].<\/p>\n<h3><span id=\"5_Rheumatoid_Arthritis\"><a id=\"post-38673-_awika9hs02n8\"><\/a><strong>5) Rheumatoid Arthritis<\/strong><\/span><\/h3>\n<p><strong>Melatonin tends to promote the development and increase the severity of rheumatoid arthritis<\/strong>. Rheumatoid arthritis patients have increased melatonin concentration in their blood [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15589043\">R<\/a>].<\/p>\n<p>In one study, 75 patients either received 10 mg of melatonin (considered a high dose) at night or a placebo for six months. Melatonin increased ESR and neopterin, which are indicators of inflammation [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2048559\/\">R<\/a>].<\/p>\n<p>However, there was <strong>no significant difference in rheumatoid arthritis symptoms and proinflammatory cytokine levels<\/strong> in melatonin and control groups [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2048559\/\">R<\/a>].<\/p>\n<p>In one study, researchers surgically removed the pineal gland, which produces melatonin, in mice with RA. These mice had significantly reduced levels of IL-1\u03b2 and IL-6 in their blood and brains, which indicated lower inflammation [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15683463\/\">R<\/a>].<\/p>\n<p>In a similar study, the mice showed reduced severity of arthritis, suggesting that melatonin worsens disease severity [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1554762\/\">R<\/a>].<\/p>\n<h2><span id=\"Melatonin_Side_Effects_Precautions\"><a id=\"post-38673-_omq05v78fxg8\"><\/a><strong>Melatonin Side Effects &amp; Precautions<\/strong><\/span><\/h2>\n<p>Melatonin supplements are generally safe and well-tolerated. Oral supplementation of melatonin at 240 mg and injections at 500 mg are possibly safe for healthy individuals [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3114663\">R<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3115632\">R<\/a>].<\/p>\n<p>Potential side effects include [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1395802\/\">R<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9406047\">R<\/a>]:<\/p>\n<ul>\n<li><a href=\"https:\/\/selfhacked.com\/blog\/natural-treatment-migraines\/\">Headaches<\/a><\/li>\n<li>Insomnia<\/li>\n<li>Rash<\/li>\n<li>Upset stomach<\/li>\n<li>Low blood pressure<\/li>\n<li>Nightmares<\/li>\n<\/ul>\n<p>The <strong>most important thing to remember about melatonin supplementation is the timing<\/strong>. Inappropriate timing of melatonin administration can cause hormonal problems, daytime sleepiness, and desensitization of melatonin receptors [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9406047\">R<\/a>].<\/p>\n<p>Administration throughout the day may also contribute to bipolar disorder and <a href=\"https:\/\/selfhacked.com\/blog\/natural-treatments-depression\/\">depression<\/a> symptoms [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1395802\/\">R<\/a>].<\/p>\n<p>Additionally, melatonin activators (like Ramelteon or <a href=\"https:\/\/selfhacked.com\/blog\/7-health-benefits-agomelatine\/\">Agomelatine<\/a>) should not be used in patients with liver failure, kidney failure, alcohol addiction, or high fat levels [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4970552\/\">R<\/a>].<\/p>\n<p>Melatonin and bright light are known to improve the mood and symptoms of Alzheimer\u2019s patients. However, without the additional bright light, it may have a negative effect on the mood of such patients. It may also lead to an increase in aggressive behavior [<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18544724\">R<\/a>].<\/p>\n<h3><span id=\"Drug_Interactions\"><a id=\"post-38673-_dkcg6rxxrq6u\"><\/a><strong>Drug Interactions<\/strong><\/span><\/h3>\n<p><em>Supplement-drug interactions can be dangerous and, in rare cases, even life-threatening. Always consult your doctor before supplementing and let them know about all drugs and supplements you are using or considering.<\/em><\/p>\n<p>Due to potential drug interactions, caution and medical supervision are warranted before combining melatonin with [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26692007\">R<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK534823\/\">R<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11602091\">R<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24732412\">R<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25851638\">R<\/a>]:<\/p>\n<ul>\n<li>Blood thinners<\/li>\n<li>Anticonvulsants (drugs for seizures)<\/li>\n<li>Antidiabetic drugs<\/li>\n<li>Sedative drugs<\/li>\n<li>Psychostimulants<\/li>\n<li>Blood pressure-lowering drugs<\/li>\n<li>Immunosuppressants<\/li>\n<\/ul>\n<h2><span id=\"Further_Reading\"><b>Further Reading<\/b><\/span><\/h2>\n<ul>\n<li><a href=\"https:\/\/selfhacked.com\/blog\/melatonin\/\">3 Benefits of Melatonin as a Sleep Aid: How does it Work?<\/a><\/li>\n<li><a href=\"https:\/\/selfhacked.com\/blog\/melatonin-benefits\/\">9+ Benefits of Melatonin for Anxiety, Depression, Gut &amp; More<\/a><\/li>\n<li><a href=\"https:\/\/selfhacked.com\/blog\/melatonin-part-2\/\">Factors that Increase\/Decrease Melatonin Levels + Synergies<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Melatonin plays many important roles in the immune system and inflammation control. Scientists have observed abnormalities in melatonin function in a range of autoimmune conditions. Read on to learn more about the effects of melatonin on immunity and inflammation and discover the potential side effects of supplementation.<\/p>\n","protected":false},"author":15399,"featured_media":38676,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[94],"tags":[279],"yst_prominent_words":[8423,26439,15729,765,1553,906,15726,486,11889,15727,5377,15730,511,515,529,3499,8421,1765,15728,15721],"_links":{"self":[{"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/posts\/38673"}],"collection":[{"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/users\/15399"}],"replies":[{"embeddable":true,"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/comments?post=38673"}],"version-history":[{"count":17,"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/posts\/38673\/revisions"}],"predecessor-version":[{"id":111949,"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/posts\/38673\/revisions\/111949"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/media\/38676"}],"wp:attachment":[{"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/media?parent=38673"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/categories?post=38673"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/tags?post=38673"},{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/selfhacked.com\/wp-json\/wp\/v2\/yst_prominent_words?post=38673"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}