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South Florida doctors discuss melatonin supplement pros and cons

The Melatonin Debate: A Sleep Solution or a Risky Shortcut?

The growing use of melatonin for children has sparked a heated debate among parents and medical professionals alike. While many hail it as a miracle sleep aid for restless little ones, others raise serious concerns about its long-term effects and safety.

Dr. Heidi Cohen, Medical Director of the Children’s Emergency Department at Joe DiMaggio’s Children’s Hospital, cautions against relying on melatonin as a quick fix. "I’m not in the melatonin fan club. There is nothing magic about sleep and children," she asserts. “It’s a process and no pill is just going to make them fall asleep.” He advocates for establishing healthy sleep habits – a soothing bedtime routine that signals the body it’s time to wind down.

But for busy parents like Nicole Browne, a mother of three young children, carving out time for elaborate bedtime rituals is simply unrealistic. “That’s not real life,” she says, "I have three kids. There is no way I can do a special bedtime routine every night. Warm bath, jammies, magnesium massage cream and read a story. That’s not real life." For Browne, melatonin offers a much-needed respite from the daily exhaustion of battling bedtime battles. She insists a low dose of melatonin works wonders, allowing her children to "sleep right through the night."

This desperate reliance on sleep aids is part of a larger trend – a recent U.S. Centers for Disease Control report revealed that over 11,000 children have ended up in emergency rooms in recent years after accidentally ingesting melatonin, highlighting the increasing accessibility of the supplement.

The availability of children’s melatonin in enticing flavors like gummies further raises concerns for parents. "Many of the incidents involved ingestion of flavored products such as gummies…" notes the CDC report, emphasizing the need for strict supervision and safe storage of these supplements.

Even Dr. Hila Beckerman, a pediatrician and mother of four, admits to occasionally resorting to melatonin. "If you’re going to give your kids melatonin for the short term, say you got back from a flight and your kids are jet lagged. There is no problem with that." she concedes.

Despite its apparent effectiveness, the regulation of melatonin remains a pressing issue. Classified as a dietary supplement, it escapes the stringent standards imposed on over-the-counter drugs. This lack of regulation means parents can’t be entirely sure about the precise dosage, a fact that worries Browne. "That does concern me," she shares, "if I’m looking at a bottle and it says one milligram per gummy, and I want to know that there is one milligram if that’s the case."

The debate surrounding melatonin highlights the complex challenges parents face when navigating their children’s sleep. While experts caution against over-reliance on this sleep aid, the proliferation of melatonin products and the desperate need for solutions leaves many parents grappling with a difficult decision: prioritize a natural approach or embrace a quicker, though perhaps riskier, shortcut to a good night’s sleep.

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