Can oral melatonin cause skin hyperpigmentation in adults?

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Oral Melatonin Does Not Darken Skin

No, taking melatonin tablets will not darken your skin—in fact, melatonin may actually lighten hyperpigmented skin in certain conditions. 1, 2

Evidence from Clinical Studies

The most direct evidence comes from a controlled study that followed patients taking oral melatonin for an average of 19 months using objective reflectometry measurements to assess skin color. This study conclusively demonstrated no significant change in skin color among patients receiving melatonin compared to controls. 1

Key Findings:

  • No darkening effect observed: Seven patients receiving oral melatonin showed no change in skin pigmentation over 19 months of monitoring 1

  • Potential lightening effect: In one specific case, melatonin actually lightened hyperpigmented skin in a patient with untreated adrenogenital syndrome, though it had no effect on idiopathic hyperpigmentation 2

  • Mechanism clarification: The effectiveness of melatonin in treating malignant melanoma is not related to suppression of normal melanogenesis (pigment production) 1

Current Therapeutic Uses for Skin

Interestingly, melatonin is actually being investigated and used for the opposite purpose—as a treatment for hyperpigmentation disorders rather than causing darkening:

  • Oral melatonin is listed among therapeutic agents for managing hyperpigmentation, alongside tranexamic acid and cysteamine hydrochloride 3

  • Melatonin participates in hypopigmentation processes in hyperpigmentary disorders like melasma 4

  • The hormone has antioxidant and photoprotective effects that help prevent UV-induced skin damage 5

Safety Profile

The American Academy of Sleep Medicine guidelines document that melatonin has an excellent safety profile, with the most common adverse effects being headache (0.74%) and dizziness (0.74%)—skin darkening is not listed among documented adverse reactions. 6

Important Caveats:

  • Choose United States Pharmacopeial Convention Verified formulations for reliable dosing and purity, as melatonin quality varies 7, 8

  • Use caution if taking warfarin due to potential interactions 7, 6, 8

  • Monitor for impaired glucose tolerance with chronic use 7, 8

References

Research

Effect of melatonin on human skin color.

The Journal of investigative dermatology, 1994

Research

The effects of oral melatonin on skin color and on the release of pituitary hormones.

The Journal of clinical endocrinology and metabolism, 1977

Research

Melatonin in the skin: synthesis, metabolism and functions.

Trends in endocrinology and metabolism: TEM, 2008

Guideline

Melatonin and Cardiac Safety

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Melatonin Use During Pregnancy: Safety and Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Melatonin and Blood Pressure Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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