Amid busy schedules, endless deadlines, and the daily hustle, getting a good night's sleep has become increasingly difficult. The result is a growing number of people struggling with restless nights, stress, and sleep problems — a space that wellness brands have tapped into with a seemingly simple solution: sleep gummies. Often sold in candy-like flavors and available without a prescription, these products are increasingly being embraced as part of nightly self-care routines. But experts warn that sleep gummies may not be as harmless as they appear. Concerns have been raised about excessive melatonin doses, inaccurate labelling, psychological dependence, and potential interactions with other medications. Despite their popularity, the risks associated with regular use are often overlooked. So, are sleep gummies really as safe as they seem? To better understand HealthandMe spoke to Dr. Vimal Pahuja, MD, Associate Director, Internal Medicine & Metabolic Physician, Diabetes & Weight Management Clinic, Dr. LH Hiranandani Hospital, Mumbai Q: Sleep gummies are everywhere now. Are they really as harmless as they seem? Not quite. They are useful for a narrow, specific purpose, short-term sleep disruption, jet lag, shift-work adjustment, but the way they are being used today is far removed from that. The problem isn't the gum itself; it's the habit it quietly builds. When "just one gummy before bed" becomes non-negotiable, you've stopped sleeping and started depending. Your brain learns to wait for an external trigger rather than trust its own biology. That shift happens faster than most people realize, often within two to three weeks of nightly use. Q: What's the actual science on the dose? Are people taking too much? Almost certainly, yes. The human body naturally produces between 0.3 mg and 0.5 mg of melatonin per day. Most gummies on the market deliver 5 mg to 10 mg per serving, up to 30 times the body's natural daily output. That alone should give pause. What makes it worse is that a study testing 25 commercial melatonin gummy brands found that 22 of them contained dosages significantly different from what was printed on the label, ranging from 74 per cent to 347 per cent of the stated dose. One product contained nearly 3.5 times more melatonin than advertised. You genuinely do not know what you are putting into your body. Q: Are these gummies just melatonin, or is there more going on inside the bottle? Much more. Modern sleep gummies are multi-ingredient formulations. Alongside melatonin, they commonly contain ashwagandha (a cortisol-lowering adaptogen), L-theanine (a calming amino acid), valerian root and passionflower (both with mild sedative properties), chamomile extract, magnesium, and tart cherry, which is itself a natural source of melatonin. Some brands add reishi mushrooms or Brahmi for good measure. Individually, many of these have reasonable evidence behind them. Together, in variable, unverified doses, with no physician oversight, particularly in someone on thyroid medication, antidepressants, or anxiolytics, the interaction risk is real and largely unacknowledged. Q: Is the "melatonin disrupting your hormones" warning accurate? Partially, and it's worth being precise here. The claim that nightly melatonin use causes your pineal gland to stop producing its own melatonin is not supported by current evidence. Studies have confirmed that supplementation does not suppress the body's natural output. However, melatonin does interact with the broader hormonal network, and the long-term safety data for chronic, unmonitored use, especially in teenagers and young adults whose endocrine systems are still maturing, simply do not exist. In adolescents, particularly, medical caution is warranted, even if the evidence for specific hormonal harm isn't yet definitive. Q: What are the signs that casual use has crossed a line? Four red flags stand out. First, if you need to keep increasing your dose to feel the same effect, that's your body telling you the gummy is masking something it cannot fix. Second, if you feel anxious or unsettled when you travel without your bottle, that is psychological dependency, not a sleep disorder. Third, if you are waking up groggy, foggy, and reaching for three cups of coffee just to function, the gummy may be solving one problem while creating another. And fourth, the clearest line is that if you have been using them nightly for more than two to three weeks without speaking to a doctor, you have moved from short-term aid into an unmonitored chronic habit. Q: Should these products be more tightly regulated? The contrast globally is instructive. In most Europe and the UK, melatonin above 0.5 mg requires a prescription, because regulators recognize it as an active hormone. In India, it is classified as a nutraceutical under FSSAI, freely available OTC, in candy flavors, marketed alongside protein bars and multivitamins. Given that 88 per cent of products tested deviated significantly from their labelled dosage, the argument for stricter manufacturing standards isn't a matter of opinion; it's basic consumer safety. At minimum: mandatory third-party dosage verification, clear short-term use labelling, and a serious rethink of candy-branded hormone products marketed directly at teenagers and young adults. Melatonin is a hormone. We wouldn't sell cortisol gummies or testosterone chews without a prescription. The fact that we're comfortable selling this one in strawberry flavor says more about marketing than it does about medicine.