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Melatonin can cause drowsiness if taken during the day. If you are drowsy the morning after taking melatonin, try taking a lower dose. Additional side effects include stomach cramps, dizziness, headache, irritability, decreased libido, breast enlargement in men (called gynecomastia), and reduced sperm count.
When choosing an over the counter sleeping pill, the first decision is whether to take one containing melatonin, an anti-histamine or a herbal remedy. A basic rule of thumb to understand the difference is as follows: 1  Anti-histamines â generally have the strongest sedative effect. 2  Melatonin â helps regulate sleep after disruption due to events like jet-lag or shift work. 3  Herbal pills â usually have a lighter effect.