MELABIORYTM 5 mg Tablets

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Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Melabioritm

Contents of the leaflet

  1. Package Leaflet: Information for the Patient
  2. Melabiorytm, 5 mg, Tablets
    1. Read the Leaflet Carefully Before Taking the Medication, as it Contains
    2. Table of Contents of the Leaflet
  3. What is Melabiorytm and what is it used for
  4. Important information before taking Melabiorytm
    1. When not to take Melabiorytm
    2. Warnings and precautions
    3. Children and adolescents
    4. Melabiorytm and other medications
    5. Taking Melabiorytm with alcohol
    6. Pregnancy and breastfeeding
    7. Driving and operating machinery
  5. How to take Melabiorytm
    1. Taking a higher dose of Melabiorytm than recommended
    2. Missing a dose of Melabiorytm
    3. Stopping Melabiorytm treatment
  6. Possible side effects
    1. Reporting side effects
  7. How to store Melabiorytm
  8. Contents of the pack and other information
    1. What Melabiorytm contains
    2. What Melabiorytm looks like and what the pack contains
    3. Marketing authorization holder
    4. Manufacturer
    5. Date of last revision of the leaflet:

Package Leaflet: Information for the Patient

Melabiorytm, 5 mg, Tablets

Melatonin

Read the Leaflet Carefully Before Taking the Medication, as it Contains

Important Information for the Patient.
This medication should always be taken exactly as described in this patient leaflet or according to the doctor's or pharmacist's instructions.

  • This leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, the pharmacist should be consulted.
  • If the patient experiences any side effects, including those not listed in this leaflet, the doctor or pharmacist should be informed. See section 4.
  • If there is no improvement or the patient feels worse, the doctor should be contacted.

Table of Contents of the Leaflet

  • 1. What is Melabiorytm and what is it used for
  • 2. Important information before taking Melabiorytm
  • 3. How to take Melabiorytm
  • 4. Possible side effects
  • 5. How to store Melabiorytm
  • 6. Contents of the pack and other information
Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

1. What is Melabiorytm and what is it used for

Melabiorytm, 5 mg, tablets contain the active substance melatonin. This hormone occurs naturally in the human body. It is produced by the pineal gland, located in the central nervous system. Melatonin plays an important role in regulating the biological daily rhythm. It regulates sleep and wakefulness during the day.
Melabiorytm is indicated as an auxiliary agent in sleep disorders associated with time zone changes or shift work, and to facilitate the regulation of the daily sleep-wake rhythm in blind patients.

2. Important information before taking Melabiorytm

When not to take Melabiorytm

  • if the patient is allergic to melatonin or any of the other ingredients of this medication (listed in section 6),
  • in children and adolescents,
  • during pregnancy and breastfeeding,
  • after consuming alcohol,
  • if the patient has liver or kidney function disorders,
  • if the patient has depression.

Warnings and precautions

Before starting to take Melabiorytm, the doctor or pharmacist should be consulted:

  • if the patient has immune system disorders (immunological disorders),
  • if the patient has hormonal disorders,
  • if the patient has epilepsy,
  • if the patient is being treated with anticoagulant medications. Smoking may reduce the effectiveness of the medication.

Children and adolescents

This medication should not be taken by children and adolescents from 0 to 18 years of age, as it has not been tested in this group of patients and its effects are unknown.

Melabiorytm and other medications

The doctor or pharmacist should be informed about all medications currently being taken by the patient, as well as any medications planned to be taken.
Fluvoxamine (an antidepressant) and other medications that undergo liver metabolism, such as citalopram (an antidepressant), omeprazole, lansoprazole (medications used for stomach ulcers and gastroesophageal reflux disease) increase the blood concentration of melatonin taken at the same time.
Other medications that may affect melatonin:

  • 5- or 8-methoxypsoralen (used to treat psoriasis),
  • cimetidine (used to treat stomach ulcers),
  • estrogens (contraceptives and hormone replacement therapy),
  • quinolones (antibacterial medications),
  • thioridazine (used to treat mental disorders),
  • imipramine (used to treat depression),
  • carbamazepine (used to treat epilepsy),
  • rifampicin (an antibacterial medication),
  • sleeping pills and sedatives, e.g. benzodiazepines, zaleplon, zolpidem, and zopiclone, agonists/antagonists of adrenergic receptors (such as certain types of medications used to control blood pressure by constricting blood vessels, nasal decongestants, blood pressure-lowering medications),
  • agonists or antagonists of opioid receptors (such as medications used to treat drug addiction),
  • prostaglandin inhibitors (such as non-steroidal anti-inflammatory medications),
  • antidepressants,
  • tryptophan.

Taking Melabiorytm with alcohol

Alcohol should not be consumed while taking Melabiorytm, as it reduces the effectiveness of the medication.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, suspects that she may be pregnant, or plans to have a child, she should consult a doctor or pharmacist before taking this medication.
The medication is contraindicated during pregnancy and breastfeeding.

Driving and operating machinery

After taking the medication, the patient should not drive vehicles or operate machinery, as drowsiness may occur, leading to decreased concentration.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. How to take Melabiorytm

This medication should always be taken exactly as described in this patient leaflet or according to the doctor's or pharmacist's instructions. In case of doubts, the doctor or pharmacist should be consulted.
The tablet should be swallowed with water.
Dosage
Adults:
In sleep disorders associated with time zone changes:
2 mg to 3 mg of melatonin once a day, after dark, starting from the first day of travel. The treatment should be continued for 2 to 3 consecutive days after the end of the trip.
In sleep-wake rhythm disorders associated with shift work:
1 mg to 5 mg per day, 1 hour before bedtime.
In sleep-wake rhythm disorders in blind patients,
0.5 mg to 5 mg should be taken once a day, around 9-10 pm. This dosage also applies to long-term use of the medication.
The effect of the medication in the treatment of long-term sleep-wake rhythm disorders may be observed sometimes only after 2 weeks of taking the medication.
The established medical use of melatonin includes doses from 0.5 mg; the smallest effective dose of melatonin should be used.
Melabiorytm should only be used when the effectiveness of other, lower doses of melatonin available on the market has not been demonstrated.

In case of accidental ingestion of too high a dose, the doctor or pharmacist should be contacted as soon as possible.
Taking a higher dose than recommended may, in individual cases, cause drowsiness, disorientation, or psychosis.

Missing a dose of Melabiorytm

A double dose should not be taken to make up for a missed dose.

Stopping Melabiorytm treatment

No harmful effects of stopping or ending treatment early have been reported. No withdrawal symptoms have been observed after stopping Melabiorytm treatment.
In case of any further doubts about the use of this medication, the doctor or pharmacist should be consulted.

4. Possible side effects

Like all medications, Melabiorytm can cause side effects, although not everybody gets them.
Uncommon(may occur in less than 1 in 100 people):

  • irritability, nervousness, anxiety, insomnia, unusual dreams, nightmares, fear,
  • migraine, headache, lethargy (fatigue, lack of energy), psychomotor agitation, dizziness, drowsiness,
  • hypertension,
  • abdominal pain, epigastric pain, nausea, oral ulcers, dry mouth, vomiting,
  • increased bilirubin levels in the blood,
  • skin inflammation, night sweats, itching, rash, generalized itching, dry skin,
  • limb pain,
  • glycosuria, proteinuria,
  • menopausal symptoms,
  • weakness, chest pain, decreased body temperature,
  • abnormal liver function tests, weight gain.

Rare(may occur in less than 1 in 1000 people):

  • increased number of seizures in children with central nervous system damage and epilepsy,
  • hives, rash, erythema, hand dermatitis, psoriasis, generalized rash, pruritic rash, nail changes,
  • gynecomastia (breast enlargement in men),
  • shingles,
  • decreased white blood cell count, decreased platelet count,
  • increased triglyceride levels in the blood, decreased calcium levels in the blood, decreased sodium levels in the blood,
  • mood changes, aggression, agitation, crying, tension, disorientation, early morning awakening, increased libido (increased sexual desire), depressive mood, depression,
  • fainting, memory disorders, concentration disorders, dreamy state, restless legs syndrome, poor sleep quality, tingling or numbness,
  • decreased visual acuity, blurred vision, increased lacrimation,
  • vertigo when changing position, balance disorders,
  • angina pectoris, palpitations, tachycardia,
  • hot flashes,
  • gastroesophageal reflux disease, gastrointestinal disorders, oral mucosa blisters, tongue ulcers, stomach upset, vomiting, abnormal bowel sounds, bloating, excessive salivation, bad breath, abdominal complaints, stomach disorders, gastritis,
  • arthritis, muscle cramps, neck pain, nocturnal cramps,
  • polyuria, hematuria, nocturia,
  • prolonged, painful erection (priapism), prostatitis,
  • fatigue, pain, thirst,
  • increased liver enzyme activity, abnormal electrolyte levels in the blood, abnormal laboratory test results.

Frequency not known(cannot be estimated from the available data):

  • hypersensitivity reaction,
  • facial, lip, or tongue swelling, which may cause difficulty swallowing; if such symptoms occur, the doctor should be contacted immediately,
  • galactorrhea.

Reporting side effects

If any side effects occur, including those not listed in this leaflet, the doctor or pharmacist, or nurse should be informed. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181C, 02-222 Warsaw,
tel.: 22 49-21-301,
fax: 22 49-21-309,
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help gather more information on the safety of the medication.

5. How to store Melabiorytm

The medication should be stored out of sight and reach of children.
Store in a temperature below 25°C, in the original packaging to protect from light.
Do not use this medication after the expiry date stated on the packaging. The expiry date refers to the last day of the specified month.
Medications should not be disposed of via wastewater or household waste containers. The pharmacist should be asked how to dispose of unused medications. This will help protect the environment.

6. Contents of the pack and other information

What Melabiorytm contains

  • The active substance of the medication is melatonin. Each tablet contains 5 mg of melatonin.
  • The other ingredients of the medication are: microcrystalline cellulose, magnesium stearate, anhydrous colloidal silica.

What Melabiorytm looks like and what the pack contains

The medication is round, white, biconvex, uncoated tablets.
Aluminum/PVC/PVDC blisters in a cardboard box.
Pack sizes: 30, 60, or 90 tablets.

Marketing authorization holder

Aflofarm Farmacja Polska Sp. z o.o.
ul. Partyzancka 133/151
95-200 Pabianice
Tel. (42) 22-53-100

Manufacturer

Aflofarm Farmacja Polska Sp. z o.o.
ul. Szkolna 31
95-054 Ksawerów

Date of last revision of the leaflet:

  • Melabioritm
  • Country of registration
  • Dosage form
    Tablets, 5 mg
  • ATC code
    N05CH01
  • Active substance
  • Prescription required
    No
  • Manufacturer
  • Importer
    Aflofarm Farmacja Polska Sp. z o.o.
  • Alternatives to Melabioritm
    Dosage form: Tablets, 2 mg
    Active substance: melatonin
    Prescription required
    Dosage form: Tablets, 2 mg
    Active substance: melatonin
    Prescription not required
    Dosage form: Tablets, 3 mg
    Active substance: melatonin
    Prescription not required

Online doctors for Melabioritm

Discuss questions about Melabioritm, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(22)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

Book a video appointment
€156
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70
Doctor
5.0(6)

Anastasiia Hladkykh

Psychiatry15 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
Book a video appointment
€156

Get Melabioritm Prescription Online

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3

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4

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Melabioritm?

Melabioritm does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Melabioritm?

The active ingredient in Melabioritm is melatonin. This information helps identify medicines with the same composition but different brand names.

Who manufactures Melabioritm?

Melabioritm is manufactured by Aflofarm Farmacja Polska Sp. z o.o.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Melabioritm online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Melabioritm is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Melabioritm in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Melabioritm in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Melabioritm?

Other medicines with the same active substance (melatonin) include Melanoc Pr, Melatonina Biofarm, Melatonina Biofarm. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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