Older people have various kinds of comorbidity that can reduce their quality of life, one of which is insomnia. The diagnosis of insomnia is established clinically through history taking and the assessment of sleep quality with PSQI (Pittsburgh Quality Sleep Index) scoring. Insomnia can be a diagnosis of exclusion if there are no signs of other sleep disturbances through polysomnography examination. However, complaints of difficulty falling asleep (Sleep onset latency) and shortened sleep duration that disrupts daily activities during the day can be classified as insomnia. The elderly population has a high prevalence of insomnia, around 60%; therefore, this issue needs to be addressed. Various factors can trigger insomnia in old age, one of which is a decrease in serum melatonin levels. Thus, it is thought that melatonin therapy can improve insomnia symptoms in the elderly and have minimal side effects.
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