My 6 yr old with severe ADHD is on Concerta. He takes it at like 8am. He cant fall asleep till like 11pm-1am. We were using Melatonin which worked great but not anymore. The Dr. prescribed him Clonidine to sleep at night. Something about that doesn't sit well with me & I'm nervous to give him this. Does anyone have any suggestions or experience with this??
It clearly states every where not to give this med to anyone under 12 years old. Plus no where does it state that is what this med is for, I don't understand why your doctor would prescribe that for you child. I would definetly get a second opinion on that one. I would even try using benadryl at night time. Have you ever done that? At least until you find something. I work for a physchiatrist and he prescribes benadryl alot for his patients to sleep. I wish you good luck, and I would stay away from that med. Michele
I can see where your doctor was going with this med, but I would be really hestitant to use it on a six year old. Just out of curiousity, how much Concerta is your son on? I would've thought that the doctor would just decrease his dosage of that. If that made his ADHD worse, I would think he might try a lower dosage of Concerta ER (extended release). Just a thought. Anyway, good luck with the sleep problem. Since benadryl didn't work well, maybe he could try a low dose of Vistaril. It's an antihystamine too, maybe it would work.
I am a P.A. and work in child psych. The first thing i would ask is the dose of the Concerta and the weight of your child. The dose may be too high. Also, was he sleeping well before the Concerta, or is sleep a chronic problem? Is the problem sleep or is it behavioral (meaning he will not stay in the bed?) Concerta should only last 12 hours, so taking it at 8 am may be too late anyway as he should have about 11 hours of sleep , and should be in bed before 8 pm (depending on his daytime scheduule.) He may be missing his body's natural winding down time as he is on the Concerta at that time, and may be getting his second wind. Several things to think about.
Why did your doc change if the Melatonin worked so well? I have no problems using Clonidine in a 6 YO for sleep (usual dose is 0.1 mg 1/2 before bed) but do NOT use it if i can lower the Concerta or change the time it is given and get the same results, or even change from a 12 hour stimulant to an 8 hour (like Metadate CD) to enable the child to fall asleep sooner. If it is behavioral in nature, your family needs parenting classes and/or therapy to assist.
Make sure you have good sleep habits, meaning no TV or computers (bright flickering lights wake up the brain) or food at least one hour before bed. Relaxing books, bath and dimmed lights during this time help, as does same bed time and wake time 7 days a week. If the child will not stay in the bed, then there needs to be a consequence for this behavior.
Clonidine works well and i have never seen any serious side effects. Beware that it does need to be titrated up and down - should not be stopped abruptly as it can effect the blood pressure if stopped abruptly. i have otherwise seen no alterations in BP in children on this med and we use it all the time. It works really well.
Hope this helps!
I have 6 year old twins, both on Vyvanse(30mg) for their ADHD and now taking Clonidine (1/2 tablet 0.1mg) to help alleviate tics. Though it was not prescribed for a sleep disorder, one twin does take a second dose at night; I have to give it to him about 3 hours before bedtime, otherwise he gets sleepy during dinner and if we keep him up (to take his bath, etc) he seems to catch a 2d wind and then we have a tough time getting him down. I wouldn't be afraid to try the med, but be willing to tinker with when you give your son the dose.
My eight year old granddaughter has taken Clonidine for 2 & 1/2 yr. She takes .1 mg. Katie goes to sleep within 30 min. of taking the med. I notice she walks in her sleep as well as seems to have more dreams. So far we do not notice any really bad side effects. At least she rests well for school. She is also on Risperadal. Her doc recently increased her to .2mg. of clonidine But it made her sleep too deeply & we cut it back, which still lets her rest. I hope all goes well for your child. i call my phamacist with med questions often.
I have a 10 year old son with ADHD and taking 27mg of concerta. About an hour before bedtime we give him "Sleepytime Tea" spiked with 3mg of melatonin, the tea is chamomile and spearmint and we sweeten it a little with honey; there is another tea called "Sleepytime Extra" that has Valerian root in it, which we haven't tried yet. This has worked sooooooo well for us, no more bedtime nightmare! The maximum "safe" dose of melatonin for kids is 10mg, but we have only needed three. Find the tea in the tea section and the melatonin in the vitamin section of your local grocery store. Also, when I put my boy to bed, I rub his back to help him relax into sleep. Takes like 10 minutes but he's out like a light.
I am very familiar with this. My daughter, 6yrs old, has severe ADHD and was on Focalin XR with Clonidine. She is now on Concerta with clonidine and this really helps. I too had concerns and was asking my sisters who are nurses about this, since it is a blood pressure medicine, and they disagreed at first. After awhile it became a must that i try something and now i wouldn't change it for the world and they agree. She sleeps now and I am very pleased with this medicine. Again to each its on but it really helped her. Benadryl did nothing and it is not intended for extended use. Hope this helps
My 16 year old and 7 year old boys both have ADHD. They both take clonidine at bedtime. My 16 y/o takes .3 mg and my 7y/o takes .1mg. We tried the melatonin an it gave them severe night terrors. The clonidine works wonderful. My 7 y/o has a rare growth order as well and we have to treat the ADHD very carefully and lightly. Before the clonidine it took atleast 2 hours to get him to sleep. My older boy would be up all night some nights. Lack of sleep is very detrimental to learning and behaving at school.
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