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Pharmacologic treatment of pediatric insomnia
Judith A Owens1, Sricharan Moturi
1Department of Pediatrics, Alpert Medical School at Brown University, Ambulatory Pediatrics Potter 200, 593 Eddy Street, Providence, RI 02903, USA. owensleep@gmail.com
Insights
Pediatric insomnia is common and impacts children, adolescents, and caregivers. This review provides expert guidelines on commonly prescribed sedative/hypnotic medications for treating childhood insomnia.
Area of Science:
- Pediatrics
- Sleep Medicine
- Pharmacology
Background:
- Pediatric insomnia is prevalent in children and adolescents, often co-occurring with other disorders.
- It can lead to cognitive, emotional, and psychosocial impairments, increasing caregiver burden.
- While behavioral interventions exist, evidence for pharmacologic treatments is limited.
Purpose of the Study:
- To present expert consensus guidelines for pharmacologic treatment of pediatric insomnia.
- To focus on commonly prescribed sedative/hypnotic medication classes.
Main Methods:
- Review of expert consensus guidelines.
- Focus on commonly prescribed pharmacologic agents for pediatric insomnia.
Main Results:
- Sedative/hypnotic drugs are frequently used in clinical practice for pediatric insomnia.
- Guidelines exist for general and specific medication use.
Conclusions:
- Expert consensus guidelines are presented for the clinical use of sedative/hypnotic medications in pediatric insomnia.
- The review highlights commonly prescribed pharmacologic agents.
Abstract:
Pediatric insomnia is common in children and adolescents, particularly in children who have comorbid medical, psychiatric, and neurodevelopmental disorders, and may be associated with cognitive, emotional, and psychosocial impairments that often result in significant caregiver burden. Although several behavioral interventions for pediatric insomnia are effective, there is a relative paucity of empiric evidence supporting the use of pharmacologic treatment. Sedative/hypnotic drugs are frequently used in clinical practice to treat pediatric insomnia, and guidelines for the use of these medications in general as well as for specific medications have been developed. This review presents expert consensus guidelines for the use of these medications in clinical practice, with a focus on the different classes of pharmacologic agents that are most commonly prescribed.
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