ASD insomnia – melatonin — RACP Paediatrics MCQ

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EasyNeurologyASD insomnia – melatoninRACP Paediatrics

A 4-year-old with ASD has severe sleep onset insomnia (>2 hours to fall asleep). Sleep hygiene optimised for 6 weeks. What pharmacological intervention?

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Correct answer: A — Melatonin

Melatonin is first-line for sleep onset insomnia in ASD when behavioural strategies fail. Well-studied, well-tolerated. 1-5 mg, 30-60 min before bedtime.

Reference: RCH Melbourne – 2023 – Sleep CPG