====== Melatonin ====== ====== Dosing ====== * 0.5 to 1 mg in infants * 2.5-3 mg in older children * 5 mg in adolescents * Give 30-60 minutes before bedtime. ===== Recommendations for good sleep hygiene in children ===== * Napping during the day should be avoided * Appropriate dinnertime should be at least 2 hours before bedtime * Screen time (ie, watching television, playing computer or video games) should be discontinued at least an hour before bedtime * Regular bedtime routine including routine sleep and wake-up times should be maintained * Children should sleep in their own beds * Sleep environment should be dark and quiet; room should not be too hot * Caffeine, nicotine, and alcohol should be avoided Data from: ====== References ====== * [[https://www.ncbi.nlm.nih.gov/pubmed/16740821|Mindell JA, Emslie G, Blumer J, Genel M, Glaze D, Ivanenko A, et al. Pharmacologic management of insomnia in children and adolescents: consensus statement. Pediatrics. 2006;117(6):e1223–32.]] * [[https://www.ncbi.nlm.nih.gov/pubmed/19836701|Owens JA, Moturi S. Pharmacologic treatment of pediatric insomnia. Child Adolesc Psychiatr Clin N Am. 2009;18(4):1001–6]] * [[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4830653/#b2-0620315|Irvin Janjua, MD and Ran D. Goldman, MD FRCPC. Sleep-related melatonin use in healthy children. Can Fam Physician. 2016 Apr;62(4):315-316]] {{tag>drugs}}