DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20150994

Risperidone, zolpidem and melatonin to manage insomnia and irritability in a 14 month old child admitted to intensive care

Payal Sharma, Anup Bharati, Nilesh Shah, Avinash Desousa

Abstract


There is a dearth of literature when it comes to the use of risperidone and zolpidem in very small children (below the age of 5 years). Melatonin has been used in children with sleep problems even at a younger age. There are reports of its use in preschool children and it is available in the form of paediatric drops though usage in very small children has not been documented. This report describes a case of a 14-month old child who was treated for insomnia and delayed sleep onset with zolpidem and melatonin. 


Keywords


Zolpidem, Risperidone, Melatonin, Insomnia, Irritability

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References


American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Text revised (DSM-IVTR). Washington, DC: American Psychiatric Association; 2000.

Blader JC, Koplewicz HS, Abikoff H, Foley C. Sleep problems of elementary school children: a community survey. Arch Pediatr Adolesc Med. 1997;151:473-80.

Meltzer LJ, Mindell JA. Sleep and sleep disorders in children and adolescents. Psychiatr Clin North Am. 2006;29(4):1059-76.

Gregory AM, O’Connor TG. Sleep problems in childhood: a longitudinal study of developmental change and association with behavioral problems. J Am Acad Child Adolesc Psychiatry. 2002;41(8):964-71.

Owens JA, Rosen CL, Mindell JA, Kirchner HL. Use of pharmacotherapy for insomnia in child psychiatric practice - a national survey. Sleep Med. 2010;11(7):692-700.

Owens JA, Mindell JA. Pediatric insomnia. Pediatr Clin North Am. 2011;58(3):555-69.

Darcourt G, Pringuey D, Salliere D, Lavoisy J. The safety and tolerability of zolpidem: an update. J Psychopharmacol. 1999;13:81-93.

Kurta DL, Myers LB, Krenzelok EP. Zolpidem (Ambien): a pediatric case series. J Toxicol Clin Toxicol. 1997;35:453-7.

Garstang J, Wallis M. Randomized controlled trial of melatonin for children with autistic spectrum disorders and sleep problems. Child Care Health Dev. 2006;32(5):585-9.

Jan JE, Hamilton D, Seward N, Fast DK, Freeman RD, Laudon M. Clinical trials of controlled‐release melatonin in children with sleep-wake cycle disorders. J Pineal Res. 2000;29(1):34-9.

Masi G, Cosenza A, Mucci M, De Vito G. Risperidone monotherapy in preschool children with pervasive developmental disorders. J Child Neurol. 2001;16(6):395-400.

Masi G, Cosenza A, Mucci M, Brovedani P. A 3-year naturalistic study of 53 preschool children with pervasive developmental disorders treated with risperidone. J Clin Psychiatry. 2003;64(9):1039-47.

Bhat T, Pallikaleth SJ, Shah N. Primary insomnia treated with zolpidem in an 18 month old child. Indian J Psychiatry. 2008;50(1):59-60.

Pine E, Luby J, Abbacchi A, Constantino JN. Quantitative assessment of autistic symptomatology in preschoolers. Autism. 2006;10(4):344-52.