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School-age children were given a 5 mg dose of melatonin at 19:00 for four weeks to improve sleep. A similar study focused on 105 children aged 6 to 12 years with ADHD and sleep-onset insomnia, who received 3 mg or 6 mg of melatonin (adjusted by body weight) or a placebo for four weeks.
Initially 2 mg daily. Increase every 1-2 weeks based on response to 4-6mg daily. Take the Melatonin after food. Take dose 30-60 minutes before bedtime. For children waking during the night, the same dose or a smaller dose can be repeated during the night (as prescribed by the specialist- to be communicated to the GP in writing).
• Medications for pediatric insomnia should be started at a low dose and evaluated for efect before elevating the dose. • Below the table are highlights of each medication or class of medications, as well as some medications or classes not included in the table.
30 lip 2024 · We present data for maximum dose and maximum dose per kg body weight in relation to overweight status (including obesity) and age above or below nine years. Results The range of the maximum dose of melatonin was 1–20 mg for first prescriptions and 1–25 mg for iterated prescriptions.
When these measures are not effective, low-dose melatonin, administered 30-60 min before bedtime, might be helpful in children over 2 years old. Melatonin use should be monitored by pediatricians to evaluate the efficacy as well as the presence of adverse effects.
The dosage of melatonin varied among the included studies ranging from 0.5 mg/day to 9 mg/day and the duration of treatment varied from 1 week to 13 weeks with no consistent pattern among studies. Melatonin was administered at 4:30 p.m. to 9:00 p.m. or 20 minutes to 45 minutes before bedtime.
9 mar 2024 · Exogenous melatonin is typically used for sleep regulation in the context of insomnia either in healthy children or those with neurodevelopmental disabilities. It is also used for the management of circadian rhythm sleep disorders in pediatric and adolescent patients.
