Yep, BTDT. Haven't done lately but might again if we hit a pattern of not going to sleep.
Here's snip of old post to the List in 2006.
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We have been giving Charlie, turned 7 in July, approx. 1 1/2 mg melatonin about 30 min. before bedtime. It seems to work well and we haven't noticed any ill effects. At first we tried giving him melatonin on sort of an on demand basis, only gave it to him when he appeared to be having difficulty settling and getting to sleep. But couple of doctors told us melatonin doesn't really work that way, usually takes a couple of hours to kick in, at least the regular form, slow acting, long lasting. Nevertheless, often Charlie falls asleep within 20 to 30 min. of getting his bedtime snack.
I cut, as best I can, a 3 mg tablet into half--tablets not scored, often sort of saw off approximately half and leave the half that's left for next night--and mix in small serving, maybe tablespoon or two, of applesauce.
When I first asked his pediatrician about giving melatonin, in a quick phone consult he said he wouldn't recommend this in any kid with history of OSA. Later, face to face, discussing this further, and offered the choice of telling us it was okay to try melatonin or we'd expect him to come over and sit with Charlie the next time he awoke at 3 a.m. all ready to play, he said okay.
If your child's problem is staying asleep, you might do better to try the time-released version.
Here's an unauthorized snip, maybe he won't mind too much, of something Dr. Leshin posted about melatonin to the list in Jan. 2005:
<< A few comments about melatonin since my name is on this thread....
First, melatonin is not a regulated medication. It's been shown that the total mg of the tablet may not actually be what's on the label. Consumerlabs.com did a study on commonly sold melatonin and found that the following manufacturers were trustworthy: KAL, Twin Labs, Biochem, Duane Reade, Jarrow Formulas, MRM, Natrol, Nature's Bounty, Puritan's Pride, Schiff and Walgreens brand.
Melatonin is available in quick-release form regular tablets and capsules and special time-release forms extending its release over several hours (also referred to as extended-release, controlled-release, or time-release forms). Quick-release aids the ability to fall asleep, while time-release may be more helpful in staying asleep. Time-release versions cannot be crushed or chewed, but can be found as very small tablets.
There does seem to be some tendency to "get used to" the melatonin with less effectiveness over time. This varies from person to person, however.
Finally, melatonin's safety in young children has not been established.
Len Leshin, M.D., F.A.A.P.
Down Syndrome: Health Issues
www.ds-health.com >>
Charlie has autism as well as Down syndrome. So, to my mind, all the more reason to try melatonin. I think he's getting more and better rest, and so are we. If the effect seems to lessen, I might go for whole 3 mg tablet. If that stopped working, I think I would just discontinue for at least 3 weeks. And, though melatonin is a dietary supplement, OTC, not a drug, believe I would treat like lots of medication with our kids, often best to start low and go slow--have heard that several places, just recently on the DS-autism list.
And, though it's not a drug and you don't need a script, can buy at drug store or vitamin shop, I would suggest you check with your child's doctor before trying any version of this. Who knows, maybe Emily's pediatrician would welcome the opportunity to come over in the wee hours and rock her to sleep.
Good luck,
Bob
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