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Real members of MyAutismTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyAutismTeam Member asked a question 💭
East Dublin, GA

My son takes clonidine to go to sleep, because he has trouble falling asleep, however he only stays asleep for a couple of hours and then he is awake the rest of the night. He always makes his way to my bed and stays up crying. When I try to lay him back down in his bed it triggers a meltdown. How can i get him to sleep all night in his bed?

May 24, 2018
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Answer Summary

Members shared practical strategies for helping a child with autism stay asleep through the night, with many suggesting adding... Read more

Members shared practical strategies for helping a child with autism stay asleep through the night, with many suggesting adding extended-release clonidine to the short-acting version or trying combinations like clonidine with Benadryl under a doctor's guidance. Several members mentioned that clonidine and melatonin can cause nightmares in some children, with one member noting their doctor switched medications for this reason, while others found success with weighted blankets, crushing pills for middle-of-the-night dosing without fully waking the child, or tiring kids out with outdoor activities during the day. A recurring theme was the importance of working closely with a psychiatrist to adjust medications through trial and error, understanding that every child responds differently, and remembering to take care of yourself and rest when possible during this exhausting process.

A MyAutismTeam Member

My son has been on clonidine for sleep for about 10 years. Our experience is this: a clonidine dose only lasts half the night. I have to give him a 2nd dose in the middle of the night (I crush the pill, mix with a liquid sweetener that we make (stevia dissolved in water) and squirt in his mouth with a small thin medicine dropper... This doesn't wake him up fully) . The extended release made my son too sleepy during the day,which caused meltdowns. We currently also give him a small dose of Ativan (anxiety drug that makes you sleepy) at the same time as the middle of the night dose. The trick is to record what time he is currently waking in the night and give it half an hour before that, so he stays asleep.

June 9, 2018
A MyAutismTeam Member

Sdharms, thank you for your input. My son used to take melatonin, However it never worked for him. Dawson's behavior has been fine with the clonidine other than his nightmares. His psychiatrist is the one who put him on Risperdal and the one who upped his dose. Dawson has severe meltdowns that last hours at the time. Since being on Risperdal he still has them but they aren't near as long.

June 1, 2018
A MyAutismTeam Member

We use clonadine and Benedryl. Ask your Dr. My son has always had sleep issues. We started with Melatonin(they make chewables) Then we started Clonadine. Due to puberty and med changes the Dr added Benedryl. They have the dye free liquid form. Some kiddos have opposite reaction to Benedryl so watch out for that. Also if this no sleep with crying is a new problem maybe Motrin to rule out a headache or toothache. Hang in there and sleep when you get a chance. Every kiddo is different so trial and error...

May 26, 2018
A MyAutismTeam Member

My son had the same problem on Clonidine 0.1 mg and we had to add Clonidine 0.1 mg ER with it. The short acting Clonidine helps him fall asleep and the extended release helps him to stay asleep.

May 25, 2018
A MyAutismTeam Member

I wish I could help you. My son was on and off a clonidine since he was a child. He is now 20 and the last time he was on clonidine it not good. He lacked impulse control and was displaying behaviors that were dangerous to himself. I don't think he meant too but I think he just didn't know what he was doing. I like melatonin "can't believe I hear myself thinking that" but it's better for sleep/autism. It is a good Ol Faithful med for kids with Autism and (at least for us}, has had little to no real negative side affects. Resperidal is a medication that is taken at night. There is a soft quick release that is useful for meltdowns/PRN. It is a psychotropic and should probably be manage by a psychiatric physician.

May 31, 2018

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