Saturday, June 4, 2011
We have tried for months to avoid medicating Alanna for sleep, opting instead for melatonin. This has worked well generally - in a good week she will sleep through 5 out of 7 nights without waking. In bad weeks - well, each night is a prayer said before bed that she might sleep.
After seeing a neurologist, we decided to try clonidine, a medication typically used for blood pressure but one that had some good research behind it for reducing night wakings and inducing sleep. We started it two weeks ago...
... and both Mom and Dad believe it is a failure. In the last two weeks she has slept worse than ever, waking multiple times at night or waking early in the morning. She does fall asleep more quickly, but the melatonin did that too. We kept titrating up her dose until we hit 0.1mg today... and she was a complete zombie.
We are not totally surprised by this. Alanna has demonstrated this paradoxical reaction before with Benadryl (it made her more excited and hyper) when we tried it before too.
So we are tapering her off this medication and hoping melatonin does the trick until the next appointment. I hate medicating her but if it will help her sleep regularly, the whole family, including her, benefits. But it's got to work, and clonidine is not the drug for her.