You have an exhausted parent in your office of a 9-year-old…
You have an exhausted parent in your office of a 9-year-old with autism spectrum disorder. The parent explains that the child will sleep maybe 4 hours a night and then is up the rest of the night wide awake. The parent has tried consistent bedtime routines, limiting screen time, making sure to avoid caffeine and keeping the child calm prior to bed. The parent is looking for medication recommendations. Your first medication recommendation is:
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