Is it safe for a baby to take Nozinan daily as a sleep aid?
Patient :10 month old with difficulty falling and staying asleep was prescribed methotrimeprazine/Levomepromazine (Nozinan) by a neurologist. The doctor said to take it every night, for a whole year. Before prescribing this medication the neurologist did an EEG and said the results were normal, that the baby was a light sleeper and had difficulty falling asleep, which he called a "sleep disorder". He is now 23 months and is still on this medication (and still does not sleep through the night). Should this advice be trusted? Can this medication harm such a young child, specially with such long term use?
Symptoms: Toddler on Nozinan due to sleep difficulties, still does not sleep through the night
Thanks for the query to askthedoctor.com for an opinion.
It is understood that your child was diagnosed as with sleep disorder even though the EEG was normal and was prescribed NOZINAN which is a phenothiazine and has been usually prescribed to patients with neuroleptic disorders like schizophrenia, mania, bipolar disorder or ADHD where depression of hyperactivity or increased sleep is desired to depress the symptoms. Your baby was advised the same and for a year long now. A phenothiazine should not be continued for long for toddlers. If there was no difference or result seen in the sleep activity of the child within a month, then the medication should have been reconsidered.
I suggest if there as been no improvement in the sleep activity, you may stop the drug and review with your physician for a re-evaluation whether the child actually requires medication or with growth and activity the sleep pattern shall naturally get regulated. Ideally it does. Please review with your treating physician.
I hope i have been able to address your concerns here,
Wishing good health to your family,
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