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Some children, especially those with neurodevelopmental disorders, have insomnia that does not improve with behavioral interventions, and no medication has been approved by the FDA for pediatric insomnia. Gabapentin has been reported to improve sleep quality in adults with insomnia. In this study, researchers retrospectively reviewed medical records of 23 children (mean age, 7 years) treated with gabapentin at a pediatric sleep clinic for refractory insomnia (70% had both sleep-onset and sleep-maintenance insomnia). Twenty children had been diagnosed with neurodevelopmental or neuropsychiatric disorders (e.g., autism, attention-deficit hyperactivity disorder, epilepsy). Sixteen children had tried melatonin; five experienced improvement in s…