Current Anesthesiology Reports

, Volume 9, Issue 2, pp 85–91 | Cite as

Pharmacologic Treatment of Insomnia in Children and Adolescents with Chronic Pain Conditions

  • Víctor-Hugo González-Cárdenas
  • Evelyn Constantin
  • Marta Somaini
  • Anna Radzioch
  • Pablo M. IngelmoEmail author
Pediatric Anesthesia (J Lerman, Section Editor)
Part of the following topical collections:
  1. Pediatric Anesthesia


Purpose of Review

The purpose of this chapter is to provide a review and expert opinion supporting pharmacological treatments for insomnia in children and adolescents with chronic pain conditions.

Recent Findings

Insomnia as an independent disorder is defined as dissatisfaction with sleep quantity or quality, clinically significant distress or impairment in daytime functioning, and a specific time pattern of occurrence. Independent of the pathological context, insomnia is more frequent in adolescents than in children. The impact of insomnia on pediatric patients is quite profound, especially on those affected by chronic pain, where the prevalence of insomnia is significantly greater than in those without pain. Despite the intense effect of insomnia on physical, emotional, and cognitive health, as well as on the efficacy of interdisciplinary therapy, currently, there are no pharmacological guidelines for this population. Thus, the diagnosis and successful treatment of insomnia in children with chronic pain conditions often represent a significant challenge for clinicians.


The management of insomnia requires an interdisciplinary team that includes a physician, physiotherapist, and psychologist. Specific therapies for insomnia include sleep hygiene counseling, cognitive behavioral therapy, and pharmacological interventions. This review focuses exclusively on five successful pharmacological treatments for insomnia in children and adolescents with chronic pain conditions, and presents concepts and recommendations based on current medical evidence and the knowledge of medical experts in the field.


Sleep initiation and maintenance disorders Chronic pain Child Adolescent Drug therapy 


Compliance with Ethical Standards

Conflict of Interest

Víctor-Hugo González-Cárdenas, Evelyn Constantin, Marta Somaini, Anna Radzioch, and Pablo Ingelmo declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Víctor-Hugo González-Cárdenas
    • 1
    • 2
  • Evelyn Constantin
    • 3
    • 4
  • Marta Somaini
    • 1
  • Anna Radzioch
    • 1
  • Pablo M. Ingelmo
    • 1
    • 5
    • 6
    • 7
    • 8
    Email author
  1. 1.Chronic Pain Service, Montreal Children’s HospitalMcGill University Health CenterMontrealCanada
  2. 2.School of Medicine, University Children’s Hospital Foundation of San JoséUniversity Foundation for Health Sciences (FUCS)BogotáColombia
  3. 3.Child Health and Human Development Program, Department of PediatricsMontreal Children’s HospitalMontrealCanada
  4. 4.Department of Pediatrics, Faculty of MedicineMcGill UniversityMontrealCanada
  5. 5.The Alan Edwards Centre for Research on PainMcGill UniversityMontrealCanada
  6. 6.Department of Anesthesia, Faculty of MedicineMcGill UniversityMontrealCanada
  7. 7.CIMPARC (Consortium of Multidisciplinary Pain Researchers and Clinicians)MilanItaly
  8. 8.Department of AnesthesiaMontreal Children’s HospitalMontrealCanada

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