It is understandable that you do not wish to add further medications to a little body, however, as the subject of your post suggests this is an issue which needs urgent attention. Not only for your son's sleep sake but for your own peace of mind.
Your prescribing doctor will be able to inform you of the different calming medications that may benefit your son, taking his medical history into account.
Having a regular calming down/bed time routine, which begins at dinner time, can often assist with the impulsivity. If you remain concerned about adding another medication, speak to your prescribing doctor about natural supplements such as tissue salts or melatonin, bear in mind that severe symptoms are often not as greatly assisted by natural products, however; the least harmful route should be attempted first.
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