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My son takes medication for ADD/ADHD, and is diagnosed with an autism-type condition. He is also prescribed medication to aid sleep.
Its a controlled drug, which he takes on school days only to aid concentration. It is monitored and the dosage is altered now and again, if it isn't seen to be working. From what I've researched due to having my reservations about giving it to him, it isn't recommended that they are taken long term, and I think often a break is seen as beneficial. I also have heard of people being misdiagnosed in childhood, so perhaps the prison doctor deemed it wasn't the best course of action for him as an adult.
If he isn't sleeping, maybe he was taking a medication to aid sleep, which has been withdrawn. My son takes a hormonal sleeping aid, which isn't a sleeping tablet.
Ahhh melatonin? That's something that can aid sleep for those with autism and is controversial.