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Yup, we are having those issues with my autistic son. He is only 4 now and we are working hard to give him more time for behavioral things to work, but if he continues this even a year or two from now as strong as he is, we will have to do something to control him and at that time we will have to seriously consider medications.
I suppose you've had the "honor" of dealing with autistic rages? Or the insomniac autistic child--argh!
We are expecting another son and I gotta tell you I am downright scared that we will have a repeat with him. It is why we were really hoping for another daughter this time around.

My daughter with cerebral palsy has had lots of issues with rage. How have you dealt with it with your autistic son?

The pediatrician and neurologist have been useless. The pediatrician has always advised us to use timeouts, and that should work. If it doesn't, then I must be doing something wrong.

I don't know if he's ever seen a kid with half a brain (literally), who is very tired, very smart, and can't talk at 4 1/2. I will say that my daughter is better now, at 7. She's talking better, and she handles being tired better. She also handles being disciplined better. I'll put her in her room now, and she does seem to calm down pretty fast.