U.S. doctors online nowAsk doctors free
NM
A 34-year-old female asked about a 37-year-old male:

Dr prescribed amitryptaline in addition to lexapro (escitalopram) to treat anxiety. have been taking lexapro (escitalopram) for years but still having panic attacks and insomnia.

2 doctor answers6 doctors weighed in
Dr. Dariush Saghafi
Neurology 34 years experience
When Rx'ed Amitripty: If you just got the script for amitryptiline today then, we're way to early to conclude anything. If you have already been on that combo for at least 2-3 weeks and no change in your symptoms then, you should call your doctor. Do your panic attacks stem from PTSD, nightmares, abuse, or other forms of trauma? Unless you address such issues DIRECTLY, no amount of medication is likely to work well.
Dr. Joyce Pastore
Internal Medicine 30 years experience
Insomnia: Amitryptaline is effective for depressive symptoms and to help you sleep. It is not the best treatment for anxiety. I would give it a couple of weeks to see if it at least helps the insomnia. If no improvement, see your doctor for alternative meds. Cognitive behavioral psychotherapy is very effective for anxiety in conjunction with short term meds.
Dr. Adam Lewis
Dr. Adam Lewis commented
Neurosurgery 36 years experience
Excellent answer. Cognitive therapy is an excellent option for the long run. A medication to treat anxiety with low risk for addiction is a good option in the short run.
Aug 9, 2014

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Mar 16, 2021

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.