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.

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.

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.