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Doctor insights on: Can Lexapro Cause Insomnia

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Dr. Heidi Fowler
1,704 doctors shared insights

Insomnia (Definition)

A sleep disorder in which you cannot fall or stay asleep. It usually accompanies another sleep, medical, or psychiatric disorder, and can lead to memory impairment, mood changes, and increased risk of ...Read more


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I have severe insomnia caused by lexapro. What can I take together to make me sleep: zzzquil, nyquil, benadryl, (diphenhydramine) melatonin, clonidine?

I have severe insomnia caused by lexapro. What can I take together to make me sleep: zzzquil, nyquil, benadryl, (diphenhydramine) melatonin, clonidine?

Call doctor: In my practice, with my patients, I have rarely seen anyone develop severe insomnia because of lexapro (escitalopram). They may have had insomnia previously, and it's more noticeable as the depression improves. In any event, if you are experiencing side effects from a medicine, call your doctor for an appointment to discuss this in person and in detail. ...Read more

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Should you take Lexapro (escitalopram) and have insomnia?

Should you take Lexapro (escitalopram) and have insomnia?

Lexapro (escitalopram): Lexapro (escitalopram) can be sedating for some, & activating for others. If insomnia is an issue, Lexapro (escitalopram) is recommended to be taken in the morning. ...Read more

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Can I take lexapro (escitalopram) if I'm suffering from insomnia? Will it make the insomnia worse? I think I need it for anxiety. Will I gain weight from it?

Can I take lexapro (escitalopram) if I'm suffering from insomnia? Will it make the insomnia worse? I think I need it for anxiety. Will I gain weight from it?

Lexipro may: or may not interfere with your sleep; it's unlikely. However, your anxiety may indeed be a culprit in worsening it, making the case for treating anxiety with the lexipro. In addition to starting the lexipro, you may wish to discuss with your MD an investigation of your insomnia for targeted treatment of it.
Lexipro can cause weight gain in some folks.
Good luck! ...Read more

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Craving sugar and insomnia with Lexapro (escitalopram) withdrawal. Is this normal?

Craving sugar and insomnia with Lexapro (escitalopram) withdrawal. Is this normal?

Well..: That is possible. Sugar craving is sometimes seen with depression. Insomnia can also been seen with depression. Either you are not ready to come off or you are experiencing some discontinuation sxs. ...Read more

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Insomnia from antidepressant (escitalopram/lexapro) how much time will it last?

Insomnia from antidepressant (escitalopram/lexapro) how much time will it last?

Well, the 1st thing : I would ask is what time of day you are taking it. If you take at night or the evening - would consider taking it in the am. Although insomnia from ssri could resolve in a few weeks - it doesn't always resolve. Make sure your keep your prescribing provider up to date on your medication side effects. Take care. ...Read more

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Is Lexapro (escitalopram) plus a low dose of amitryptaline a good combo for anxiety and insomnia? Dr prescribed both and want to double check.

Is Lexapro (escitalopram) plus a low dose of amitryptaline a good combo for anxiety and insomnia? Dr prescribed both and want to double check.

Polypharmacy: Clonazepam & Zyrtec (cetirizine) are also part of your medication regimen? The combination of all the drugs you list can result in reactions of lethargy, fatigue, & depression of your central nervous system. & the word "depression" means both the FUNCTION of your body as a whole as well as in the psychological sense. Have the root causes of your anxiety/insomnia been investigated? Any alternatives to the meds? ...Read more

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Headache and insomnia with lexapro, (escitalopram) is it normal? I also have pretty bad anxiety that comes in waves. (Could have been worse because of no sleep)

Headache and insomnia with lexapro, (escitalopram) is it normal? I also have pretty bad anxiety that comes in waves. (Could have been worse because of no sleep)

Lexapro (escitalopram): Fairly common side-effects, short duration & should ease up with time. Not sure what the dosage is, but I would recommend switching the timing of taking it, such as in a.m. instead of bedtime, or splitting the dose to lower one twice daily. Consult your doctor first. ...Read more

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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.

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.

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. ...Read more

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I'm taking 30 mg of lexapro, 60 mg of Buspar (buspirone) and 50 mg of doxepin a day. I'm still experiencing anxiety and insomnia. Is this normal?

Are you relying on: Meds alone? If yes, then strongly recommend that you add in non-med therapies. Talking therapy ranks really high. Cognitive behavioral therapy can be quite effective. Aim for daily exercise, 8 hours of sleep per night ; good nutrition with 5 servings of veggies ; 4 of fruit per day. Try tai chi, yoga, qi gong, progressive muscle relaxation, deep breathing exercises ; meditation. Don't isolate. ...Read more

Dr. Alan Ali Dr. Ali
3 doctors agreed:
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First time taking Lexapro (escitalopram) and have dilated pupils, insomnia, hesdache, and diarrhea. Should i stop taking it?

Dr. Alan Ali Dr. Ali
3 doctors agreed:
First time taking Lexapro (escitalopram) and have dilated pupils, insomnia, hesdache, and diarrhea. Should i stop taking it?

Lexapro (escitalopram): Fairly common side-effects which subside with time. Do not advise stopping the Lexapro (escitalopram) without first discussing with your prescribing doc. ...Read more

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I'm currently taking risperdone, Artane, Lexapro, (escitalopram) and Lamictal. Is it safe to use passion flower with those for insomnia?

I'm currently taking risperdone, Artane, Lexapro, (escitalopram) and Lamictal. Is it safe to use passion flower with those for insomnia?

Talk to your doctor : In general, I recommend patients to not combine their psychiatric medications with herbals. Based upon my review of Passion flower, increased drowsiness is the main risk. Some herbals increase the risk of Serotonin syndrome when combined with psych meds. I did not see any reports of this with Passion flower. Talk to your doctor before combining your meds with any herbal preparations. Best wishes! ...Read more

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If Lexapro and celexa make you really sick (diarreah, nausea, insomnia and feeling like a zombie), will Paxil (paroxetine) also make you sick.

If Lexapro and celexa make you really sick (diarreah, nausea, insomnia and feeling like a zombie), will Paxil (paroxetine) also make you sick.

Celexa and Lexapro (escitalopram): are basically drug and pro-drug and would be expected to have similar side effects. There is no way to predict whether Paxil (paroxetine) would do the same but it is certainly possible. ...Read more

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Taking clonazepam 0.5mg for approx 3 weeks, and now also on Lexapro (escitalopram) in evening. How to wean off clonazepam to avoid insomnia and anxiety symptoms?

Taking clonazepam 0.5mg for approx 3 weeks, and now also on Lexapro (escitalopram) in evening.  How to wean off clonazepam to avoid insomnia and anxiety symptoms?

Have PCP help.: The dose is not high and it is a long acting minor tranquilizer and you haven't taken it for too long so you can cut the dose by half for a week and stop. Have pcp supervise. ...Read more

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What's the best way to relieve insomnia side effects from Lexapro (escitalopram)? Melatonin, trazodone, clonazepam? I've only had 6 hours of sleep in 2 days.

What's the best way to relieve insomnia side effects from Lexapro (escitalopram)? Melatonin, trazodone, clonazepam? I've only had 6 hours of sleep in 2 days.

Medication effects: Side effect of Lexapro (escitalopram) may be Insomnia
Insomnia can also be due to Stresses in life causing Anxiety.

Trazodone is for Depression, Clonazepam is for Anxiety. Both can have side effects.
Consider Melatonin with g:
•Therapy by Psychiatrist
•Realize and feel Wonder of Breath of Life.
•Become Captain over Stresses of Life and Insomnia, Not Victim.
•Visual imagery of National Parks
•Meditation. ...Read more

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I have a pounding headache, insomnia, and feel sick to my stomach from being on 5mg of Lexapro (escitalopram) for 5 days. Is this normal? Stop altogether or taper?

Sounds like: Medication side effects vary from patient to patient, and sounds like the low dose Lexapro (escitalopram) could be the culprit. By 5 days, you should be having less issues, but it may be best to find a different medication. ...Read more

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I have insomnia n labile hypertension. on carvedilol n amlodipine. taking Lexapro (escitalopram) at nite. shud I take it in morning. I have an overactive mind n dep?

I have insomnia n labile hypertension.  on carvedilol n amlodipine. taking Lexapro (escitalopram) at nite. shud I take it in morning. I have an overactive mind n dep?

Symptom duration: How long have you had these symptoms? Has your insomnia increased or decreased on Lexapro (escitalopram)? Also, Lexapro (escitalopram) can interact with many medications. Do you take any other medications? I suggest speaking with your doctor. If Lexapro (escitalopram) has been good for you, there may be some adjustments your doctor could recommend. Please speak first with your doctor about changing the timing of any of your medications. ...Read more

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May i take 5htp if I am currently taking Lexapro and lunesta (eszopiclone) I have insomina and I have gad. I am currently on Lexapro 10mg daily and lunesta (eszopiclone) 2mg daily.

May i take 5htp if I am currently taking Lexapro and lunesta (eszopiclone) I have insomina and I have gad.  I am currently on Lexapro 10mg daily and lunesta (eszopiclone) 2mg daily.

You : You are taking Lexapro which is a selective serotonin reuptake inhibitor. Lexapro leads to increasing the chemical - serotonin in your brain. 5 hydroxytryptophan (5 htp) is an Amino Acid which is in the intermediate phase as typtophan is being converted to serotonin. So 5htp also leads to increased serotonin in your brain. 5 htp is reported to assist with depression. You are taking Lunesta (eszopiclone) for insomnia. 5 htp is reported to assist with insomnia.
Lexapro and Lunesta (eszopiclone) have both been tested and those test results were reviewed by the food and drug administration (fda) before the drugs were approved for use in the United States. Herbals and supplements do not require fda approval. For some herbals and supplements there might not be exact accuracy in the dosage you receive.
Please talk to your doctor before adding any herbal or supplement to your medication regiment. ...Read more

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I am on Lexapro (escitalopram) and Lamictal. I take them in the morning. I travel for work and have trouble sleeping. Any recommendations?

I am on Lexapro (escitalopram) and Lamictal. I take them in the morning. I travel for work and have trouble sleeping. Any recommendations?

Timing meds: Get out your calendar and review timing of meds with prescribing doctor(s). You may do better slightly shifting when you take these meds depending on your travel schedule. If you go away for a day or so at a time and travel is unpredictable, you have work-related stress that won't be solved by these meds. Discuss with your doc or a mental health professional for coping strategies. Hope this helps. ...Read more

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Can I Lexapro (escitalopram) 10mg during the day instead of before sleep? I feel no psychoactive effect this normal?. Only sleeplessness side effect. for OCD / GAD

Can I Lexapro (escitalopram) 10mg during the day instead of before sleep? I feel no psychoactive effect this normal?. Only sleeplessness side effect. for OCD / GAD

OCD, GAD: I understand your concern.
Lexapro (escitalopram) works for 24 hours.
Due to sleeplessness, take Lexapro (escitalopram) after lunch.
Not feeling much improvement for OCD/GAD, is likely due to lack of Therapy and low dose of Lexapro (escitalopram).
See Psychiatrist for Therapy and discuss dose of Lexapro (escitalopram) and gradually increase the dose.
For Anxiety, Do Breathing and Music Relaxation
For OCD, become Captain over your obsessions and compulsions ...Read more

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I have gad. I take Lexapro (escitalopram) & I have nightmares & trouble sleeping at times. Aleve seems to help me sleep. What should I take/do to help me sleep?

Talk to doc: Sleep issues are common in anxiety and can be treated by adjusting medications. Night mares are common in gad too, theses should be discussed in therapy. Talk it over with your paychiatrist, aleeve is for pain and may not be good medication for sleep on long term basis. ...Read more

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I am bipolar have depression ptsd psychosis anxiety n have trouble sleeping. My dr only has me on lexapro (escitalopram). What other meds might help the other proble?

Prazosin, atypical : Your doctor could try an atypical antipsychotic like seroquel or risperdal, and prazosin which may help for ptsd related nightmares and insomnia. Another mood stabilizer such as Depakote or lithium may also be needed for your regimen. I notice your medication list also includes abilify, Cymbalta and geodon (ziprasidone). I wonder how you responded to them. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Can Lexapro (escitalopram) cause bleeding?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Can Lexapro (escitalopram) cause bleeding?

Lexapro (escitalopram): Very rare side-effect is GI bleeding from decrease platelet count. Caution if use with Aspirin or Anticoagulants. ...Read more

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Can Lexapro (escitalopram) cause hypoglycemia?

Can Lexapro (escitalopram) cause hypoglycemia?

Rare, but yes: 0.7% of people on Lexapro (escitalopram) have had hypoglycemia.Many were on Insulin or setoquel. Some were not. 50% had resolution when the drug was stopped, making it likely that these were the ones where Lexapro (escitalopram) was the cause. That would theoretically bring the risk to about 0.35% or 35/10, 000 users. Sorry if it's happening to you. Wish you had won a more profitable lottery. ...Read more

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How to stop dirrea caused by lexapro (escitalopram)?

How to stop dirrea caused by lexapro (escitalopram)?

Stop med: stop the med and it should go away in 2-3 days at the most. If it persists then look for other causes ...Read more

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Can lowering Lexapro (escitalopram) dose cause anxiety?

Possibly: Lexapro (escitalopram) affects serotonin, a neurotransmitter in the brain that modulates mood as well as anxiety. Lowering the dose of Lexapro (escitalopram) could increase anxiety, especially if it was done too quickly. Please discuss this with your prescribing physician. ...Read more