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Doctor insights on: Hydroxyzine Insomnia

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Been prescribed citalopram(depression), hydroxyzine(insomnia ) is 20mg citalopram + 75mg hydroxzine safe? Doctor said it should be okay. Thanks.

Been prescribed citalopram(depression), hydroxyzine(insomnia ) is 20mg citalopram + 75mg hydroxzine safe? Doctor said it should be okay. Thanks.

It's safe, but...: ..To me it depends how it's prescribed. I would want you to start the Hydroxyzine at a lower dose, like 25mg and first see if that dose will help you sleep. If it doesn't, then increase in steps to 50, and then to 75, if necessary. With citalopram, i would want you to start with 10mg for at least 4 to 5 days, if not more, to make sure you tolerate it before increasing to 20 mg. ...Read more

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Dr. Heidi Fowler
1,637 doctors shared insights

Insomnia (Definition)

Insomnia is 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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Will hydroxyzine use cause rebound insomnia when it is stopped?

Will hydroxyzine use cause rebound insomnia when it is stopped?

Uncertain: I am not aware of any study on this phenomenon. However if you have been taking hydroxyzine to induce sleeping, your insomnia will likely return without it. Whether your insomnia would become more severe or not is unknown. If insomnia is a problem , you need to consult your doctor to find out the cause. ...Read more

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I've taken 100mg hydroxyzine to help my insomnia - it's not working. What other sleep aids could help?

I've taken 100mg hydroxyzine to help my insomnia - it's not working. What other sleep aids could help?

Treat the anxiety: Your anxiety is likely the cause for your insomnia (as would depression). Consider consulting a psychiatrist given the number of problems you are experiencing. Hydroxyzine does little if anything on the anxiety or depression. ...Read more

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Having panic attack from worrisome things going on,what to do?Took 50mg Hydroxyzine 20min ago, nothing. Havin insomnia lately. Get new med from psych?

Having panic attack from worrisome things going on,what to do?Took 50mg Hydroxyzine 20min ago, nothing. Havin insomnia lately. Get new med from psych?

Add Psychotherapy : to your treatment plan & learn relaxation techniques to control your panic attacks. In addition, talk to the psychologist about the worrisome things that are going on in your life. If you get a handle on these issues you may not need the medications. ...Read more

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I suffer insomnia when I'm on a business trip. I sometimes take xanax for anxiety (0.5g 2x/day). Is it ok to take hydroxyzine 25mg together too?

I suffer insomnia when I'm on a business trip. I sometimes take xanax for anxiety (0.5g 2x/day). Is it ok to take hydroxyzine 25mg together too?

Yes, but would also: look into non=pharmacological management of both anxiety and insomnia. Travel may be difficult, particularly if it covers many time zones, but there are behavioral ways to treat jet lag. Antihistamines are generally safe for both occasiona insomnia or anxiety, but taken long-term they interfere with normal sleep rhythms, including REM sleep. Relaxation techniques such as guided imagery may help. ...Read more

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I was just prescribed hydroxyzine 25mg, mirtazapine 30mg, and seroquel (quetiapine) 450mg for a severe case of insomnia is it OK and safe to take this combo?

I was just prescribed hydroxyzine 25mg, mirtazapine 30mg, and seroquel (quetiapine) 450mg for a severe case of insomnia is it OK and safe to take this combo?

Depression: This is not just insomnia. This is a treatment for depression that insomnia would be just a symptom of. It is not unsafe as a treatment for depression but would not use it for just insomnia. ...Read more

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I am taking atarax (hydroxyzine) 25mg got my GAD and insomnia. I may develop tolerance after 2 times. Will resting for few days restore back the dizziness effects?

I am taking atarax (hydroxyzine) 25mg got my GAD and insomnia. I may develop tolerance after 2 times. Will resting for few days restore back the dizziness effects?

Probably: tolerance might not develop that quickly, and reversing it by abstaining can be achieved in theory, but would take longer than few days, probably weeks, you can alternate between medicines though so tolerance won't develop fast, but ask your doctor first, good luck ...Read more

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Feeling very nauseous after 150mg sertraline & 100mg hydroxyzine, what to do? Is it dangerous? Prescribed for insomnia & depression.

Feeling very nauseous after 150mg sertraline & 100mg hydroxyzine, what to do? Is it dangerous? Prescribed for insomnia & depression.

See below: Please let your prescribing provider know about your issues with meds. S/he knows your medical history and might be able to make adjustments based on what your report and past history. ...Read more

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