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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Citalopram 20 Mg And Doxepin 100 Mg Be Prescribed For Insomnia?

My doctor said he was giving me an anti- depressant and an antihistamine to help with my insomnia. I was prescribed 20 mg of citalopram and 100 mg of doxepin daily. Today I experienced nervousness, anxiety, and anxiousness. I come to find out both medications are anti-depressants. Are these drugs commonly prescribed together in these quantities for insomnia? Could the antihistamine the doctor was mentioning be doxylamine and not doxepin?
Mon, 22 Dec 2014
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Psychiatrist,  's  Response
Hi.

I had gone through your query.

Citalopram can help in depression and sleep disturbances. It can useful in sleep disturbances is a prt of depression.Doxepin has sedative effect and very useful for insomnia.

Both drugs are not indicated in insomnia without depression. If you have only insomnia then need to take advise from your treating doctor.

Both medicines has dual role in depression and insomnia.

For insomnia only

Benzodiazapine and zolpidam is vary useful.

Besides medicines,

Certain routines and lifestyle modification will help you like

Fix sleep schedule and stick on it

No day time sleep

Exercise that makes you fatigue

Stress free activities and meditations
Avoid alcohol and smoking

Avoid heavy meal in dinner

Avoid tea coffee soft drink at night

Use bed when you feel sleepy
Read up to when you will sleepy

No talking or use mobile in bed
Calm and cool bed room

All of this will help you to restore good sleep.

Get well soon.

Thank you.




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Can Citalopram 20 Mg And Doxepin 100 Mg Be Prescribed For Insomnia?

Hi. I had gone through your query. Citalopram can help in depression and sleep disturbances. It can useful in sleep disturbances is a prt of depression.Doxepin has sedative effect and very useful for insomnia. Both drugs are not indicated in insomnia without depression. If you have only insomnia then need to take advise from your treating doctor. Both medicines has dual role in depression and insomnia. For insomnia only Benzodiazapine and zolpidam is vary useful. Besides medicines, Certain routines and lifestyle modification will help you like Fix sleep schedule and stick on it No day time sleep Exercise that makes you fatigue Stress free activities and meditations Avoid alcohol and smoking Avoid heavy meal in dinner Avoid tea coffee soft drink at night Use bed when you feel sleepy Read up to when you will sleepy No talking or use mobile in bed Calm and cool bed room All of this will help you to restore good sleep. Get well soon. Thank you.