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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Intake Of Sertraline And Doxepin Result In Nightmare And Sleep Disorder?

Just began (3 days now) on a low dosage use of Sertraline 25mg along with 10 mg of Doxepin and had the most weird night of my life. I had countless episodes of dreams only to awaken to opening my eyes to find everything I was dreaming about disappeared. Literally. Things on my blanket or pillow that I thought I could see even thought my eyes were shut, just disappeared when I opened my eyes. Many of the episodes were apparent right in the bedroom and I felt safe as long as I opened my eyes during the episode. I am no dummy. Have served as a Lutheran pastor for 15 years, but right now we are under extreme pressure, anxiety and panic. Your thoughts???
Thu, 30 Jun 2016
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Psychiatrist,  's  Response
Dear user,
Thanks for writing to healthcaremagic.
I can understand your concern about disturbing dreams after starting Sertraline and Doxepin.
Bad dreams are not a commonly reported adverse effect of Sertraline or Doxepin. Though Sertraline may cause sleep disturbance.
You may switch over to alternative medicines like Mirtazapine or Imipramine.
Tab. Trazodone 25 mg bedtime can be helpful.
Discuss this with your treating psychiatrist and take medicines under medical supervision.
Avoid caffeine containing drinks and spicy food in the evening.
Have a cup of milk at bedtime.
This will help you.
Wish you good health.
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Does Intake Of Sertraline And Doxepin Result In Nightmare And Sleep Disorder?

Dear user, Thanks for writing to healthcaremagic. I can understand your concern about disturbing dreams after starting Sertraline and Doxepin. Bad dreams are not a commonly reported adverse effect of Sertraline or Doxepin. Though Sertraline may cause sleep disturbance. You may switch over to alternative medicines like Mirtazapine or Imipramine. Tab. Trazodone 25 mg bedtime can be helpful. Discuss this with your treating psychiatrist and take medicines under medical supervision. Avoid caffeine containing drinks and spicy food in the evening. Have a cup of milk at bedtime. This will help you. Wish you good health.