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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Insomnia While On Escitalopram Be Treated?

I have been prescribed 10mg escitalopram for menopause symptoms with anxiety, I take the tablets of a morning. I go off to sleep each evening but I am waking in the early hours with my mind racing and then unable to go back to sleep. My doctor has prescribed hydroxyzine 25mg in order to keep a sleep. After reading the information leaflet it states not to take these two together. What shall I do ? Please advise
Mon, 30 Jul 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

SSRI (escitalopram) can cause insomnia. Regarding hydroxyzine, this is not generally advised with other antidepressant like tricyclic or MAO inhibitors because the antimuscarinic effects may be more , howe've it's not a bid issue when using i depressant SSRI like escitalopram. So I don't think you should worry a lot. You can use the drugs.

Hope I have answered your query. Let me know if I can assist you further.
Regards,     
Dr. Mahboob Ur Rahman
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How Can Insomnia While On Escitalopram Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. SSRI (escitalopram) can cause insomnia. Regarding hydroxyzine, this is not generally advised with other antidepressant like tricyclic or MAO inhibitors because the antimuscarinic effects may be more , howe ve it s not a bid issue when using i depressant SSRI like escitalopram. So I don t think you should worry a lot. You can use the drugs. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahboob Ur Rahman