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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Does Nexito 20 Help In Severe Insomnia?

I have been prescribed Nexito 20 for a month, (don t know if the doctor will continue it), it has helped my insomnia, now after almost a year of severe insomnia I am able to sleep through the night, (but now I am sleeping for longer hours), and this is affecting both my home and work life. Will there by withdrawal symptoms on stopping/ reducing Nexito 20?
posted on Thu, 10 Feb 2011
Twitter Thu, 10 Feb 2011 Answered on
Twitter Thu, 10 Feb 2011 Last reviewed on
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  User's Response
Hello.

The improvement in quality and quantity of your sleep could be primarily due to the improvement in your mood. Nexito contains Escitalopram, which is a Selective Serotonin Reuptake Inhibitor (SSRI). SSRIs help manage the symptoms of depressive disorders by increasing the amount of available Serotonin. (Low Serotonin levels are associated with depressive disorders)

The excessive need for sleep could actually be part of the depression. You need to check with your treating mental health professional about your progress as far as depression symptoms are concerned. You might need to add another medication or even try a lower dose perhaps. It is difficult to tell here what exactly is causing the excess sleep.

It is important to allow the medication to work and show full efficacy by giving it a fair trial. Usually 6-8 weeks are needed for a drug to show it's full efficacy. Reducing the dose earlier than that is usually not recommended unless the side effects are intolerable. Also, since it is only about a month that you are taking Nexito, we are not sure if you will experience any symptoms due to reduction of dose. A gradual taper over 1-2 weeks is recommended.

Best Regards

Abhijeet Deshmukh, MD
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How Does Nexito 20 Help In Severe Insomnia?

Hello. The improvement in quality and quantity of your sleep could be primarily due to the improvement in your mood. Nexito contains Escitalopram, which is a Selective Serotonin Reuptake Inhibitor (SSRI). SSRIs help manage the symptoms of depressive disorders by increasing the amount of available Serotonin. (Low Serotonin levels are associated with depressive disorders) The excessive need for sleep could actually be part of the depression. You need to check with your treating mental health professional about your progress as far as depression symptoms are concerned. You might need to add another medication or even try a lower dose perhaps. It is difficult to tell here what exactly is causing the excess sleep. It is important to allow the medication to work and show full efficacy by giving it a fair trial. Usually 6-8 weeks are needed for a drug to show it s full efficacy. Reducing the dose earlier than that is usually not recommended unless the side effects are intolerable. Also, since it is only about a month that you are taking Nexito, we are not sure if you will experience any symptoms due to reduction of dose. A gradual taper over 1-2 weeks is recommended. Best Regards Abhijeet Deshmukh, MD