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Does Fluoxetine Cause Insomnia

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What Are The Side

Fluoxetine Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Prozac can cause the following side-effects:

Other possible side-effects may include:

  • Reduced libido or sexual dysfunction
  • Excessive worry, anxiousness, or nervousness
  • Strange dreams or nightmares or night terrors
  • Excessive perspiration
  • Dry cotton mouth
  • Widened blood vessels

Note: Do not combine monoamine oxidase inhibitors with Prozac. Stopping Prozac use should be a gradual process. Stopping too quickly can lead to Prozac withdrawal symptoms.

Can Antidepressants Cause Insomnia

Antidepressants can actually improve sleep in some people and are often prescribed by doctors for insomnia.

However, many other people have the opposite reaction and find that antidepressants cause insomnia for them.

Theres a lot of research that demonstrates this .

If youd like to know why, and which antidepressants are more likely to cause insomnia than others, read on.

What Should You Do If Your Medications Are Causing Insomnia

Sleep is important to your health, so insomnia that doesnt go away isnt something to overlook.

If you think your medications are causing insomnia, you should talk to your healthcare provider about it. They may:

  • Recommend an alternative medication
  • Recommend a supplement like melatonin to help promote sleep
  • Prescribe a stronger medication to help you sleep

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Tell The Doctor About All Medical Conditions

The best way to prevent adverse effects is to tell the prescribing healthcare professional about all past and present medical conditions, especially:

  • Liver problems
  • Opioids
  • Blood thinners such as warfarin
  • Any medication containing fluoxetine such as Symbyax or Sarafem
  • Supplements or herbal remedies like St. Johns wort or tryptophan.

Tips For Better Sleep

Can I Use Prozac for Insomnia?

There are also some strategies you can take on your own to promote better sleep. Here are a few you can try, starting today:

  • Establish a bedtime routine: Turn off bright screens and any sources of blue light , keep your room dim or dark, and engage in a calming activity like a bath, shower, or meditation.
  • Avoid physical activity several hours before bedtime: Getting your heart rate up throughout the day is a great way to stay healthy and promote more sound sleep. But if you exercise too close to bedtime, your body may not have enough time to settle, which can cause trouble falling asleep.
  • Avoid caffeine late in the day: Save your coffee and tea breaks for the morning and early afternoon. Caffeine too late in the evening can disrupt your sleep. If you enjoy warm tea to relax before bed, try a caffeine-free option like chamomile or lavender.

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Fluoxetine: Overdose Fatal Dose

Lethal dose and overdose fluoxetine

The most popular antidepressant in the world is fluoxetine synthesized in the USA over thirty years ago. Pharmacological medication improves mood, helps fight depression, improves quality of life. But there is a downside to rapid habituation to the facility, similar to drug addiction. Therefore, the overdose fluoxetine is diagnosed most often in people who use the medication because of its ability to cause euphoria, not for drug therapy.

Can Prozac Help With Sleep

Possibly but unlikely.

For most people, Prozac can be stimulating, preventing them from falling and staying asleep at night. However, for some, it causes sleepiness, grogginess, fatigue, and drowsiness. Prozac affects people in different ways. As a result, doctors often prescribe sedative medications to use with Prozac when insomnia arises.

These sedatives may be used in conjunction with psychotherapy, prescription sleeping pills, and natural insomnia treatment programs, like Somnus Therapy, that use CBT-I, guided sleep meditation, audio experiences, etc.

If your doctor prescribes prescription sleeping pills to take with Prozac, it is likely for a short time. Prescription sleeping pills are highly addictive, so most doctors prescribe them only when absolutely necessary. Moreover, sleeping pills depress or slow your breathing, which could be life-threating for someone, who struggles with depression and sleep apnea. So, if you suffer from both of these conditions Prozac may not be right for you.

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Lifestyle Changes May Help Curb Sleep

However, you might find relief from RLS through lifestyle changes and/or taking certain vitamins if they are lacking in your diet. For example, going to the bed at the same time every night and getting up at the same time each morning may help. Also, there are some indications that a lack of some vitamins and minerals, such as iron, folic acid, magnesium, and vitamin B12, can contribute to RLS.

Not surprisingly, insomnia and delayed sleep onset are associated with stimulants such as Adderall and Ritalin , that are used in the treatment of ADHD. However, the effect of Ritalin on sleep may depend on the amount of time a child has been on the drug and when the medication is given. There have also been reports of children having difficulty falling asleep as the medication wears off near bedtime.

Sleep is an important part of staying healthy and feeling good. Again, if you feel you are experiencing sleep issues as a result of medication, speak to your doctor without delay. Sleep-related side effects due to drugs impact relatively few patients. And if it ends up your sleep problems are not drug-related, the good news is there are steps you can take to rectify the situation. Changes in sleep hygiene, including your bedroom environment can provide some of the most effective improvements. Visit the National Sleep Foundations website for more helpful tips.

Contraindications To The Use Of Fluoxetine

How does insomnia affect a person’s health?

Overdose occurs when the antidepressant use of fluoxetine for the advice of a friend, colleague or neighbor. If the drug has helped one person, then another it will trigger serious complications, even cause death. The fact that after a short course therapy fluoxetine is addictive. Doctor-recommended dosage does not cause euphoria and the person begins to take more pills.

Attempts to cancel the drug, usually unsuccessfully developing the syndrome. It is characterized by the following features:

  • visual disturbances
  • shake hands and head
  • irritability, anxiety.

Fluoxetine should not take young people up to 18 years: many of them hormones yet is not stable. In the United States ten years ago, the young man has arranged shooting classmates at his school. After examination it was found that in the time of the shooting he was under the influence of prozac.

Acute and chronic renal failure are contraindications to the drug. You can not use fluoxetine if you have the following pathologies:

  • Increased individual sensitivity to the ingredients.
  • Hepatic pathology.
  • Diseases of the endocrine system.
  • Epilepsy.
  • Taking an antidepressant in such cases will cause symptoms of overdose. In these diseases there is a disorder of filtering the blood from toxic compounds, problems arise with their removal from the body. Receiving only one pill of fluoxetine would be a fatal dose for humans.

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    Suicidal Thoughts And Behaviors Risk

    Some antidepressants, including SSRIs, may cause an increase in suicidal thoughts or actions. This risk is higher in children, teenagers, and young adults. Its also higher within the first few months of treatment or during dosage changes.

    You and your family members, caregivers, and healthcare provider should watch for any new or sudden changes in your mood, behaviors, thoughts, or feelings. Call your healthcare provider right away if you notice any changes.

    Take The Medication At A Different Time

    “For most SSRIs, it’s recommended that you take them in the morning as they can be quite activating,” Pennybacker says. “Although it’s not specific to dreams, taking them later on in the day can interfere with sleep more generally.

    “If you’re experiencing unwanted side effects like nightmares and disturbances to your sleep, it’d be worth reducing your dosage and seeing if that helps, in consultation with whoever prescribed them.”

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    What If I Forget To Take It

    If you occasionally forget to take a dose, don’t worry. Take your next dose the next day at the usual time. Never take 2 doses at the same time to make up for a forgotten one.

    If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.

    How To Cope With Side Effects

    Can I Use Prozac for Insomnia?

    You can reduce the chance of having a side effect if you take fluoxetine in the evening so that you’re asleep when the level of medicine in your body is highest.

    What to do about:

    • feeling sick – try taking fluoxetine with or after food. It may also help to stick to simple meals and avoid rich or spicy food.
    • headaches – make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Ask your pharmacist to recommend a painkiller. Headaches should usually go away after the first week of taking fluoxetine. Talk to your doctor if they last longer than a week or are severe.
    • being unable to sleep – take fluoxetine first thing in the morning
    • diarrhoea – drink plenty of water or other fluids to avoid dehydration. Signs of dehydration include peeing less than usual or having dark strong-smelling pee. Do not take any other medicines to treat diarrhoea or vomiting without speaking to a pharmacist or doctor.
    • feeling tired or weak – if fluoxetine makes you feel tired or weak, stop what you’re doing and sit or lie down until you feel better. Do not drive or use tools or machinery if you’re feeling tired. Do not drink alcohol as it will make you feel worse. If these symptoms don’t go away after a week or two, ask your doctor for advice.

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    Urgent Advice: Call A Doctor Straight Away If:

    You’ve taken too much fluoxetine by accident and experience symptoms such as:

    • being sick
    • lung problems
    • fits

    If you need to go to a hospital accident and emergency department, do not drive yourself – get someone else to drive you or call for an ambulance.

    Take the fluoxetine packet, or the leaflet inside it, plus any remaining medicine with you.

    What Are The Important Side Effects Of Prozac

    Fluoxetine, as with most antidepressants, can cause

    • nausea,
    • drowsiness, and
    • loss of appetite.

    Fluoxetine has been implicated in serious skin rashes and vasculitis . Increased blood pressure can occur, and blood pressure should be monitored. Seizures have been reported as has sexual dysfunction. Some patients may experience withdrawal reactions upon stopping fluoxetine. Symptoms of withdrawal include

    • anxiety,
    • nervousness, and
    • insomnia.

    The dose of fluoxetine should be gradually reduced when therapy is discontinued. Fluoxetine and other antidepressants have been associated with angle closure attacks in people with narrow angle glaucoma.

    Antidepressants increased the risk of suicidal thinking and behavior in short-term studies in children and adolescents with depression and other psychiatric disorders.

    Anyone considering the use of fluoxetine or any other antidepressant in a child or adolescent must balance this risk of suicide with the clinical need. Patients who are started on therapy should be closely observed for clinical worsening, suicidal thoughts, or unusual changes in behavior.

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    Can I Use Prozac For Insomnia

    Dr. R. Y. Langham

    Feeling depressed and having a hard time falling asleep at night?

    Youre not alone.

    Millions of people throughout the world struggle with primary or secondary insomnia or sleeplessness. Many times, insomnia stems from chronic pain, physical discomfort, or emotional distress . Unfortunately, however, finding the right treatment for what is ailing you can be challenging.

    For instance, depression can prevent you from falling and staying asleep all night long. When your mind is plagued with upsetting, overpowering, or negative thoughts, it can be hard to relax and fall asleep. And, while depression can cause insomnia, the medications used to treat it can also trigger a host of sleepless nights.

    In fact, insomnia is a common side-effect of antidepressants, like Prozac. Because, Prozac is linked to insomnia and other side-effects, your doctor will most likely carefully weigh the pros and cons of it before prescribing it for your depression.

    But, if you are wondering how Prozac may affect your sleep quality, keep reading because this article will provide you with the ins and outs of taking this antidepressant for depression.

    Types Of Antidepressants And Risk Of Sleep Issues

    What causes insomnia? – Dan Kwartler

    Antidepressants work by manipulating neurotransmitters. They are classified depending on the specific transmitter that they target.

    Most antidepressants fall into the following 4 categories :

    • TCAs – Used to treat depressed patients who have existing insomnia symptoms. Typically improves sleep quality and reduces insomnia symptoms .
    • MAOIs – The first main type of antidepressant developed. Insomnia is one of the more common side effects.
    • SSRIs – Improves sleep in most people, but causes insomnia in some . About 15% of patients on Celexa experience insomnia.
    • Selective SNRIs – Similar to SSRIs, they usually improve sleep, but cause insomnia in some .

    SummaryIn summary, MAOI antidepressants are most likely to cause insomnia, and SSRIs/SNRIs both carry some risk of insomnia, but generally improve sleep.

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    Chronic Insomniacs And Antidepressants

    If you have chronic insomnia plus anxiety and/or depression, its important for you to figure out what is causing what. As Ive mentioned in various articles already, insomnia can cause anxiety and anxiety can cause insomnia, and the same thing applies to a depressed state. These conditions all tend to magnify one another.

    If you decide that anxiety or depression is primary and is causing your insomnia as a secondary condition , keep in mind that treating the primary condition with medications may cause antidepressant insomnia.

    You can try the antidepressants and just see what happens. It could work well for you by treating the primary condition , your insomnia could get better as a result.

    If you do experience antidepressant insomnia, you could take a wait and see approach that is, just hang in there until the medication starts working and an accurate picture emerges of what, if any, side effects are just too severe to deal with.

    If the side effects show no sign of abating, then you need to 1) try different medications or 2) try different treatment approaches.

    Many people find that cognitive behavioral therapy works just as well as medication. Others try a more physical approach with acupuncture, exercise, dietary change and herbal remedies. And still others get good results with meditation, EFT, hypnosis, relaxation therapy, and so on.

    Personally I found that a combination of these natural treatments for insomnia and anxiety helped both together.

    When To Go To The Hospital

    If you have taken more fluoxetine than the dosage recommended by the doctor who prescribed it to you, you must get medical help immediately even if you do not feel any different.

    Go to A& E. Take your medicine with you to show to the doctors. Tell them how much you have taken. Get a friend or family member to go with you, if you can, just in case you feel ill on the way.

    You might get any of the following signs:

    • feeling sick or being sick
    • having seizures
    • an irregular heartbeat or a heart attack
    • breathing difficulties
    • a change in the way you feel, ranging from agitation to falling into a coma

    You are also at risk of getting serotonin syndrome . This is rare, but you should watch out for it.

    If you have any thoughts of taking your own life or of other ways of hurting yourself, go straight to a hospital with your medicine. This may be a side effect and is more common at the start of treatment. Thoughts of suicide are more likely to occur if you are under 25 years old. Fluoxetine is safer than other antidepressants for people under the age of 18.

    You must stop taking Fluoxetine and go straight to hospital if you have any of the following symptoms:

    Go to a doctor or hospital straight away but do not stop taking your fluoxetine if you get the following symptoms:

    • your behaviour changes because you feel irritated or agitated
    • you get an erection that is painful and lasts for a long time

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    Stopping The Use Of Fluoxetine

    Stopping fluoxetine suddenly can sometimes cause side effects, which are usually mild, but for a few people can be severe. Also, if you stop taking fluoxetine too soon, the chance that your mental health symptoms will come back increases.

    Once you start taking an SSRI, the brain adjusts to having a new level of serotonin around. If you stop taking the SSRI suddenly, the balance starts to change again. You could get some symptoms from the change.

    Fluoxetine is less likely to cause withdrawal effects upon stopping than other antidepressant medicines. This is because your body takes longer to get rid of it.

    You can stop taking fluoxetine safely with your doctors help. Many people who take 20mg or less of fluoxetine can stop taking it without problems. For people on higher doses of fluoxetine, the dose may be stepped down over a few weeks to reduce the chance of withdrawal effects.

    Fluoxetine and other antidepressants are not addictive. Although there can be withdrawal effects when they are stopped, you will not have cravings for or get hooked on an antidepressant.

    Some of the withdrawal effects you might get when fluoxetine is stopped include:

    These symptoms should stop after two weeks for most people, but some people can get them for a few months.

    Who Can And Can’t Take Fluoxetine

    Apo fluoxetine 20 mg â

    Fluoxetine can be taken by adults for depression, obsessive compulsive disorder and bulimia.

    Fluoxetine can be taken by children aged 8 years or older for depression.

    Check with your doctor before starting to take fluoxetine if you:

    • have had an allergic reaction to fluoxetine or any other medicines in the past
    • have a heart problem, as fluoxetine can speed up or change your heartbeat
    • have ever taken any other medicines for depression. Some rarely usedantidepressants can interact with fluoxetine to cause very high blood pressure even when they have been stopped for a few weeks.
    • are trying to become pregnant, are already pregnant or you are breastfeeding
    • have an eye problem called glaucoma because fluoxetine can increase the pressure in your eye
    • have epilepsy or are having electroconvulsive treatment – fluoxetine may increase the risk of having a seizure

    If you have diabetes, fluoxetine can make it more difficult to keep your blood sugar stable. Monitor your blood sugar more often for the first few weeks of treatment with fluoxetine and adjust your diabetes treatment if necessary.

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