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Does Lexapro Cause Insomnia

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WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

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Insomnia And Depression Are Side Effects Associated With

Singulair: is a leukotriene inhibitor used to treat asthma and allergies. Side effects of Singulair can include depression, suicidal thoughts, insomnia, severe sinus pain, skin rash, bruising, muscle weakness, and pain.

Chantix:Chantix / Champix is used as a smoking cessation aid that works by blocking the effects of nicotine in the brain rather than by replacing nicotine. Chantix has been linked to suicidal thoughts, depression, anger, insomnia, headaches, nausea, and skin rashes.

Lexapro: is used to treat anxiety and depression but can also cause depression, suicidal thoughts, and rage. It is a selective serotonin reuptake inhibitor . Other side effects include insomnia, nausea, vomiting, stiff muscles, skin rashes, loss of coordination, seizures, and decreased sex drive.

Pseudoephedrine: Pseudoephedrine is used as a decongestant. It works by shrinking the blood vessels in the nasal cavities. It is also a bronchodilator used to treat asthma attacks, and a stimulant. Side effects can include insomnia, anxiety, upset stomach, diarrhea, loss of appetite, easy bruising, and increased sweating.

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Dr Says To Take Lexapro At Night Any Advise For Sleep Aids

I start my first 10mg lexapro tonight.  Doctor says take at night.  I have had insomnia since April due to depression and anxiety.  I have been prescribed 1 mg klonopin.  I have taken it maybe two three times a week sometimes I will do half a pill or cut it down to .25.  Has anyone had to take klonopin at night while waiting for lexapro to kick in and if so how long? How about melatonin?  

0 likes, 8 replies

When To Notify Your Doctor

While these side effects usually do not require medical intervention, you should report them to your healthcare provider if they continue for over one week or interfere with your daily routine. Your doctor may decide to adjust your dosage or switch you to another medication entirely.

Also, you may experience other less common side effects. If you do, alert your doctor. You should never stop or change the dosage of your medication on your own.

Lexapro Side Effects You Should Have On Your Radar

Where to purchase Lexapro in Finland

Yes, it can cause weight gain.

Actress Amanda Seyfried admitted not long ago on a podcast that she’s been taking the antidepressant Lexapro for “years and years and years.” She even continued taking the drug while pregnant with her first child.

Must be pretty harmless, right? For the most part, that assumption would be correcthowever, there are some notable side effects associated with the drug.

For some people, those effects are worse than others: Like all medications, Lexapro does have a long list of side effects, says Susan Anderson, M.D., a psychiatrist with NorthShore University HealthSystem. Ive had patients say they dont even want to look at the long list because they feel they have everything described, she says.Still, that’s no reason not to take it: One in 2014 noted that about 60 percent of patients say they had at least one side effect when taking an antidepressant. The good news? The research also pointed out that Lexapro was among the most tolerable SSRIs.Whether youre starting treatment or have been taking the medication for a while, talk to your physician about potential side effects and what you should do if you notice them. Also ask: what should I do if I have questions after I leave the visit? she advises.These are the side effects of Lexapro you should be on the lookout for:

Escitalopram Medications And Detox

The symptoms associated with withdrawal from escitalopram are fortunately rarely life-threatening.

One of the deadliest side-effects associated with stopping the medication is the potential for self-harm, which is why patients should make sure to discontinue the use of the medication under the supervision of a physician.

In cases where withdrawal from escitalopram results in dizziness, headaches, nausea, or other flu-like symptoms, a physician might prescribe antiemetics or other medications that can treat these ailments.

If a person experiences insomnia or restlessness due to withdrawal, a physician might prescribe a sedative.

There are not any medications specifically designed to address withdrawal from SSRIs, however, which is why the help of a physician during this time is crucial.

How Are Sleep And Depression Linked

Sleeping too much  or not sleeping at all can be a sign of depression. These  problems alone are not the same thing as , but they can be one of its important symptoms.

 is a mood disorder that is characterized by sadness or feeling blue along with a series of physical symptoms such as low energy, disrupted , and appetite changes. Nearly everyone feels normal sadness or feels down from time to time. Sometimes, however, the sad feelings become intense, last for long periods of time, and involve other physical symptoms that prevent a person from leading a normal life. These feelings often lead to a medical diagnosis of clinical depression.

Lack of  caused by another medical illness or by personal problems can also lead to daytime  and make diagnosed  worse.

An inability to sleep that lasts over a long period of time is also an important clue that someone may be depressed.

Time It Right To Avoid Adverse Effects

editorial processCarly Snyder, MD

Carly Snyder, MD is a reproductive and perinatal psychiatrist who combines traditional psychiatry with integrative medicine-based treatments.


Medical Review Board

Determining if you should take your antidepressant at night or in the morning depends on the specific medication you’re taking, its side effects, and how it influences your quality of life. Often, the decision comes down to which side effects are associated with the medication you’ve been prescribed and how it affects you personally.

For example, if your doctor has prescribed you , some of the most common side effects include insomnia, feeling agitated, nausea, and vomiting. Not everyone experiences these effects as medications can affect each person differently.

Your doctor can help you better understand your potential side effects and when to take the medication to best avoid them. Additionally, here is a quick cheat-sheet as to when it may be best to take your antidepressant based on the side effects you are having.

Timing Suggestions Based on Side Effect
Side Effect

What Do The Experts Say

While some experts assert that Lexapro can help some depressed and anxious individuals, others disagree, highlighting the most common side-effect as insomnia. Thus, the results have been mixed.

Safety & Effectiveness

A 2016 study compared Lexapro and Paxil and found that Lexapro is safer and more beneficial for depression and anxiety than Paxil and other antidepressants. Similarly, a large-scale scientific review found that Lexapro is not only effective for anxiety and depression; but also more effective than other antidepressants.

Potential Benefits

A previous study found that temporarily using Lexapro for generalized anxiety disorder may actually improve insomnia in some people with GAD. Similar to the 2007 study, a 2011 meta-analysis found that depressed insomniacs may experience positive changes in their sleep cycles, such as increased sleep latency and REM sleep, frequent night awakenings, and reduced slow-wave sleep and REM latency after using the medication. Thus, researchers have concluded that antidepressants may help some people with anxiety or depression get uninterrupted sleep, through shortened REM latency and lengthened REM sleep.


Signs Symptoms And Side Effects Of Escitalopram

Similar to many other medications, Lexapro warns of an increased risk of suicide, with a higher risk for adults and teenagers who are younger than 24 years old. Suicidal thoughts may increase when first taking the medication or when there is a change in dosage.

There has also been research that links prenatal exposure to SSRIs with autism or developmental delays, with higher risks among newborns whose mothers were on SSRI medication early in their pregnancy.

Escitalopram has also been associated with weight gain due to large fluid retention and an increased appetite. It is recommended to maintain physical activity to manage weight gain while using Lexapro.

Certain side effects may occur, including:

  • Nausea
  • Changes in sex drive or function
  • Drowsiness

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.

The Link Between Lexapro And Memory Loss

Lexapro seems to cause memory loss, especially short term memory loss, in some people who use it. These issues might be related to the fatigue side effect that sometimes comes along with the drug, or might be part of the initial depression the Lexapro is designed to treat. Lexapro can also cause difficulty concentrating, which could also contribute to short term memory issues.

If any side effects of Lexapro occur, consult your doctor immediately, particularly if these side effects are serious. It’s important not to stop taking Lexapro abruptly, as other side effects occur when you quit the drug. Both regular use of Lexapro and the decision to stop taking Lexapro should be monitored by a physician to prevent potentially serious complications.

Who Can And Cannot Take Escitalopram

Does Zoloft Cause Insomnia

Escitalopram can be taken by adults over the age of 18.

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

  • have had an allergic reaction to escitalopram or any other medicines in the past
  • have or are having electroconvulsive treatment – escitalopram may increase your risk of having a seizure
  • have a heart problem – escitalopram can speed up or change your heartbeat
  • have a low heart rate, plus you have had severe diarrhoea and vomiting for a long time or take tablets that make you pee more
  • have ever taken any other medicines for depression – some rarely used antidepressants can interact with escitalopram to cause very high blood pressure even when they have been stopped for a few weeks
  • are trying to become pregnant, already pregnant or breastfeeding
  • have an eye problem called – escitalopram can increase the pressure in your eye

If you have , escitalopram 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 escitalopram and adjust your diabetes treatment if necessary.

Managing Common Side Effects

Generally, these common side effects are mild and can be managed. Your doctor may recommend strategies like:

  • Changing the timing of dosesfor example, taking your medication after meals if you experience gastrointestinal symptoms, before bed if you have insomnia, or after sex if you’re experiencing sexual side effects
  • Increasing your physical activity to help manage anxiety, sleep problems, or constipation
  • Practicing relaxation techniques, like yoga or meditation, to improve anxiety or insomnia
  • Using lubricants to make sex more comfortable

Frequently Asked Questions About Lexapro

Is Lexapro the same as Xanax?

No. You might experience some of the same side effects while taking or Lexapro , but the two medications belong to different drug classes. Lexapro is a selective serotonin reuptake inhibitor , while Xanax is a benzodiazepine. They work on different chemicals in your brain to change your mood or behavior.

How long does it take Lexapro to kick in?

Oftentimes, it can take up to 12 weeks for you to notice changes in your mood while taking Lexapro . It’s possible to have side effects before you see an improvement in your mood. If you have side effects be sure to talk to your doctor to see if you should continue and try another SSRI.

What time of day should you take Lexapro ?

Lexapro can cause some insomnia or difficulty sleeping. To lower your risk of not being able to fall asleep you can take the medication in the morning.

Can I drink alcohol on Lexapro ?

Drinking alcohol is not recommended while taking Lexapro because this can make drowsiness and coordination worse. If you regularly drink alcohol, let your provider know so they can consider alternative medications for you.

Does Lexapro help with anxiety?

Yes, Lexapro is a first-choice treatment for generalized anxiety disorder and anxiety that happens with depression.

Q Will Lexapro Cause Anxiety Symptoms Such As Racing/pounding Heart Lightheadedness Agitation Restlessness Panic Attacks

A: An increase in anxiety and related symptoms may occur when taking SSRIs early within the first few days or weeks. LEXAPRO has been shown to improve anxiety symptoms associated with depression by week 2 of treatment. Occasionally, in very anxious patients, starting with a smaller dose for the first few weeks helps, but it is generally best to “wait it out.” If the anxiety symptoms associated with depression cause too much suffering, the physician can prescribe medications to lessen the anxiety, and then stop these medications within a few weeks when the anxiety is gone.

Boxed Warning Side Effects

A boxed warning is the most serious warning from the U.S. Food and Drug Administration .

Lexapro may increase suicidal thoughts or actions. This risk is higher in in children, teenagers, or young adults. This is more likely to happen within the first few months of treatment or during dosage changes.

  • attempts to commit suicide
  • increased activity
  • other unusual changes in your behavior or mood

What Are Antidepressants

Antidepressant medications are a first-choice option for treating major depressive disorder , according to guidelines from the American Psychiatric Association. They can also help to treat anxiety conditions, including generalized anxiety disorder.

There are different types of antidepressants, based on how they work within the brain. Some are better for treating certain conditions and symptoms. But they all come with potential side effects.

Generally, each type causes somewhat different side effects, but there can still be some variance within a single type.

People can also respond differently to antidepressants. Some people may have no troubling side effects, while others may have one or more serious side effects. This is why you may need to try a few different medications before you find the right fit.

Heres a look at the main types of antidepressants and some of the side effects commonly associated with them. If you take a certain type, you probably wont experience all of the side effects associated with it. You might also experience other side effects, including some serious ones, that arent listed here.

How Much To Take

Escitalopram tablets come in different strengths ranging from 5mg to 20mg.

The usual dose of escitalopram is 10mg a day in adults. But you may start on a lower dose and increase to a maximum dose of 20mg a day.

If you have liver problems, the maximum recommended dose is 10mg a day.

With liquid drops of escitalopram, 1 drop is equivalent to 1mg, 10 drops is 10mg, 20 drops is 20mg.

Lexapro And Stomach Problems

Q: Will LEXAPRO cause an upset stomach or nausea?

A: Most antidepressant medications can cause gastrointestinal side effects in some people. This is because there are more serotonin receptors in the GI tract than anywhere else in the body. However, in clinical trials for depression, Lexapro showed a low incidence of gastrointestinal side effects vs placebo. In fact, the only GI adverse event to occur in more than 10% of depressed patients was nausea, and nausea symptoms were generally mild and resolved over time.

How To Take Lexapro

How Effective Is Citalopram for Insomnia? (with pictures)

Use Lexapro  exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Take the medicine at the same time each day, with or without food.

Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device .

It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.

Your doctor will need to check your progress on a regular basis. A child taking escitalopram should be checked for height and weight gain.

Do not stop using escitalopram suddenly, or you could have unpleasant withdrawal symptoms. Follow your doctor’s instructions about tapering your dose.

Store at room temperature away from moisture and heat.

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What Does Lexapro Treat

Although Lexapro is commonly used to treat generalized anxiety disorder and clinical depression or major depressive disorder, suggests that it is also effective for other off-label conditions, such as bipolar disorder, disruptive mood dysregulation disorder , obsessive-compulsive disorder , cyclothymic disorder, panic disorder, post-traumatic stress disorder , social anxiety disorder, , seasonal affective disorder , premenstrual dysphoric disorder, depression due to a chronic or terminal illness, depression due to substance abuse or addiction, and chronic pain.

How Long Does It Take for Lexapro to Work?

You should start to notice an improvement in your anxiety or depression symptoms within 1-2 weeks; however, it may take 6 weeks or more before you experience the full-effects of Lexapro. Thereby, it is imperative that you take this medication, as prescribed, to reap the full-benefits of it.

Is Lexapro Suitable for Long-Term Use?

Lexapro is suitable for long-term use. Although Lexapro is promoted as a short-term remedy for anxiety and depression, have found that it is also suitable for long-term use for these conditions.

Assessment Of Insomnia Symptoms

Participants completed the Insomnia Severity Index at baseline and 4 and 8 weeks of treatment, a valid and reliable self-administered instrument that measures perception of current insomnia symptoms. The index consists of 7 items assessing difficulty falling asleep, difficulty staying asleep, problems with early awakening, satisfaction with current sleep pattern, interference of sleep problem with daily functioning, noticeability of impairment attributed to the sleep problem, and degree of distress caused by the sleep problem. Each item is rated on a 04 point scale , with higher scores suggesting more severe insomnia symptoms. The absence of insomnia is indicated by scores 07, subthreshold or mild insomnia by scores 814, clinical insomnia of moderate severity by scores 1521, and severe clinical insomnia by scores 2228. Trials of pharmacologic and behavioral interventions in patients with insomnia have suggested that the ISI is sensitive in measuring treatment response.

How To Cope With Side Effects

What to do about:

  • a dry mouth – chew sugar-free gum or sugar-free sweets
  • sweating a lot – try wearing loose clothing, using a strong anti-perspirant, and keeping cool using a fan, if possible. If this doesn’t control the problem, talk to your doctor. You may need to try a different antidepressant.
  • being unable to sleep – take escitalopram first thing in the morning
  • feeling sleepy– take escitalopram in the evening and cut down the amount of alcohol you drink. Do not drive or use tools or machinery if you’re feeling sleepy. If this doesn’t help, talk to your doctor.
  • feeling 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’ll make you feel worse.

What Drugs And Food Should I Avoid While Taking Lexapro

Ask your doctor before taking a nonsteroidal anti-inflammatory drug such as aspirin, ibuprofen , naproxen , celecoxib , diclofenac, indomethacin, meloxicam, and others. Using an NSAID with escitalopram may cause you to bruise or bleed easily.

Avoid alcohol.

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

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Side Effects With Other Health Conditions

If you have certain health conditions, you likely should not take Lexapro. In some cases, your doctor may lower your dosage or watch you more closely during your treatment with it. Tell your doctor if you have any of the following health conditions before taking Lexapro.

  • A history of suicidal thoughts or behaviorsLexapro can increase the risk of suicidal thinking and behavior, especially in children, teens, and young adults.
  • Bipolar disorderif you take Lexapro without taking other medications for bipolar disorder, Lexapro may bring on a manic episode.
  • Seizuresthis drug may cause seizures and make your seizure disorder worse.
  • Glaucomathis drug may bring on a glaucoma attack.
  • Low salt levelsLexapro can further lower your salt levels.
  • Pregnancyit isnt known if Lexapro will harm your unborn baby.
  • BreastfeedingLexapro may pass into breast milk and cause side effects in a child who is breastfed.

Certain medications can interact with Lexapro. Be sure to tell your doctor about all over-the-counter and prescription drugs, supplements, and herbs you take. Lexapro may interact with the following drugs:

  • blood thinners such as warfarin to increase your risk of bleeding
  • nonsteroidal anti-inflammatory drugs and aspirin to increase your risk of bleeding
  • other drugs used to treat depression to increase the level of serotonin in your body, which can cause serotonin syndrome

Assessment Of Subjective Sleep Quality

Participants also completed the Pittsburgh Sleep Quality Index at baseline and 4 and 8 weeks of treatment. A validated measure of subjective sleep quality and sleep disturbances over a one-month time period, the PSQI assesses subjective sleep quality, latency, duration, and efficiency; sleep disturbances; use of sleeping medication; and daytime dysfunction. Global PSQI scores range from 021 with higher scores indicating poorer sleep quality. Cutoffs of 5 and 8 have been reported to indicate poor sleep quality; the higher cutpoint was used in this trial due to previous studies suggesting that self-reported sleep disturbance is common among perimenopausal and postmenopausal women. The PSQI has been shown to be sensitive in measuring response to cognitive behavioral therapy in randomized trials conducted in patients with insomnia.

Solutions To Memory Loss From Lexapro

If your memory loss is minor, or if you want to increase your ability to concentrate while taking Lexapro, there are several steps you can take to improve your brain power. Among these are brain fitness exercises and nutritional supplements.

Many memory enhancing programs have become popular recently, from online or electronic games to books that lead you through a series of techniques to help improve your retention and comprehension, as well as your ability to focus and your computational skills. These exercises and games can be very helpful in increasing your brain fitness, just as physical exercise can help your physical fitness.

Some nutritional supplements can help increase your focus and memory, as well. If you’re taking Lexapro, be sure to consult with your doctor before taking any nutritional supplements to prevent possible interactions.

Constant Focus provides several nutritional supplements that help increase blood flow to the brain, reduce stress, and maintain proper levels of neurotransmitters. Constant Focus can help increase your ability to concentrate and restore your short term memory, restoring your mental fitness and brain power, and helping you be the best you can be.

Lexapro® is a registered trademark of Forest Pharmaceuticals, Inc.

Interactions Between Lexapro And Other Medications

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Lexapro may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements that you are currently taking. The list below does not include all possible drug interactions with Lexapro . Please note that only the generic name of each medication is listed below.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Bepridil

I had no libido and an excessive weight gain of over 10 kg on Lexapro , but I no longer suffer from anxiety and major depression. I’d rather be a bit chubby and happy than depressed and constantly anxious. Started on 10 mg then up to 20 mg after 6 months, once university exams began. Made me very sweaty! And gave me crazy dreams.

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