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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Medicine For Early Good Sleep. Using Nexito. History Of Arterial Filbration. BP Under Control. Advice?

i am 76years old male had ptca to rca 7yrs ago resulted in atrial filbration controled by corodraone bp under contral. raired TSH due corodrone use. also had prostrate operated 10 years ago all well taking minipress xl 10 for management. I h at night. ave been having sleep problems for long and have to take a pill with varing effects. have been tried. Alprazolam, diazepam. zolpiderm stressnil its a combination of alprazolan and mantonin now Dr has given Nexito 10 ( escitalopolm) did not work well on first day no sleep induced. Please guide to a good medicine. which gives early good sleep dutring night and no next day problems. thanks

Wed, 12 Jun 2013
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Psychiatrist,  's  Response
Greetings !

Welcome to the site.

I am sorry to learn about your insomnia and I empathize with you.

You see unfortunately nexito ( escitalopram ) that you have been currently prescribed is a wrong choice since this drug is known to cause insomnia as a side effect, so using it for insomnia is paradoxical. In fact owing to it's natural tendency to cause insomnia this drug is recommended for morning use and not night time use.

So I reckon you discuss this aspect with your doctor and bring this drug off and replace it with a drug called as Trazodone which is also primarily an anti depressant drug but is also known for it's sedative action and therefore it finds frequent use for managing insomnia. A dose of 25 mg - 50 mg at bedtime is recommended and usually works well for the cause, so start on a lower dose first and if it does not work within 5-7 days ( it may start to work earlier than this period) then titrate up the dose to 50 mg /bedtime.

I hope this helps.

Wish you all the best.

Regards..
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Medicine For Early Good Sleep. Using Nexito. History Of Arterial Filbration. BP Under Control. Advice?

Greetings ! Welcome to the site. I am sorry to learn about your insomnia and I empathize with you. You see unfortunately nexito ( escitalopram ) that you have been currently prescribed is a wrong choice since this drug is known to cause insomnia as a side effect, so using it for insomnia is paradoxical. In fact owing to it s natural tendency to cause insomnia this drug is recommended for morning use and not night time use. So I reckon you discuss this aspect with your doctor and bring this drug off and replace it with a drug called as Trazodone which is also primarily an anti depressant drug but is also known for it s sedative action and therefore it finds frequent use for managing insomnia. A dose of 25 mg - 50 mg at bedtime is recommended and usually works well for the cause, so start on a lower dose first and if it does not work within 5-7 days ( it may start to work earlier than this period) then titrate up the dose to 50 mg /bedtime. I hope this helps. Wish you all the best. Regards..