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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Insomnia Caused Due To Anxiety Despite Taking Wellbutrin And Alprazolam?

I have been on Wellbutrin ER 200mg twice a day since Nov 2010. I have started within last 6 months to take 2 alprazolam 0.5mg at bed time. I don't seem to be getting the results I got in the past from the Wellbutrin which worked very well. I have anxiety at times which is the reason for the meds, the alprazolam helps me turn off thoughts so I can fall asleep. Do you have any suggestions or advice?
Wed, 15 Jan 2014
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General & Family Physician,  's  Response
Thank you for asking on HCM.
If I was your treating physician i would suggest the following:
1. Consider starting paroxetin (antidepressant) that is used for treating anixety and depression. It also has sedation in it so when taken before bedtime helps falling asleep. Moreover when it takes it effects and the underlying cause (anxiety,depression) improves , the insomnia improves.
2. Alprazolam is used for a short period for initial treatment of insomnia as long term use causes dependence and tolerance.

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What Is The Treatment For Insomnia Caused Due To Anxiety Despite Taking Wellbutrin And Alprazolam?

Thank you for asking on HCM. If I was your treating physician i would suggest the following: 1. Consider starting paroxetin (antidepressant) that is used for treating anixety and depression. It also has sedation in it so when taken before bedtime helps falling asleep. Moreover when it takes it effects and the underlying cause (anxiety,depression) improves , the insomnia improves. 2. Alprazolam is used for a short period for initial treatment of insomnia as long term use causes dependence and tolerance. I hope you find this helpful.