Re: Coming off 6 weeks in
Originally Posted by
Geoff78
I got on ok with Escitalopram at 10mg but the one side effect that stayed with me was mild insomnia. I could get to sleep but would often wake early so if I did try a different AD I’d prefer one that helped with sleep.
Is this normal for this drug? Looks like others suffer with sleep as well.
Is Sertraline any better? For me a good nights sleep makes such a difference to my anxiety.
Sertraline is more likely to be worse, however, ADs are unpredictable meds and you could have a paradoxical reaction. The TCA amitriptyline is usually mildly sedating so might be a better bet. If you really wish to stick with SSRIs then sertraline plus small doses of mirtazapine, or doxepin would be the way to go (small doses of trazodone would be even better as it has a shorter half-life so is likely to be less sedating in the morning, but this doesn't seem to be prescribed much in the UK).
__________________
The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.