Re: Fluoxetine and insomnia
If you were on 10mg escitalopram for at least a month before increasing to 20mg then you should have seen some improvement if it was going to work. Give it another shot if you really want to, but I'd try something else if you can't get the fluoxetine triggered insomnia under control.
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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.