Two exceptions are amitriptyline and doxepin. Most of the tricyclics have similar problems as the SSRIs. Although it is activating in the daytime, bupropion causes no more insomnia than the SSRIs and has neutral or positive effects on sleep architecture. The SSRIs can cause insomnia and worsen sleep quality, but bupropion is surprisingly more favorable for sleep. It also improves the deep, restorative phase of sleep. Quetiapine carries too many risks to recommend it for primary insomnia, but it is appropriate for antidepressant augmentation (150 to 300 mg qhs). Some atypical antipsychotics have sedative effects, particularly quetiapine (Seroquel). Its sedative effects tend to wear off over time, and it comes with risks including daytime fatigue, reduced recovery rates in depression (a paradoxical phenomenon seen in adolescents), 1 and dry mouthâwhich itself may interfere with sleep. However, mirtazapine’s sedative effects are greater in the lower dose range (15 mg and below), which may not treat depression. Mirtazapine and trazodone are two antidepressants that help patients fall asleep and improve their sleep architecture. At the American Psychiatric Association’s Annual Meeting, Nikhil Rao, MD, identified antidepressants that work well with specific sleep disorders, including insomnia, restless legs syndrome (RLS), and obstructive sleep apnea.Ī sedating antidepressant makes sense for patients with insomnia and depression, but just as important is how that antidepressant affects sleep quality. It’s a common problem, but one that can be avoided by selecting the right antidepressant. Even as they improve mood they can worsen sleep, and poor sleep is both a symptom and a cause of depression. Contact a medical professional as needed.There’s a paradox with antidepressants. While taking this medication, patients may experience varying side effects. If a dose is missed, take it as soon as possible.Ask a doctor if breastfeeding while taking sertraline is a safe option.Avoid using this medication if you are pregnant – but do not stop taking it without a doctor’s close supervision.Do not give to children under the age of 6.Seek immediate medical care if having these thoughts. Be vigilant of any thoughts of suicide or self-harm.Do not take sertraline while also taking MAOIs, pimozide, or methylene blue injections.Be aware of the following cautions and seek help if needed: Important Cautions and Considerations for Sertraline UseĪs with any prescription medication, sertraline may cause some unwanted effects. Also, discuss any symptoms you think may be related to taking citalopram. Ask your doctor or pharmacist for a complete list. Other Citalopram side effects are possible. Symptoms of a cold (congestion, sneezes).Seek emergency assistance for any thoughts of suicide or self-harm.Behavior and mood changes – worsened depression, irritability, restlessness, and more.Allergic reaction – Do not ignore symptoms like hives, blisters, fever, difficulty breathing, or swelling of the throat or tongue.Be aware of any physical changes that need a doctor’s attention. However, do not double a dose skipping one dose is better than taking two at once.Īs with any medication, citalopram may have side effects. Managing Missed Doses: Missed doses should be taken as soon as possible.Breastfeeding Advisory: Refrain from breastfeeding while taking citalopram, as it can be transmitted through breast milk and may affect the infant.Mental Health Vigilance: If you have negative thoughts of self-harm or suicide, seek immediate help.Interaction with MAOIs: Citalopram should not be taken at the same time as an MAOI.Contact a medical professional immediately if you experience heart palpitations, chest pain, or dizziness.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |