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Mental Health  (Expert Forum)
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Best time of day to take an antidepressant if suffering from insomnia?
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Best time of day to take an antidepressant if suffering from insomnia?

by Grifin, Mar 25, 1999 12:00AM

  I've been taking Prozac (20mg per day) for about a year now.  I
  am, through family heredity, an insomniac also.  I understand .
  that insomnia (in the early morning hours esp.) is a byproduct of
  depression, but I would think the Prozac should have helped the
  overall problem with this better.  Am I taking it at the wrong
  time of day?  I take it in the morning when I wake up with my
  vitimans, etc. I don't want to make any quick changes in my routine,
  but should I gradually work out a schedule to take it at night,
  instead?  Does this work best for most patients?  Or does it (the
  Prozac)have anything to do with my increased insomnia over the last
  year at all?
  Thank you SOOOO much for your input and help!!!  I look forward
  to seeing any helpful info. you may have posted on this site.

by HFHS M.D.-SW, Mar 25, 1999 12:00AM

_
Griffen,
   Insomnia is not an uncommon side effect of PROZAC.  This side effect often continues for the first few weeks but usually decreases.
Taking PROZAC in the morning as you are doing usually reduces this side effect, if the insomnia is due to your antidepressant.
Insomnia maybe due to other medical illnesses or medication.  If your insomnia continues your psychiatrist may consider an alternative medication and further medical workup of your sleep disorder.
This response is being provided for general informational purposes only & should not be considered medical advice or consultation. Always check with your personal physician when you have a question pretaining to your health.  If you wish to see someone in the Henry Ford Health System contact (313)874-6680





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