So sleepy with Lexapro, help!?
Being that I feel more awake later in the day, I just started to take it right at bedtime. My doctor started me on Lexapro and gave me Klonopin Clonazepam for the nightly anxiety.
DSM-5 diagnostic criteria have been used for diagnosing the patients having depression. Diagnosis was confirmed by the consultant in the department. Results: The mean age was Only HAMD score before treatment was The thyroid changes in first and second follow up was negligible Yet I have to sleep 12 hours to feel human.
I have no trouble sleeping. Whereas I've read many that trouble and take sleeping aids. I've been taking it in the morning, 10mg for over 5 weeks. Being that I feel more awake later in the day, I just started to take it right at bedtime.
Today was the first day. Iwas still tired today, but that most likely was because I took 10mg that morning and 10mg at night to get that routine started. I also want to increase to 15mg tonight. I still lag at 5pm and desperately want to nap at 6PM for at least an hour. I'm only on 5mg. I also uses 5mg cipralex at night and I feel difficult to stay awake at work time especially doing tasks with high concentration like writing and reading I take 1 tablet every morning when I awake as prescribed.
And today is my 2nd day being on them and I've noticed I'm not so tired through out the day being on them. Before wellbutrin, It was hard for me to get out of bed for anything a lot of the time. But as far as depression being treated with wellbutrin, well that takes at least 3 weeks to a month to feel any effect of no depression from wellbutrin. I have not taking any of the escitalopram yet because I'm not ready for bed. But sounds to me that a lot of you should talk to your doctor about taking escitalopram at bed time just because you all are having trouble staying awake during the day when taking the medicine in the morning.
I hope this helped some. I'll add it's the brand name for now until that runs out, then generic. I'm so sleepy in the morning. I have to force myself out of bed. Somedays I go to work a half day. There seems to be no end to feeling tired in the mornings. It's been longer for me than 4 weeks. Will this extreme fatigue ever ware off?
She thought this might help with fatigue. I haven't started taking it yet, but it might be something to ask your doc about. I am like you I'm afraid of having sexual side effects and I really do not want that to happen. I'm not fighting the dark cloud of depression, I'm dealing with panic and anxiety right now.
I've been taking 10mg escitalopram for about 9wks. It would wear off by afternoon so I tried taking it at night time but it disturbed my sleep terribly.
Does anyone have any advice for me, do you think I should go back to the doctors? JU JustAnxiety 29 Mar I'm on day 4 of lexapro, prescribed 10mg, however I started cutting it to 5mg because I'm literally so tired. I'm at the gym right now and cannot keep my eyes open. This sucks so bad. Everyone keeps saying give it time, but no one is saying it gets better, they keep saying its a worth it trade off for no anxiety.
I would rather take ativan as needed than to feel exhausted all the time and I also experienced ED issue this morning for the first time ever in my life trying to have sex.
Now I'm considering going home and sleeping the rest of the day SU sunrun15 4 Apr I also have sexual side effects, I have been married a short while and have ZERO drive, husband is frustrated, what is the answer? RO roer 10 Sep I also am very sleepy and have no drive while taking Lexapro. I started 5mg in January, while also starting therapy to deal with anxiety. I also take mg of Wellbutrin for depression. They recommended 10mg of Lexapro, but it made me nervous so stuck with 5.
I've taken zoloft prior to deal with a stressful job, and gained a lot of weight due to having no drive or energy. Lexapro did the same thing. It was very helpful in curbing my very high level of anxiety. I would strongly recommend going to a therapist while on it. My therapist helped me understand the root of my anxiety, and also a lot of techniques to deal with it.
I developed trichotillomania at age 25 due to a very stressful job at a law firm, so now at age 29, went to therapy to understand why and to help to stop. After seven months of therapy and Lexapro, I found myself having almost zero anxiety and also stopped the hair pulling. Now that I've completed my therapy, I've weaned myself off of Lexapro over the last three weeks. I started taking 2. I find that I have more energy already, and know it will continue once it is fully out of my system.
This is the same experience as when I went off Zoloft. I found in the past week that my anxiety levels have increased since not on Lexapro but I'm able to deal with it from what I learned in therapy. I feel very "normal," and it's great. I know I will always have to process anxiety in a certain way, but I find that understanding it through therapy has been life changing.
I also simplified my life A LOT. Hope this helps and that you can find a balance! I have taken both and the clonopin made me really tired. Give it a bit longer and if it continues Check back with the doctor you may need the dose adjusted or even changed try and hang in there a bit yet if you can. Going to my Dr next week when these run out and asking to be switched. They do work great for depression and anxiety but the wanting to sleep all the time I cant take. DE Dee 11 Dec Loxapine is a miracle for me.
I've even stopped buying my nails. In exchange for the chance to live again and be social I'm ok with the tiredness. I am in the same boat as you.
I just started the lexapro for very bad side effects. I started taking it at night with the 5 mg and also added in a little benadryl. I did wake up a couple of times but went right back to sleep. The side effects in the first three weeks can be difficult But she assured me that if I continued I would see a big difference in my life. She was right. I have found that I can see a problem and deal with it head on as opposed to being unable to cope. Stick with it MD mdnnamartin 3 Mar It is important to know that this type of medication has different initial side affects for each person.
The side effects I get are much different t my sister. I sleep a lot and she becomes more hyper. My dosage is 20mg and she can only tollerate 5mg. Therefore, it is going to be you and your Doctor working on the dosage.
Higher dosages make people dizzy if they are higher strung like my sister. Therefore, if there are headaches the dosage may be to high for the person and I recommend seeing a doctor not waiting for symptoms to work themselves out. Dosage is important. Maybe a different type will be better for you. Lexapro is twice as strong as Celexa so dosages are usually half of the Celexa doseage. I had problems with insomnia with Lexapro yet no insomnia with Celexa I have just switched to taking the Lexapro 10 mg from taking it at night to taking it in the morning in the past 2 days.
I have been on it for close to a year so perhaps my body has adjusted to it by now. I was anxious during the day when I took it at bedtime. When I was taking 10 mg of Lexapro at bedtime I had to take Clonazepam as well and it still took 2 hrs to get to sleep.
Healthboards - Endocrine - Thyroid Disorders: Taking Synthroid and
Read More I do have take and synthroid Dr. Can anyone help please! I also take levothyroxine 88mg AM without food. Studies show that alendronate, the active ingredient in Fosamax, may can a decrease in total absorption when taken with levothyroxine.
I have now been put on alendronate once paroxetine travel week for osteoporosis.
Do not lie down. Wait at least an additional with minutes after taking levothyroxine to eat. Taking either with food, drink or other medication could significantly decrease their absorption. A bone scan showed osteo arthritis in both hips, hands fosamax feet. The optimal length of therapy remains unknown.
The rx info on it says to take it 1 hour before a meal, so I'd ask the Dr or pharmacist if you could take it some other time as long as you haven't eaten in an hour or more. What to Read Next. Read More I do have osteoporosis and my Dr.
Read More He looked at can as if I synthroid nuts when I told him I was even on the fosamaxclick the following article recommended I stop it altogether. Severe bone, joint, with muscle pain, necessitating discontinuation of Fosamax in some people, has been reported, occurring from one day to several fosamax after starting the drug.
Read More Hi, Just found out I have osteoporosis. Fosamax may interact with antacids or supplements containing calcium or magnesium. Seems to be me they should pay for any corrective dental or medical treatment and pay compensation for pain and suffering. In any case your Take. Fosamax alendronate has never been specifically shown to decrease absorption of the levothyroxine take they are taken together, but it still may, which is why it makes to separate their administration. Speak to your with about how drug interactions can be managed.
Taking either with food, drink or other medication could significantly decrease their absorption. If you are taking supplemental calcium, iron, synthroid, or antacids, take them at a different time of day to Fosamax for example at lunchtimeas they may interfere with the absorption of Fosamax.
Fosamax should be taken with a full glass of water and the person taking Fosamax should remain upright for at least 30 minutes after taking it. Severe bone, joint, or muscle pain, necessitating discontinuation of Fosamax in some people, has been reported, occurring from one day to several months after starting the drug.
Rarely may cause other side effects including uveitis eye inflammation. May not be suitable for some people including those with kidney disease, pre-existing esophageal conditions, low blood calcium levels hypocalcemia , or who are unable to stand or sit upright for at least 30 minutes.
There are concerns about the long-term safety of bisphosphonates such as Fosamax as long-term use has been associated with atypical femur fractures, osteonecrosis of the jaw, and esophageal cancer. Fracture risk reduction may also persist for years after treatment has stopped. The optimal duration of therapy with Fosamax has not been established.
Periodically re-evaluate the need for therapy. Discontinuation of therapy should be considered by doctors after 3 to 5 years in patients at low risk of fracture.
Fosamax may interact with antacids or supplements containing calcium or magnesium. Fosamax may lower calcium levels in the blood. Pre-existing low blood calcium levels should be corrected before Fosamax administration. Fosamax is only available as a 70mg tablet. This may limit the range of indications Fosamax can be used for. The liquid preparation of Fosamax has been discontinued. Note: In general, seniors or children, people with certain medical conditions such as liver or kidney problems, heart disease, diabetes, seizures or people who take other medications are more at risk of developing a wider range of side effects.
View complete list of side effects 4. Bottom Line Fosamax helps to reduce the risk of fracture in people with osteoporosis and some other bone conditions. Dosage instructions, including remaining upright for at least 30 minutes and taking with a full glass of water, must be strictly followed.
The optimal length of therapy remains unknown. Tips Take Fosamax at least 30 minutes before eating or drinking any food or beverages other than water , or taking any other medication, including calcium, antacids, or vitamins. Take Fosamax with a full glass of water and remain upright for at least 30 minutes. Do not lie down. Do not substitute water with mineral water, coffee, soda, juice, or tea. Never take Fosamax at bedtime.
Take Fosamax exactly as directed by your doctor. Do not increase or decrease the dosage without your doctor's advice. Avoid eating, drinking other than water , or taking other medications for 30 minutes after taking Fosamax. You may need to take supplementary calcium or vitamin D if your dietary intake is inadequate. Your doctor will advise you about this. The absorption of levothyroxine in the gut is decreased when taking the hormone at the same time as calcium, iron and some foods and other drugs.
Because of this, patients are usually instructed to take levothyroxine on an empty stomach minutes before food intake to avoid erratic absorption of the hormone. For many patients, this means first thing in the morning before breakfast. This is often difficult for many patients, especially those on multiple medications.
This study was performed to see if patients can take their levothyroxine with food in the morning and not have to wait minutes. Serum thyrotropin levels following levothyroxine administration at breakfast. Thyroid ; Epub June 21,
Why You Can't Stay on the Same Thyroid Medication Dose Forever
Thyroid hormone and the with system. Believe it or not, this can happen a lot and it's very common for people who are just starting out with thyroid medication. You'll know you can there because not only will your thyroid labs be stable but you will also feel optimal meaning you won't experience the symptoms associated with hypothyroidism. Read More s very possible that it could synthroid a combination of fosamax the dosage change and brand change.
They don't want to retest for another 2 Internet. My dosage has been changed several take.
Read More I'm sorry, I'm still confused about your Synthroid dosage.
Did your free T4 increase? Info how your health changes over time will help you when talking to your doctor about your thyroid medication. Because eventually you will start lexapro feel poorly and these changes could have been identified early if you had been checking your lab tests at some interval. Here is how to take your thyroid medication correctly: Take your medication FIRST drowsy in the morning or RIGHT before bed Do NOT take your thyroid medication with over the counter supplements If you are taking iron or calcium, take your thyroid medication at least 4 hours away from these supplements These rules are important to follow if you synthroid taking any thyroid medication except Tirosint.
Association between thyroid autoimmunity and fibromyalgia disease severity.
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Read More I'm sorry, I'm still confused about your Synthroid dosage. Synthroid is dosed in 25 mcg, 50 mcg, 75 mcg, 88 mcg, mcg, mcg, mcg and on up the scale. I've never seen it dosed at 1. Do you mean mg, rather than mcg? Have you tried a different thyroid medication, such as levoxyl or a generic levo, to see if that changes anything.
Read More Could the huge improvement you noticed have been due to the residual effect of the Synthroid coupled with the faster acting Erfa, and then the Synthroid effect gradually faded away if you stopped taking Synthroid when starting Erfa. In addition I suspect that your current dosage is not high enough, since the most important thyroid test result, FT3, actually dropped from May to July. Read More Hi. I was diagnosed with Hypothyroidism over 5 years ago now.
I am very good about taking my meds and get my blood taken periodically to check TSH levels. I have been on. I recently went to my gyno and he took some blood to check my tsh because I was there.
I usually go to another doctor but I let him take the blood. My results came back with a tsh of. Did your free T3 increase?
If you are taking the right type of thyroid medication you should see your free T3 increase. Did your free T4 increase? If you are taking levothyroxine then you should see your free T4 increase. After comparing your old lab tests to your new ones, you should be able to see if your thyroid medication was working and how well it was working. If all of your lab tests are going in the wrong direction then you know you need to make dramatic changes like swapping to a different thyroid medication.
Alternatively, if your lab tests are trending in the right direction but just not quite there yet then you know you just need to make some small changes to your medication like increasing your dose slightly. There is no one size fits all pattern that you can apply when it comes to your thyroid which makes getting these lab tests all the more important.
Final Thoughts It's actually not common for thyroid patients to start taking thyroid medication but still feel poorly months later.
These symptoms usually stem from either an inadequate dose or because you are taking your thyroid medication incorrectly. If you are experiencing signs of hypothyroidism or low thyroid then you KNOW right away that your thyroid medication is off and needs to be adjusted usually upwards. This is an easy problem to fix and requires that you get your thyroid labs retested and that you compare your new labs to your old labs. Some doctors are not as good as others when it comes to managing thyroid problems so don't be afraid to find a new doctor if your current doctor is not up to par with the latest medical research.
Now I want to hear from you: Are you struggling to feel better even after starting thyroid medication? If so, what type of symptoms are you still experiencing? Are you sure that you are taking your thyroid medication correctly and that you've given it enough time? Or are you struggling to get your doctor to listen to your concerns?
Leave your questions or comments below to keep the conversation going! This means that day in and day out your thyroid gland is constantly pumping out thyroid hormone to meet the demands of your body. Because thyroid hormone plays an integral role in many hormone systems such as your metabolism 2 and heat production 3 , even though it produces a steady rate of thyroid hormone, the demand for thyroid hormone may go up or down depending on the situation.
We are going to talk about the specific scenarios which can increase the demand on thyroid hormone in your body later in this article but for now, just realize that it occurs.
Can you imagine what happens to your body when you start dieting or dramatically reducing your calories? Can you imagine what happens when you are sick or have a fever or aren't as active as you would be normally? The demand for thyroid hormone would obviously drop in these cases. After all, it doesn't make sense for your cells to work overtime if you are sick when there are more pressing issues for your body to deal with infections, viruses, etc.
It's easy to imagine a scenario, then, in which the amount of thyroid hormone your body needs at any given time is constantly changing. And the demand for these changes is met by how much thyroid hormone your thyroid gland produces AND by how active your cells are at converting T4 to T3.
Makes sense, right? It's pretty straightforward when you think about it this way but how does this fit into the scenario when you take thyroid medication?
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Download more free resources on this page. Thyroid Medication Suppresses Thyroid Function What I just explained happens only in those with a healthy and fully functioning thyroid gland. Once you start taking thyroid medication the whole scenario changes. You lose the flexibility that your own body has to adjust thyroid medication on a daily basis and, instead, you place your body on a rigid schedule and dose.
Whenever you take any hormone, but this is also true of thyroid hormone, your body starts to naturally shut down the production of that hormone 5. So, as you provide your body with thyroid medication by mouth, that medication will be absorbed and feedback to your brain which tells your thyroid that you don't need to produce as much hormone. Practically, this is seen as a drop in your TSH level. This should come as no surprise to most of you. Eventually, you will reach a point where your brain is no longer effectively communicating with your thyroid gland through TSH.
When this happens, your body is no longer able to make those changes to how much thyroid hormone you need on a day to day basis. And virtually every thyroid patient who is taking thyroid medication is in this situation. So it's no wonder that these patients will need to constantly make changes to their medication throughout their life. Their thyroid gland is no longer performing this function so that means YOU the thyroid patient must act as your thyroid gland and take over that job.
This means you will be responsible and by you, I mean both you and your doctor for adjusting your dose based on the scenarios which will influence the demand for thyroid hormone. With this in mind, we can talk about what things you should be looking out for, as a thyroid patient, which may influence that demand.
If you know what to look out for then you won't be caught unaware when they occur. Thyroid Dosing for Beginner's So far I've really been speaking specifically to those people who are taking thyroid medication and have already found their ideal dose.
It may be interesting to know, for those reading this, that most thyroid patients are probably not at their ideal dose. You'll know you are there because not only will your thyroid labs be stable but you will also feel optimal meaning you won't experience the symptoms associated with hypothyroidism.
If you are not there yet then you can use some of the principles found in this article to help guide you to that dose. If you are someone who just started taking thyroid medication then you should be aware that it may take sever take several weeks to months to find whatever that ideal dose is when you first start thyroid medication. The factors which influence your dose of thyroid medication will still apply to you, whether you've been taking thyroid medication for a decade or whether you've been taking it for 6 weeks.
Factors which May Influence your Dose Let's say you are someone who has been on a steady dose of thyroid medication for a year or more.