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Can lexapro cause insomnia
Insomnia treatment: Cognitive behavioral therapy instead of sleeping can lexapro cause insomnia pills. Insomnia is a common disorder, and can lexapro cause insomnia effective treatment can be crucial to getting the sleep you need. Explore safe, effective, nondrug insomnia treatments. By can lexapro cause insomnia Mayo Clinic Staff, insomnia is a common sleep disorder that can lexapro cause insomnia can make it hard to fall asleep, hard to stay asleep, or cause you to wake up too early and not be able to get back to sleep. Cognitive behavioral therapy for insomnia, sometimes called CBT-I, is an effective treatment for chronic sleep problems and is usually recommended as the first line of treatment. Cognitive behavioral therapy for insomnia is a structured program that helps you identify and replace thoughts and behaviors that cause or worsen sleep problems with habits that promote sound sleep. Unlike sleeping pills, CBT-I helps you overcome the underlying causes of your sleep problems. To identify how to best treat your insomnia, your sleep therapist may have you keep can lexapro cause insomnia a detailed sleep diary for one to two weeks. How does cognitive behavioral therapy for insomnia work? The cognitive part of CBT-I teaches you to recognize and change beliefs that affect your ability to sleep. This type of therapy can help you control or eliminate negative thoughts and worries that keep you awake. The behavioral part of CBT-I helps you develop good sleep habits and avoid behaviors that keep you from sleeping well. Depending on your needs, your sleep therapist may recommend some of these CBT-I techniques: Stimulus control therapy. This method helps remove factors that condition your mind to resist sleep. For example, you might be coached to set a consistent bedtime and wake time and avoid naps, use the bed only for sleep and sex, and leave the bedroom if you can't go to sleep within 20 minutes, only returning when you're sleepy. Lying in bed when you're awake can become a habit that leads to poor sleep. This treatment reduces the time you spend in bed, causing partial sleep deprivation, which makes you more tired the next night. Once your sleep has improved, your time in bed is gradually increased. This method of therapy involves changing basic lifestyle habits that influence sleep, such as smoking or drinking too much caffeine late in the day, drinking too much alcohol, or not getting regular exercise. It also includes tips that help you sleep better, such as ways to wind down an hour or two before bedtime. This offers ways that you can create a comfortable sleep environment, such as keeping your bedroom quiet, dark and cool, not having a TV in the bedroom, and hiding the clock from view. This method helps you calm your mind and body. Approaches include meditation, imagery, muscle relaxation and others. Also called paradoxical intention, this involves avoiding any effort to fall asleep. Paradoxically, worrying that you can't sleep can actually keep you awake. Letting go of this worry can help you relax and make it easier to fall asleep.
Lexapro in pregnancy
Escitalopram is also known as: Lexapro, medically reviewed on July 19, 2017, escitalopram Pregnancy lexapro in pregnancy Warnings, animal studies have revealed evidence of embryotoxicity (e.g., reduced fetal weight and reversible delay of ossification offspring mortality, and delayed growth. Animal studies with racemic citalopram have revealed evidence of teratogenicity at doses greater than human therapeutic doses. There are no controlled data in human pregnancy. Human spontaneous abortion has been reported with racemic citalopram. Neonates exposed to ssris late in the lexapro in pregnancy third trimester have uncommonly reported clinical findings including respiratory distress, cyanosis, apnea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycemia, hypotonia, hypertonia, hyperreflexia, tremor, jitteriness, irritability, and constant crying. These effects have mostly occurred either at birth or within a few days of birth. These features are consistent with either a direct toxic effect of ssris, or possibly a drug discontinuation syndrome; in some cases, the clinical picture is consistent with serotonin syndrome. Epidemiological data have suggested that the use of ssris, particularly in late pregnancy, may increase the risk of persistent pulmonary hypertension in the newborn. Data from animal studies has shown that escitalopram may affect sperm quality. Human case reports from some ssris have shown this effect to be reversible. As yet, the impact of this on human fertility has not been observed. To monitor the outcomes of pregnant women exposed to antidepressants, a National Pregnancy Registry for Antidepressants has been established. Physicians are encouraged to register lexapro in pregnancy patients and pregnant women are encouraged to register themselves. For additional information: AU TGA pregnancy category C: Drugs which, owing to their pharmacological effects, have caused or may be suspected of causing, harmful effects on the human fetus or neonate without causing malformations. These effects may be reversible. Accompanying texts should be consulted for further details. US FDA pregnancy category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. This drug should be used during pregnancy only if the benefit outweighs the risk to the fetus. AU TGA Pregnancy Category: C, uS FDA Pregnancy Category: C, comments: -Newborns should be monitored if the maternal use of this drug continues into the later stages of pregnancy, particularly, the third trimester. Abrupt discontinuation should be avoided during pregnancy. Escitalopram Breastfeeding Warnings, escitalopram is not expected to cause adverse effects in breastfed infants, particularly in infants over 2 months of age. One case of necrotizing enterocolitis has been reported in a breastfed newborn whose mother was taking escitalopram during pregnancy and lactation; however, causality was not established. Maternal doses of escitalopram up to 20 mg per day lead to low levels in milk, approximately.9 and.7 of the maternal weight-adjusted dose of escitalopram and desmethylcitalopram, respectively. Limited data suggest that escitalopram is preferable to racemic citalopram during breastfeeding due to lower dosage and milk levels, and general lack of side effects in breastfed infants.