Brief Answer:
Increasing the dose of Stilnoct would help in good sleep.

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. Nexito is Escitalopram and the drug is a SSRI drug. The drug helps to relieve anxiety and thus helps in relaxing individual. Over all in most of individuals the drug causes insomnia especially during first few weeks of therapy. The drug takes about 4-6 weeks to show its full effect. So if you are taking the drug in evening hours in such case I would advise you to take the drug in morning time after consulting your doctor. This would help in relieving anxiety and you will feel better.

Stilnoct is extended release drug consisting of Zolpidem. The drug helps to induce sleep thus results in management of early insomnia. You have been advised 6.25 mg doses and if the doses are not resulting in improvement then you can ask your doctor to increase the 12.5 mg. This would help in good sleep and you will feel better. Don't worry about poor sleep, with proper doses you will have good sleep.

Visit your doctor for prescription.

Thanks, Hope this helps you. Please don't hesitate to ask again for more doubts.

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Brief Answer:
Ginette can cause moos swings and headache.

Detailed Answer:
Hello again and thanks for asking a follow up question

Ginette 35 consists of Cyproterone and Estradiol and the drug can cause mood swings in any individual taking it. But you are on this drug since last one year and I guess you were tolerating it. The problem developed all of sudden so as per my opinion the drug might be one aggravating factor for your problem but not the only reason for your symptoms. It can cause headache also.

The drug Escitalopram would help to reduce the mood swings and Stilnoct will help in sleep. Don't worry about sleep with proper doses your sleep will improve.

Thanks.

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Brief Answer:
You should take the drug as per your prescription and shouldn't leave it

Detailed Answer:
Hello again

Nexito is Escitalopram and the drug is a SSRI drug. The drug cant cause addiction so no need to worry. As per my opinion you should continue to take the drug as per your prescription and don't worry about dependence. You are having sound sleep with the drug because of reduction of anxiety.

So in my opinion you should continue the drug and shouldn't leave it.

Thanks.

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Brief Answer:
Continue to take medicines and ignore any episode of insomnia

Detailed Answer:
Hello thanks for asking again

Sleep depends upon many physiological, physical and psychological factor. If you are sleeping good with the drugs and only once faced problem of poor sleep then there is no need to worry. Most of individuals tend to have poor sleep once or twice a week even in normal condition. Try to ignore that day with poor sleep. Just keep yourself relaxed and take your medicines as per your prescription. No need to worry for today you should sleep good today. Try to keep following points in mind-

- Sleep is a normal phenomenon and sometimes without any reason we have poor sleep but that doesnt mean that one has developed insomnia.

- Fix your time to go to bed, avoid eating heavy in evening.

- Avoid tea, coffee, or even alcohol in evening times after 4 pm.

- Use your bed for sleeping only and don't read anything or watch TV from bed in night.

- If you fail to get sleep with in 15 minutes of going to bed then get up from bed and try to distract yourself.

- Don't try to sleep and don't think about not getting sleep again and again. Keep one thing in mind that sleep is a spontaneous phenomenon and you will get sleep when body will need it. Try to understand that thing.

I hope this helps you. Please feel free to ask again.

Take care

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