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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Insomnia While On Clonazepam, Lexapro And Tylenol After Knee Surgery?

I am taking clonazepam because I had knee surgery, and i m having trouble sleeping. i m also taking 20 m of Lexapro. Most of the nights I am up the whole night. I was also taking Tylenol for the pain in my knee. Am I doing something wrong? I don t like taking pills, and I was wondering if the doctor upped my Lexapro from 10m to 20m if I need to take the clonazepam?
posted on Wed, 20 Sep 2017
Twitter Tue, 10 Oct 2017 Answered on
Twitter Tue, 25 Sep 2018 Last reviewed on
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General & Family Physician,  's  Response
Hi,

I can understand your concern. In my clinic, patients visit for anxiety after surgery. If I treated you, I would advise you:

1.      Lexapro is to treat anxiety and depression. Anxiety may cause loss of sleep sometimes, and Lexapro helps to control it within 2-3 weeks.
2.     Clonazepam is also given for sleep, but it will be more helpful when the anxiety is controlled gradually.
3.     It seems that you had associated anxiety problem, which needed medication to control. Whether it was present earlier or has come up with surgery, is unclear to me. But it’s control is needed for better healing of your knee.
4.     Please do not worry about the medicines given by your doctor. At present, the healing of your knee is more important. These medicines are not habit forming.
5.     Please try relaxation techniques for sleep. Try to avoid discussions that increase anxiety and negative thinking. You can try music therapy, meditation, etc.
6.     Please avoid use of mobile, internet, electronic gadgets, at least 2 hours before going to sleep.

Please feel free to consult for any query

Wish you a speedy recovery!
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What Causes Insomnia While On Clonazepam, Lexapro And Tylenol After Knee Surgery?

Hi, I can understand your concern. In my clinic, patients visit for anxiety after surgery. If I treated you, I would advise you: 1. Lexapro is to treat anxiety and depression. Anxiety may cause loss of sleep sometimes, and Lexapro helps to control it within 2-3 weeks. 2. Clonazepam is also given for sleep, but it will be more helpful when the anxiety is controlled gradually. 3. It seems that you had associated anxiety problem, which needed medication to control. Whether it was present earlier or has come up with surgery, is unclear to me. But it’s control is needed for better healing of your knee. 4. Please do not worry about the medicines given by your doctor. At present, the healing of your knee is more important. These medicines are not habit forming. 5. Please try relaxation techniques for sleep. Try to avoid discussions that increase anxiety and negative thinking. You can try music therapy, meditation, etc. 6. Please avoid use of mobile, internet, electronic gadgets, at least 2 hours before going to sleep. Please feel free to consult for any query Wish you a speedy recovery!