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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sleeplessness While Being On Zoloft For Anxiety And Insomnia?

I was recently prescribed Zoloft, for anxiety and insomnia. I took one pill. didn t sleep. haven t slept in a couple days. My Dr. Said wait 4/5 days to increase the dose to 2 pills daily. Would it hurt to take 2 immediately or is there another suggestions (over the counter) until they start to take effect
posted on Tue, 6 Oct 2015
Twitter Mon, 13 Apr 2020 Answered on
Twitter Thu, 16 Apr 2020 Last reviewed on
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General & Family Physician,  's  Response
Hi,

Drugs acting on central nervous system needs at least a week time to start acting. Dose changes can be made in steps of 50 mg at intervals of at least one week, up to a maximum of 200 mg/day.

Changes in dose should not be made more frequently than once per week. Non-pharmacological treatment interventions such as relaxation therapies, sleep hygiene education, sleep restriction therapy can be tried along with drugs.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Saranya Ramadoss, General and Family Physician
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What Causes Sleeplessness While Being On Zoloft For Anxiety And Insomnia?

Hi, Drugs acting on central nervous system needs at least a week time to start acting. Dose changes can be made in steps of 50 mg at intervals of at least one week, up to a maximum of 200 mg/day. Changes in dose should not be made more frequently than once per week. Non-pharmacological treatment interventions such as relaxation therapies, sleep hygiene education, sleep restriction therapy can be tried along with drugs. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General and Family Physician