8/11/2023 0 Comments Insomnia on lexapro![]() Given the prevalence of sleep problems in perimenopausal women with vasomotor symptoms, it is reassuring to have these data indicating that not only does escitalopram help to relieve hot flashes, it may also improve sleep quality.Įnsrud KE, Joffe H, Guthrie KA, et al. The authors make note of the fact that insomnia and poor subjective sleep quality were extremely common in this cohort at baseline, despite excluding women with a diagnosis of major depression or anxiety disorder. 19.2%, P = 0.09).Īlthough certain studies have shown that SSRIs and SNRIs may disrupt sleep, this study indicates that treatment with escitalopram at standard clinical doses may actually improve sleep quality. Clinical improvement in insomnia symptoms and subjective sleep quality (as defined as a?50% decrease in scores on the ISI or PSQI from baseline) were observed more frequently in the escitalopram group than in the placebo group (ISI, 50.0% vs. The authors reported that women treated with escitalopram had an improvement in insomnia symptoms and subjective sleep quality, with statistically significant improvements on their ISI and PSQI scores at week 8. 40% of women had a PSQI score higher than 8, representing poor subjective sleep quality. Based on scores on the ISI, a total of 77 (37.6%) women were classified as having mild (subthreshold) insomnia (ISI, 8-14) 55 (26.8%), with moderate clinical insomnia (ISI, 15-21) and 12 (5.9%), with severe clinical insomnia (ISI, 22-28). Insomnia was measured using the Insomnia Severity Index (ISI), and subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) at baseline and at weeks 4 and 8.Īt baseline, most of the participants experienced insomnia and poor sleep quality. 205 women (95 African American, 102 white, 8 other) were randomized to receive either escitalopram (10-20 mg/day) or placebo. Hadine Joffe of the CWMH) reports on the impact of escitalopram (Lexapro) on sleep quality in a group of healthy postmenopausal women reporting significant vasomotor symptoms. These two side effects may be particularly concerning to peri- and postmenopausal women who, in addition to having vasomotor symptoms, are more likely to experience sexual dysfunction and sleep disruption than premenopausal women.Ī recent study from Ensrud and colleagues (including Dr. However, these agents may carry certain side effects, including sexual side effects and sleep disturbance. Selective serotonin and serotonin-norepinephrine inhibitors (SSRIs and SNRIs) have been shown to be effective for the treatment of hot flashes.
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