Drugs dosages, supplements and symptoms, including amount of sleep, following shift from bedtime to morning of 20 mg Lexapro. Purpose is to see if there is an explanation why immediately after the shift my sleep was good, 7-8 hours a night, but diminished subsequently.
Nov. 8 (day 10 after switch of Lexapro to morning) 10:00-5:30 7 1/2 hours sleep the night before (somewhat interrupted)
I try to have my schedule of drugs and supplements is the same every day. For following days. For clarity, for the following days I won't list timing of drugs and supplements unless there has been a change.
7:00 am .5 mg Lorazepam, theanine, Natural Balance Happy Camper on empty stomach
10:00 am 20 mg Lexapro on full stomach
Supplements after breakfast: Omega fish oil, vitamin E , vitamin D3, VSL3DS probiotic, zinc, fo-ti, vitamins B12
Feeling good and in good mood.
Omega oil after lunch
2:00 pm .5mg Lorazepam plus theanine on empty stomach
10:00 pm .5 mg Lorazepam, 25 mg Imipramine, 100 mg magnesium on empty stomach
Nov 9 8 hours sleep the night before (10 pm - 1:30 am, 1:30 am - 6:30 am)
I took my afternoon .5 mg Lorazepam 45 minutes late at 2:45.
Went into village, no anxiety.
Nov. 10 7 1/2 hours sleep the night before (10 am - 3 am, 3 - 5:30 am)
Awoke with some anxiety
12:00 anxiety after light exercise
I took my bedtime .5 mg Lorazepam and 25 mg Imipramine on full stomach)
Nov. 11 7 1/4 hours sleep the night before (8:45 pm - 2 am, 2 - 4 am)
Awoke very anxious, anxious all morning, a bit less in pm.
Took Lexapro 20 minutes late at 10:20 am
Nov. 12 8 hours sleep the night before (10:15 pm to 6 am)
Stayed at home, did nothing, no anxiety all day. Around 6:30 pm I got hiccups, which kept me up all night.
Nov. 13 0 hours sleep due to hiccups
Anxious most of morning.
Added 100 mg magnesium in morning. Diarrhoea.
Eliminated vitamin B12
Coming down with sore throat
Only moderate anxiety
Nov. 14 4 3/4 hours sleep (10:15 pm - 3 am)
Added 1000 mg vitamin C and echinacea/goldenseal for sore throat
Calm, peaceful day. Some diarrhoea from vitamin C
Nov. 15 4 1/4 hours sleep the night before (10:15-2:30)
Sick with cold. Continue vitamin C and echinacea
Not much anxiety
November 16 Good night's sleep, perhaps due to being sick. I didn't write down how many hours.
Continue vitamin C and echinacea.
Nov. 17 7 hours sleep the night before (10:15 pm - 5 am)
Took Lexapro 4 hours late, at 2 pm
Nov. 18 3 1/2 hours sleep the night before (11 - 2:30)
Took pm .5 mg Lorazepam 1 hour late, at 3:00
Ate some gluten and dairy at both lunch and dinner (had eliminated these 2 months ago)
Nov. 19 4 1/2 hours sleep the night before (9:30 - 2 am)
Anxiety in am, calm in pm
Feeling better, stop vitamin C and echinacea
Nov. 20 5 3/4 hours sleep the night before (9:45 - 4 am)
Peaceful day, little anxiety
It seems that the increased insomnia followed the following events: my getting no sleep one night due to hiccups, taking my Lexapro at 2 pm instead of 10 am (arguing that it is an activated), possibly my adding vitamin C and echinacea, and eating gluten and dairy one day.
As of Nov. 21, I started taking Enerphos Phosphoserine for insomnia and will report how that works after a few more nights.
Any thoughts or suggestions would be appreciated.
Lexapro 20 mg. since 2004 for depression. January 6, 2017, began 2.5% taper per week for four weeks with 2-week hold. Jan. 6 19.5 mg, Jan 13 19 mg, Jan. 20 18.5 mg, Jan. 27 18 mg, Feb. 3 two-week hold, Feb. 18 17.5 mg, Feb. 25 17.1 mg, Mar. 4 16.7 mg, Mar. 11 16.3mg, Mar. 18 two-week hold, April 1 15.9 mg, April 8 15.5 mg, April 15 15.1 mg, April 21 holding at 15.1 mg
Lorazepam 1 mg for colitis-related stress 1986. CT 1992, reinstated a few months later. CT approx. 2000 with no difficulty. Since 2011 1mg for insomnia at bedtime. Decreased to .75 mg mid-2015 with no difficulty. September 28, 2016, increased to 1.5 mg in a split dose of .5 mg, morning, afternoon and bedtime to alleviate anxiety. April 21 old brand no longer available, began crossover to locally available brand, .5mg new brand AM dose, old brand PM and night dose
Imipramine 75 mg daily since 1986, prescribed for ulcerative colitis pain. CT 1991, experienced bad flare-up of colitis, reinstated a few months later. Jan. 27, 2016, began every-3-weeks 10% taper. At 30 mg began experiencing dizziness; at 25 mg experiencing anxiety as well as insomnia; at 19 mg - more anxiety; at 15 mg - more anxiety; August 30 discovered SA, updosed to 25 mg and holding there.
Supplements: theanine, fish oil, vitamin E, magnesium, Natural Balance Happy Camper, VSL3DS probiotic, vitamin D3, digestive enzyme, zinc, fo-ti. 50 mg Enerphos at bedtime, 50 mg when I wake in the the night.