Im going through Anxiety disorder for last 1 year . Initially I was given Paraxitine 10mg extended release for 15days by neurologist at night but resulted in partial insomnia . I was asked to taper off and try psychiatrist , adviced CBT only. Then after 10 months I'm given Desvenlafaxine 50 mg extended release at night , for last 5 days I will wake exactly 4.45 - 5 hours after taking the tablet ( i tried taking an hour early and tried , I will wake up an hour early mid sleep) . I'm troubled with sleep and fatigued through the day . Usual side effects I'm already informed exists ( constipation , dry mouth , slight dizziness ) . Is it worth switching the dosage timing to morning .
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Desvenlafaxine can sometimes cause insomnia, early morning awakening, restlessness, and increased alertness, especially during the first 1–2 weeks of treatment. Since you are consistently waking up about 4.5–5 hours after taking the tablet at night, the medication may be contributing to your sleep disturbance.
In such cases, many psychiatrists prefer morning dosing, as it may reduce sleep-related side effects while maintaining the therapeutic benefit.
However, any change in timing should be discussed with psychiatrist. Also, since you've been on the medication for only 5 days, some of these side effects may lessen as your body adjusts over the next couple of weeks.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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