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Nexito plus for insomnia in pregnancy
Sleep Disorders
Question #9713
9 days ago
5,758

Nexito plus for insomnia in pregnancy - #9713

Aditi biswas

I have insomnia since last 5 yrs was in zolsoma, then a combo of zapiz and melatonin. Now I'm 4 months pregnant, given nexito plus. Is it okay? I had like atleast 2 3 weeks of unexplained shortness of breath along with claustrophobia along with insomnia during start of 2nd trime8. I'm okay with 3 medicine. Will nexito harm the baby

Age: 30
Chronic illnesses: Hypothyroidism
100 INR (~1.18 USD)
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Doctors’ responses

Always discuss any symptoms or medication concerns with your obstetrician and psychiatrist to ensure both your safety and the baby’s health.

0 replies
Nexito Plus is a combination drug of Escitalopram and Clonazepam.must be prescribed for your anxiety related issues. But it is unsafe to take This during Pregnancy and mostly in 1st trimester. Though risk is lesser in 2nd trimester. But you should consult your Psychiatric consultant in person. He may either prescribe you alternative or may allow to continue based on risk benefit ratio. You must consult your doctor in-person. And have regular visit to your obstetrician and have due scans.
Accepted response

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Hello Mrs. Aditi, it's unfortunate that you are going through all this. They symptoms which you have described appears to me as anxiety disorder, possibly panic disorder with agoraphobia. And about the medication Nexito plus that you are taking, it is a combination of Escitalopram and Clonazepam 0.5mg. Escitalopram has great evidence for safety in pregnancy but can't say for sure that there won't be any unwanted effects on the mother as well as baby. Now coming to Clonazepam, it is a sedative-anxiolytic drug that can pass through placenta. If used for prolonged periods, it may lead to dependence and newborn when born will show some withdrawal symptoms. I suggest you to take plain Nexito or altogether shift to a new medicine if you need help with sleep issues as well. In my opinion, Mirtazapine is a better choice for you. Other alternative would be to get psychotherapy suitable for you. Let me know if this answers your question. Kindly consult local psychiatrist as soon as possible. You can contact me by my mail for online consultation. Regards, Dr. Charan Kumar, MD Psychiatry (NIMHANS), Email- dr.charankumar.p@proton.me

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Dr. Aman Shaba
Dr. Aman Shaba is a highly qualified Consultant Neuropsychiatrist with extensive clinical experience in diagnosing and managing psychiatric disorders. His expertise spans across general psychiatry, neuropsychiatry, addiction medicine, sexual medicine and psychotherapeutic interventions. Educational Background Dr. Shaba completed his MBBS from M.I.M.E.R Medical College, Pune, where he developed a strong foundation in medical sciences and clinical medicine. His passion for mental health led him to pursue a Doctor of Medicine (MD) in Psychiatry at Jawaharlal Nehru Medical College (JNMC), Wardha. During his postgraduate training, he gained hands-on experience in managing a wide range of psychiatric disorders, neuropsychiatric conditions, and crisis interventions.Dr. Aman Shaba has also completed specialized training in Sexual Medicine from Allo Health, further enhancing his expertise in diagnosing and managing sexual health concerns Professional Experience Dr. Aman Shaba has worked in several esteemed institutions, providing specialized psychiatric care: 1.JNMC, Wardha – As a psychiatry resident, he was actively involved in patient care, research, and academic activities. 2.Deep Chand Bandhu Hospital, Delhi – He played a crucial role in the Children and Adolescent De-addiction Ward, helping young individuals struggling with substance use disorders. His work involved detoxification, behavioral therapy, and relapse prevention strategies tailored to adolescent mental health needs 3.Tele MANAS, Jharkhand (CIP Ranchi) – Currently, he is associated with Tele MANAS, a national tele-mental health service under the Central Institute of Psychiatry (CIP), Ranchi. He provides expert psychiatric consultations via telemedicine, enhancing accessibility to mental healthcare across India.
9 days ago
Hi, Nexito Plus (escitalopram + clonazepam) can be used during pregnancy if clearly needed, especially since you've had long-standing insomnia and recent anxiety symptoms like claustrophobia and shortness of breath. Escitalopram is generally considered safer in pregnancy. Clonazepam, however, should be used with caution, as long-term use may cause drowsiness or withdrawal symptoms in the newborn. Since you're feeling better now, you can **discuss with your psychiatrist** about gradually **tapering clonazepam** or even switching to **mirtazapine**, which can help with both anxiety and sleep and is sometimes preferred during pregnancy. Along with medication, here are some **non-medication techniques** to manage anxiety and improve sleep: - Deep breathing and relaxation exercises - Guided meditation or prenatal yoga - Fixed sleep and wake schedule - Avoiding screens before bedtime - Light walks or gentle activity (as approved by your gynecologist) - Therapy or CBT if anxiety persists Continue regular follow-up with both your psychiatrist and OB-GYN. Don’t make any medication changes without guidance. Take care, Dr. Aman Shaba Consultant Neuropsychiatrist 7992489808

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Hi Aditi, Nexito Plus contains Escitalopram and Clonazepam, which can have risks during pregnancy. Escitalopram is sometimes used during pregnancy but should only be taken if the benefits outweigh the risks. Clonazepam, however, is generally avoided due to potential risks to the baby. The shortness of breath and claustrophobia could be related to pregnancy changes or anxiety. I recommend consulting your OB/GYN or psychiatrist to reassess your treatment plan and consider safer alternatives. Managing hypothyroidism is also important during pregnancy.

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Not considered safe in pregnancy, specially in first trimester For insomnia, Try dietary modification, light exercises, yoga after consultation with your obs doctor

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