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[keancy]

Hi Ladies,

Time for some advice again please. After 18 months of trial and error with HRT I have reached a stage where Hormones alone are seemingly not working so with help of the GP we trying another tack at moment.

I went onto a very small dosage of Bisoprolol ( 2.5mg, Beta Blocker) 2 weeks ago and it has made a massive difference to my Anxiety already, however I still struggle massively with daily fatigue and body-pain so upon a follow up visit yesterday my female GP suggested trying Escitalopram ( 5mg, very low ) which apparently is fairly good with Peri-menopausal symptoms ( I am not depressed, so not for that reason )

She assured me the side effects would be totally minimal and I explained I cannot be drowsy as I work with Machinery inside a Factory, she assured me it would be fine. I took the first dosage straigt after my appointment yesterday around 12.30pm-1pm and it made me a bit sleepy but ok, had a relatively good night sleep until 5am, then on off till 7am. I got up and took both the Bisoprolol and Escitalopram and went off to work for an 8am start. By 9.30am I was completely zonked out and could barely keep my eyes open, by 10.30am my Supervisor sent me home because of safety reasons. I went straight to bed and slept till 1.30pm. It took me until 3.30pm to finally come around and now at 6.30pm I am right awake 

So here is my thinking, I was doing well with the 2.5mg of Bisoprolol in the morning the last 2 weeks so maybe I ought to take just that am as I was doing and then take the Escitalopram around 9pm at night so the worst effects happen while I hopefully get a decent night sleep from it???

Thoughts please??? Appreciated

48 - 4th year peri - Mirena Coil (1 Year) and Sandrena Gel 1mg once a day (Since May)

[BlueButterfly]

Probably best for you in the evening, a couple hours before bed. My hubby had to take his antidepressant like that. If he took it at bedtime, he had a hard time waking up so for him about 5pm worked.

[keancy]

Thank you. Yes perhaps around dinnertime 6-7pm.

[CLKD]

I take my ADs an hour B4 bed.  A smaller dose at breakfast.

[BlueButterfly]

Good luck. You might have to mess around with the time but I think you'll find what works for you. And you might find as you get used to it, it won't make you so tired anymore and you can take it whenever.

[keancy]

Yes indeed I am hoping that too.

[keancy]

I take my ADs an hour B4 bed.  A smaller dose at breakfast.

Thank you

[keancy]

I feel absolutly aweful after only 2 days of this AD i think worse then the actual Peri symptoms.....not sure I want to stay on this medication at all