How do you approach managing intolerable vivid dreams as a side effect of SSRIs?
Answer from: at Community Practice
There are several distinct options I go over with patients who have this side effect.
It often self-resolves, but can take a few (up to 6) months to resolve, and there is no guarantee. If the patient is willing to tough it out, I often have them do nothing. But, we are talking about it being an i...
Comments
at Private office It might be easier to lower the dose if possible.O...
at Jennifer Neuwalder, MD Thank you for your thoughtful response. Your comme...
at Vanderbilt University School of Medicine A simple thing I do is have the patient take the m...
at Hartford Health Care Since most vivid dreams occur in REM sleep, I woul...
at La Mente Behavioral Health I definitely agree with Dr. @Littman's thorough an...
Given that the dreams are described as intolerable, I would transition to an agent more favorable in terms of sleep architecture, such as vilazodone (Viibryd).
It might be easier to lower the dose if possible.O...
Thank you for your thoughtful response. Your comme...
A simple thing I do is have the patient take the m...
Since most vivid dreams occur in REM sleep, I woul...
I definitely agree with Dr. @Littman's thorough an...