Hello, Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399. Thanks.

For insomnia Clonazepam 0.5 or1 mg+ quitipine25 one  is best. Your  medicine  is also good. Why to tapper  nexito10  it's minimal  dose u can stop if u feel so.

Sure..

Yes

Yes can be taken.

I can definitely help you over this being a general physician You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Need few more details Kindly connect.

Yes, escitalopram (Nexito 10) and doxepin (10 mg) can be co-administered with caution in some clinical scenarios, but certain factors must be considered: 1. Mechanism & Use Escitalopram is a selective serotonin reuptake inhibitor (SSRI) used primarily for anxiety and depression. Doxepin is a tricyclic antidepressant (TCA) with strong antihistaminic and sedative properties, used in low doses (≤10 mg) for insomnia. 2. Safety Concerns of Combination Risk of Serotonin Syndrome: Although low, combining SSRIs and TCAs may raise serotonin levels. At low doxepin doses (≤10 mg), this risk is minimal. QT Prolongation: Both drugs can affect QT interval, especially in higher doses or in predisposed individuals. Anticholinergic Burden: Doxepin has anticholinergic side effects, so caution in elderly or those with cardiac disease. 3. Tapering Escitalopram Should only be tapered gradually after clinical stability for 6–12 months. If tapering is attempted, doxepin may help mitigate sleep issues or anxiety during the withdrawal phase. Recommendation Co-administration is clinically acceptable in low doses under physician supervision. Regular monitoring of side effects, mood, and ECG (if cardiac risk) is advised. Reference: Harrison’s Manual of Medicine, 20th Ed – Psychopharmacology and antidepressant interactions. Mark HELPFUL ☺️☺️☺️

Connect

Need few more details Kindly consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management