Hi, Let's have a comprehensive and detailed clinical interview to understand your situation better. For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there. ẄĤÃŤŠÅPP available on nine⁹ four⁴ one¹ five⁵ three³ nine⁹ four⁴ three³ seven⁷ nine⁹ Kind Regards, Dr Abhinav Tewari Consultant Neuro-Psychiatrist MBBS (A.I.I.M.S., New Delhi) MD (Psychiatry) (A.I.I.M.S., New Delhi) DNB (NBEMS)

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Therapy for anxiety along with medicine Nine two six six seven two six zero six five

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. For consultation and personalized treatment, u can consult me directly by messaging on WhatsApp nine nine three one zero four five zero zero eight.

Hi, consult online for treatment. You may need the addition of a sleep medicine