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Regarding hypnic jerks
Dear sir/ma'am,
I was using Rexipra Forte 20 (Escitalopram Oxalate 20mg + clonazapem 0.5 mg) from last 7 months. Recently, from last 5 days, I was experiencing hypnic jerks during sleep and also getting dreams during sleep.
Kindly suggest why this happens and is there anything to worry about?
Answers (16)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Hi,
The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.
For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.
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MD (Psychiatry) (A.I.I.M.S., New Delhi)
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Please share detailed medical history, then I can help you further.
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Need few more details
Kindly consult
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What changes did u make in these 5 days ..what i mean is detailed history is needed here
If u want to discuss
Feel free to reach me out on online consultation
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Need few more details
Kindly connect.
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Hi — thank you for explaining your symptoms in detail. I can understand that these hypnic jerks and vivid dreams can be quite unsettling, especially when you’re already on treatment for anxiety or depression. Let’s go over this carefully so you understand what’s happening and how to manage it
What’s happening
You’re currently taking Rexipra Forte 20 (Escitalopram 20 mg + Clonazepam 0.5 mg).
Both these medicines act on the brain’s neurotransmitters — mainly serotonin and GABA.
The “hypnic jerks” (sudden twitches while falling asleep) and vivid dreams are quite common when:
1. The brain’s serotonin levels fluctuate (like during long-term SSRI use).
2. You’re under increased stress or sleep deprivation.
3. The Clonazepam component is being gradually metabolized or if your body is developing tolerance.
4. Caffeine, anxiety, or irregular sleep schedule overstimulates the nervous system.
Is it dangerous?
No — this is not dangerous or life-threatening.
Hypnic jerks are physiological muscle twitches that occur during the transition from wakefulness to sleep.
However, if they happen frequently or disturb your rest, it means your nervous system needs to be calmed and your sleep cycle reset.
What you can do right now
1. Continue Rexipra Forte as prescribed — do not stop suddenly.
2. Avoid caffeine, energy drinks, and phone use for at least 1 hour before bedtime.
3. Magnesium glycinate or Magnesium citrate 200–400 mg at night can reduce jerks and improve sleep quality naturally.
4. Practice slow breathing or guided meditation for 10 minutes before bed — it helps reset REM patterns.
5. Maintain a consistent sleep-wake time every day.
6. If jerks are very frequent, your doctor can slightly adjust the clonazepam dose or shift it to bedtime only.
When to review
If you develop severe restlessness, tremors, or increased anxiety after taking the dose.
If jerks persist even after good sleep hygiene and stress control.
If you plan to taper Rexipra Forte — that must be done gradually under supervision.
Reassurance
This symptom is reversible and generally self-limiting. It’s a sign that your sleep cycle and serotonin-GABA balance need a little fine-tuning — nothing dangerous is going on in your brain. Once we optimize timing or dose, the jerks and dreams will settle within days.
I can review your exact dose timing, sleep schedule, and anxiety pattern, and then guide you with a personalized adjustment plan that’ll stabilize your sleep and help you taper safely if needed later.
You can message me directly on WhatsApp at nine three two six zero two zero five three six — share your medication timing and any stress/sleep details, and I’ll create a step-by-step plan to help you sleep peacefully again without these jerks.
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Consult your Psychiatrist
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Please consult superspecialist
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So there are several factors
Where you were taking those Medication idk
But like
Stress or anxiety
Caffeine or stimulant use
Sleep deprivation
SSRI medications (like Escitalopram) — which can increase REM sleep intensity and muscle twitches in some people.
This all can trigger
To improve Avoid this things or you can also consult
Next Steps
seven 00 seven 4 0 4 one 5 4
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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