What is the best course of action for an adult patient with a history of depression or anxiety, who developed symptoms of increased energy and insomnia after starting treatment with Selective Serotonin Reuptake Inhibitors (SSRIs), such as sertraline or fluoxetine?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: January 7, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

How to manage fatigue in patients taking Selective Serotonin Reuptake Inhibitors (SSRIs) for depression or anxiety, particularly those with insomnia?

Is sertraline (Zoloft) a suitable alternative for a patient experiencing emotional bluntness while taking fluoxetine (Prozac) for severe anxiety and depression?

How to manage a 31-year-old female patient with depression, anxiety, and insomnia, who has a history of not tolerating Lexapro (escitalopram) and Zoloft (sertraline), and is currently experiencing nightmares while on Prozac (fluoxetine)?

What is the best medication for insomnia in a patient in their 40s with depression on 10mg Paxil (paroxetine)?

Would fluoxetine be a better option than sertraline (selective serotonin reuptake inhibitor) for an adolescent patient experiencing insomnia as a side effect of sertraline treatment?

What is the typical dosing regimen for Latuda (lurasidone) in an adult patient with bipolar depression, considering their past medical history and potential renal or hepatic impairment?

Could a patient who stopped taking their Selective Serotonin Reuptake Inhibitor (SSRI)/Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) medication and is now experiencing insomnia, increased energy, and rapid thoughts be at risk for a brain tumor or is this a symptom of discontinuation syndrome or relapse of their underlying condition?

What alternative medications can be used for a patient with impaired gastric acid secretion who is refractory to Proton Pump Inhibitor (PPI) treatment, considering their age, medical history, and potential comorbidities such as impaired renal function or bleeding disorders?

What is the neuroscience and psychology behind intuition in a general adult population without any specific medical history?

A patient presents with upper abdominal pain in the epigastric area after eating, what could it be and what is the treatment?

What is the appropriate treatment for a patient with acute headache, considering Toradol (ketorolac) as an option?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.