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Some people may experience side effects of Sarafem, and insomnia is one that occurs commonly (in up to 10 percent of people). Improving sleep habits can often be an effective cure for insomnia. A few suggestions for improving your sleep habits include keeping a regular sleep-wake cycle; avoiding caffeine, alcohol, and nicotine in the four to six hours before bedtime; and refraining from taking a nap after 3 p.m.

Sarafem and Insomnia: An Introduction

Insomnia is a common side effect of Sarafem® (fluoxetine hydrochloride). Clinical studies have shown that up to 10 percent of women reported insomnia as one of Sarafem's side effects, compared to 7 percent of women not taking Sarafem.

What Is Insomnia?

People with insomnia have one or more of the following symptoms:
  • Difficulty falling asleep
  • Waking up often during the night and having trouble going back to sleep
  • Waking up too early in the morning
  • Unrefreshing sleep.

Sarafem and Insomnia: Suggestions

Some people taking Sarafem find that improving their sleep habits can be an effective insomnia cure. Some tips for better sleep include:
  • Keeping a regular sleep-wake cycle. Try to go to bed and wake up at the same time every day.
  • Avoiding caffeine, alcohol, and nicotine in the four to six hours before bedtime.
  • Refraining from exercise within two hours of bedtime. Exercising five or six hours before bedtime may help you sleep more soundly.
  • Avoiding large meals within two hours of bedtime.
  • Refraining from taking a nap later than 3 p.m.
  • Sleeping in a dark, quiet room at a comfortable temperature.
  • Doing a quiet activity somewhere else if you can't fall asleep within 20 minutes, and returning to bed when you're sleepy.
  • Winding down in the 30 minutes before bedtime with a relaxing pre-sleep ritual, such as a warm bath, soft music, or reading.
(Click Good Sleep Habits for more suggestions.)
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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