I used to take both. I used to take hydroxyzine as need for anxiety, but it knocked me out so I onyl took it at night and slept well. I think what your doctor is trying to do is help with the anxiety that may be affecting your sleep rather than giving you something to knock you out every night. I really like lexapro, didn't have much drowsiness with it, but everybody is different.

I don’t think the nightmares and sleep paralysis are anxiety related, though. I started having those episodes before the anxiety came in and took front stage. I’m just concerned about taking the lexapro and it helping with the anxiety that causes my insomnia, but not helping with the nightmares and sleep paralysis that continuously wake me up every single night, multiple times a night.

I used to take Lexapro at night because it made me nauseous in the day. Never tried both together though

is there any reason why you can’t take both? like is there some kind of major reaction? i take hydroxyzine along with other meds as needed so i was just wondering.