HomeAnswersSleep Medicinesleep disorderI feel sleepy and tired all the time, even after adequate sleep. Why so?

Why do I have sleep paralysis and feel drowsy all the time, even after treatment for depression?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 8, 2022
Reviewed AtJanuary 15, 2024

Patient's Query

Hi doctor,

I have had trouble waking up and often feel that my sleep is inadequate. I wake up with headaches and confusion. I go to bed around 9 to 10 PM and wake up at 8:30 AM. Still, I feel like my sleep is not sufficient. I have been told that I talk during sleep every night and also experience sleep paralysis. I am under treatment for depression and take tablets Rexipra 15 mg and Arpizol 5 mg. Kindly help.


Welcome to icliniq.com.

I understand your concern. I suggest the following:

1) Get screened for obstructive sleep apnea if you have snoring, are obese, and feel sleepy.

2) Ask your doctor if you can reduce the dose of tablet Arpizol (Aripiprazole) to 2 mg. It could cause sleepiness, headache, and confusion.

3) Change the timing of taking medicines. For example, if you take them at night, start taking them in the morning or afternoon as it is known to help with sleep talking and sleep paralysis.

4) If these things did not help, ask your doctor if you can get some activating antidepressants like Desvenlafaxine or Sertraline instead of tablet Rexipra (Escitalopram).

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Saraswat Kumarshri Shriniwas
Dr. Saraswat Kumarshri Shriniwas


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