Hello doctor, I have been on Fluvoxamine 100 mg CR for the last two months for health anxiety issues. Thoughts are controlled and sleep is fine. The mood is generally fine. But feeling very tired and lethargic a lot. Want to know if this is the effect of Fluvoxamine and if the change of SSRI will help to restore energy.
Hello. Yes, you are right, Fluvoxamine has a side effect of increased sedation. Because of sedation person feels lethargy. You can do this thing that if Fluvoxamine is causing sedation, you can shift the medicine to night time, just before sleeping. This would sort out your problem. If this does not sort out your problem, you can have a trail of another SSRI Sertraline which is a safer option in the heart disease patients as you already tried Escitalopram and Paroxetine.