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Suggest Treatment For Chronic Bronchitis And Lethargy

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Posted on Mon, 14 Aug 2017
Question: hx. of diabetes, no thyroid, chronic broncitis,HTN. lost husband 3 mos. ago. just started on c-pap. very lethargic, feel weak, excessive sleeping. taking venlafaxine for depression, but above sx. persist
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Answered by Dr. Lekshmi Rita Venugopal (38 minutes later)
Brief Answer:
Management of depression associated with grief

Detailed Answer:
Hello,
Thank you for trusting HCM

The symptoms you are experiencing is because you are going through the grieving process and I am really sorry for your loss. The symptoms associated with grief can last up to a year.
Venlafaxine will take 6-8 weeks to start acting and show improvement. I would also recommend going to Psychotherapy and support group along with taking Venlafaxine.
If you do not notice any improvement in symptoms 8 weeks after starting Venlafaxine, please be advised to follow up with your treating physician to increase the dose of venlafaxine or switching to another medication.
I would also recommend undergoing a sleep study with CPAP to see if the settings are adequate. Sometimes increase in pressure is required. Underlying sleep apnoea can also contribute to tiredness and excessive sleepiness.

Please note that you have accidentally uploaded tax return paper in the report section. Kindly remove it for privacy and security reasons.

Hope this answers your question
Please address further questions here
Regards,
Dr.Lekshmi
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3808 Questions

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Suggest Treatment For Chronic Bronchitis And Lethargy

Brief Answer: Management of depression associated with grief Detailed Answer: Hello, Thank you for trusting HCM The symptoms you are experiencing is because you are going through the grieving process and I am really sorry for your loss. The symptoms associated with grief can last up to a year. Venlafaxine will take 6-8 weeks to start acting and show improvement. I would also recommend going to Psychotherapy and support group along with taking Venlafaxine. If you do not notice any improvement in symptoms 8 weeks after starting Venlafaxine, please be advised to follow up with your treating physician to increase the dose of venlafaxine or switching to another medication. I would also recommend undergoing a sleep study with CPAP to see if the settings are adequate. Sometimes increase in pressure is required. Underlying sleep apnoea can also contribute to tiredness and excessive sleepiness. Please note that you have accidentally uploaded tax return paper in the report section. Kindly remove it for privacy and security reasons. Hope this answers your question Please address further questions here Regards, Dr.Lekshmi