Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Remedy For Fatigue While On Effexor
Question: I take 225 ml of Effexor at bedtime along with one-half Zoplicone. When I get up in the morning I am all right for about an hour and then fatigue really sets in and I have to lie down, and I am really tired the rest of the day. By the way, I also have to go to bed by 8:00 o'clock at night as I can't function at all. My doctor is sending me for a stress test on Friday. I really need help, I have been tired for over a year now and I can't take it any longer.
Thank you
Thank you
Brief Answer:
Consultation
Detailed Answer:
Hello Ms. Gray, and thank you for your question. I remember your details from previous questions I have answered for you, and have reviewed your previous questions. Let me give you my thoughts.
You have now been at a higher dose of Cymbalta for about 4 weeks. It can take antidepressants up to 6 weeks to achieve their maximum effect, which for you is relieving the fatigue that is a symptom of depression. The most effective thing you can do is to wait another 1-2 weeks to see if Cymbalta will give you additional benefit.
If at the end of 1-2 weeks your fatigue is not improved, there are a couple of options. One, you can switch Cymbalta to Pristiq. Pristiq is an SNRI antidepressant that is a metabolite of Effexor, which you have also been taking. Sometimes people metabolize Effexor and Cymbalta poorly, and Pristiq can be a solution for these people. Also, you should consider adding a stimulant. Did you ask your doctor about Adderall?
I know your case very well. In the future, instead of asking a premium query which anyone can answer, reach out to me directly at my private link on this website:
tinyurl.com/DrSheppeAnswers
This way you will be guaranteed to speak to me about updates and further questions.
In the future, for continuity of care, I encourage you to contact me at my direct link below. We receive a significantly higher payment from this website for direct questions, so I prefer this venue in which to work with you. It would be my pleasure to be your personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (http://health.usnews.com/best-hospitals/rankings/psychiatry). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Hello Ms. Gray, and thank you for your question. I remember your details from previous questions I have answered for you, and have reviewed your previous questions. Let me give you my thoughts.
You have now been at a higher dose of Cymbalta for about 4 weeks. It can take antidepressants up to 6 weeks to achieve their maximum effect, which for you is relieving the fatigue that is a symptom of depression. The most effective thing you can do is to wait another 1-2 weeks to see if Cymbalta will give you additional benefit.
If at the end of 1-2 weeks your fatigue is not improved, there are a couple of options. One, you can switch Cymbalta to Pristiq. Pristiq is an SNRI antidepressant that is a metabolite of Effexor, which you have also been taking. Sometimes people metabolize Effexor and Cymbalta poorly, and Pristiq can be a solution for these people. Also, you should consider adding a stimulant. Did you ask your doctor about Adderall?
I know your case very well. In the future, instead of asking a premium query which anyone can answer, reach out to me directly at my private link on this website:
tinyurl.com/DrSheppeAnswers
This way you will be guaranteed to speak to me about updates and further questions.
In the future, for continuity of care, I encourage you to contact me at my direct link below. We receive a significantly higher payment from this website for direct questions, so I prefer this venue in which to work with you. It would be my pleasure to be your personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (http://health.usnews.com/best-hospitals/rankings/psychiatry). For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
