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Suggest Treatment For Fatigue And Serotonin Syndrome While On Effexor
Question: I thought I had forgotten to take my effexor this morning, and I took it a few hours ago. I feel tired and a little shaky. I've had mild episodes of serotonin syndrome multiple times before, and am quite prone to it. if I was mistaken and have now taken 450mg of effexor today, should I be worried?
Brief Answer:
You need not to worry much
Detailed Answer:
Hello,
Thanks for writing at healthcaremagic.
I am aware of your risk for serotonin syndrome and like to opine following things.
1. Since the increased dose of medicine was similar one (venlafaxine only) the risk of serotonin syndrome is very low in compare to two or more medicines with serotonergic properties
2. Feeling tired and shaky is not classical symptoms of serotonin syndrome although it may occur in very mild serotonin syndrome.
I request you to do following things to ameliorate the symptoms
1. Take rest
2. Take plenty of water
3. Stay in calm and non disturbing area
4. Take a low dose of xanax (alprazolam 0.25 mg) or clonotril (clonazepam 0.5 mg).
5. Skip the next dose
6. Avoid any substance of abuse particularly opioids
I hope these simple but effective measure will sufficient for you at this stage.
In case shakiness increases or you develop any autonomic disturbances (hypotension, tachycardia, sweating, rapid respiration), neuromuscular abnormalities (abnormal movements, rigidity), or Fever please visist nearby emergency.
I must assure you that current symptoms can be managed at home and you do not need to worry about them.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
You need not to worry much
Detailed Answer:
Hello,
Thanks for writing at healthcaremagic.
I am aware of your risk for serotonin syndrome and like to opine following things.
1. Since the increased dose of medicine was similar one (venlafaxine only) the risk of serotonin syndrome is very low in compare to two or more medicines with serotonergic properties
2. Feeling tired and shaky is not classical symptoms of serotonin syndrome although it may occur in very mild serotonin syndrome.
I request you to do following things to ameliorate the symptoms
1. Take rest
2. Take plenty of water
3. Stay in calm and non disturbing area
4. Take a low dose of xanax (alprazolam 0.25 mg) or clonotril (clonazepam 0.5 mg).
5. Skip the next dose
6. Avoid any substance of abuse particularly opioids
I hope these simple but effective measure will sufficient for you at this stage.
In case shakiness increases or you develop any autonomic disturbances (hypotension, tachycardia, sweating, rapid respiration), neuromuscular abnormalities (abnormal movements, rigidity), or Fever please visist nearby emergency.
I must assure you that current symptoms can be managed at home and you do not need to worry about them.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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