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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Discontinue Effexor And Toprol Taken For RA And Lupus To Gain Relief From Tiredness And Fatigue?

hello...was looking up toperal er side effects..I feel really tired and lethargic since starting 50 mg ...I have lupus and RA was already fatigued...feelling overwhelmed with the tiredness..Started Effexor 75 mg ER with no relief after 2 weeks .Doctor said to increase dose and now feel even more tired, I take Plaquinel 200 mg bid for Lupus and RA with Buffered asprin 300 mg bid for pain...during flares a steroid injection with pain meds prn...looking for relief from fatigue. I have a excellent diet ..drink lots of water and try to walk daily..Thinking about stopping the Effexor and BP medication.
Mon, 13 Jan 2014
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Rheumatologist 's  Response
Hi and thanks for the query.

I am Dr. Alok and very pleased to be assisting you with your health questions today.

I am so sorry to hear that you have so much fatigue and tiredness. Tiredness and fatigue may be related to lupus or it may be a complication of toprol or effexor. It is really a very difficult situation, you can discuss with you doctor and probably he or she wants to chnage medicine one by one and see the response. At present, with your history, it seems that your tiredness is related to lupus only. But your doctor can tell you better.

Hope this helps and provides answers to your question.
I wish you good health.
Dr. Alok
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Should I Discontinue Effexor And Toprol Taken For RA And Lupus To Gain Relief From Tiredness And Fatigue?

Hi and thanks for the query. I am Dr. Alok and very pleased to be assisting you with your health questions today. I am so sorry to hear that you have so much fatigue and tiredness. Tiredness and fatigue may be related to lupus or it may be a complication of toprol or effexor. It is really a very difficult situation, you can discuss with you doctor and probably he or she wants to chnage medicine one by one and see the response. At present, with your history, it seems that your tiredness is related to lupus only. But your doctor can tell you better. Hope this helps and provides answers to your question. I wish you good health. Dr. Alok