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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Fatigue And Excessive Sleeping While On Fluoxetine?

I ve been on Fluoxetine 40mg for a few years (my Dad passed then away then my husband, a year later. Thats been 2½ years now and I m feeling much better. I m still very sleepy and want a nap almost every day. I m 65 yrs old, 30 pounds over weight but working on it thru diet and exercise. Should I be this tired? I compare myself to my friends. Could Fluoxetine make me sleepy?? Thank you!!
Tue, 14 May 2019
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General Surgeon 's  Response
Hello,

In my opinion, there is no reason to be worried and usually, this is just temporary and self-limiting. Excessive daytime sleepiness is common issues and should be considered in this case.

Excessive daytime sleepiness may be caused by conditions such as sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such as seizures and psychiatric disorders such as depression.

If emotional causes are ruled out then some tests can be done to confirm the diagnosis.

In my opinion, polysomnography (sleep study), is one of the necessary examinations in order to achieve a correct diagnosis. Please discuss with primary care Doctor about these issues.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Severe Fatigue And Excessive Sleeping While On Fluoxetine?

Hello, In my opinion, there is no reason to be worried and usually, this is just temporary and self-limiting. Excessive daytime sleepiness is common issues and should be considered in this case. Excessive daytime sleepiness may be caused by conditions such as sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such as seizures and psychiatric disorders such as depression. If emotional causes are ruled out then some tests can be done to confirm the diagnosis. In my opinion, polysomnography (sleep study), is one of the necessary examinations in order to achieve a correct diagnosis. Please discuss with primary care Doctor about these issues. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon