Dr. Ramchandra Lamba
Psychiatry
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Patient's Query
Hello doctor,
I have been using Fluvoxin 100 mg, Oxetol 450 mg and Quetiapine 100 mg for depression and OCD for five years. My problem is I am not regular to work as I do not feel to go to work. I feel like this only in the morning. I want to be in the bed. I do not feel it is because only of sleepiness. I do not understand the reason as well. I have lost 12 jobs in the last five years all because of the irregularity. Please find the reason for my problem. I am extremely upset with my behavior as my family depends only on my salary. I am facing extreme financial problems because of frequent job loss. Please help.
Hi,
Welcome to icliniq.com.
It seems that your depressive symptoms are bothering you. It may be helpful to increase the dose of Fluvoxin (Fluvoxamine) and reduce the dose of quetiapine, so discuss with your psychiatrist for increasing the doses of antidepressant Fluvoxin. Do regular exercise, or go for a morning walk at least five times a week.
Patient's Query
Thank you doctor,
Just a month ago, I reduced Fluvoxin from 200 to 100 mg. I was on it for one and a half years with no improvement. Can I start 300 mg? If so, when to take? And, it is causing slurred speech. Please guide me to overcome this morning depression.
Hi,
Welcome back to icliniq.com.
Yes, Fluvoxamine can be taken up to 300 mg per day. If you have no side effects of Fluvoxamine 200 mg then you can increase the dose to 300 mg per day. You can take this in three divided doses. It can cause some sedation, so increase it gradually over a week's time period or more depending upon the tolerable side effects. Sedation can be managed by lowering the doses of Quetiapine. If you cannot tolerate Fluvoxamine, then you can go for Fluoxetine. First, try with Fluvoxamine. Do regular exercise and go for a morning walk.
I hope this helps.
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