Q. Can Fluoxetine be tried instead of Venlor XR?

Answered by Dr. Bharat Udey and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Fluoxetine or Anxiety? We have medical experts to help you right away. Ask a Doctor Now »
 

Hello doctor,

I tried Venlor XR 75 mg during the night and got very poor result for put me to sleep. I tried to take it only in the morning and that too resulted in me being very sleepy. Can I try Fluoxetine? Or any other alternative medicines like ayurveda? Can I take St.John's wort or 5-HTP? I would also like to know can Tofisopam be tried? If so, in what dosage do I need to take them? Can any combination among these provide good sleep only during nights and keep one fresh and active in the morning? Please guide.


Related Questions:
How to get relief from nose block?
Generalized Anxiety Disorder(GAD)
Will having Fluoxetine with Venlafaxine lift depression?
 

Dr. Bharat Udey
MD PSYCHIATRY., MBBS
Geriatrics, Psychiatry, Sexology, Sleep Medicine

Hello,

Welcome to icliniq.com.

  • I would like you to continue Venlor XR (Venlafaxine) 75 mg at night, as there is response to this medication in terms of improved depressive symptoms.
  • It was advised to increase the dose by taking 37.5 mg in morning and 75 mg at night. However, you continue taking Venlor XR 75 mg at night.
  • For excessive daytime sleepiness we can start with a stimulant in daytime.
  • We can add Armod (Armodafinil) 50 mg in daytime. It is a stimulant drug, which helps in improving the reticular activation system of our body, which in turn increases arousal and reduces excessive daytime sleepiness.
  • Before switching to Fluoxetine, this measure can be tried. If you want to start Fluoxetine, it can be started at dose of 20 mg a day in the morning after meals.

Rather opting for ayurveda measures or opting for St John's wart or 5HTP; you can add the following supportive measures.

  1. Bright light therapy - Exposure to bright light for at least 20-30 minutes during daytime will help in improving arousal. Bright light therapy helps in boosting circadian rhythm, which is regulated by a hormone melatonin.
  2. Follow sleep hygiene measures.
  3. Weight reduction and regular workout will further help in improving the condition. Workout releases natural endorphins in our body, which have a mood elevating action.
  4. Tofisopam is a non-sedating Benzodiazepine, which have an anxiolytic action but does not cause sedation.
  • Yes, it can be tried if anxiety symptoms are not controlled. To begin with dose of 50 mg in morning after meals. Gradually increasing to 100 mg if required.
  • Currently, you can take Venlor XR 75 mg at night along with Armod 50 mg in morning, this combination will improve anxiety and depressive symptoms, improve sleep at night and will increase attentiveness and arousal during daytime.
  • If required low dose Thyroxine 12.5 mg (thyroid hormone congener) can also be added to this. If this combination does not show any improvement, then Fluoxetine can be tried.

For further information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Can having Fluoxetine with Venlafaxine lift depression?
Query: Hello doctor, Will having 20 mg Fluoxetine added to my existing 375 mg of Venlafaxine help to lift my depression? I had recurring depression since 17 and have been on Venlafaxine for 12 years.  Read Full »
Dr. Vandana Patidar
Psychiatrist

Answer: Hello, Welcome to icliniq.com. Venlafaxine is a very good anti-depressant. It has given you excellent results for 12 years but if the problem is increasing then there might be some issues like hormonal imbalance, psychosocial problems, substance abuse, etc. We need details on that. At times, addre...  Read Full »
 
Is it alright to take sleep medicines for eight months at a stretch?
Query: Hello doctor, My father is having sleep issues and is taking Venlafaxine 37.5 75 mg, Arip MT 5 mg, Pacitane 2 mg and Lonazep 0.25 from eight months. Is it alright to take these medicines for so long?  Read Full »
Dr. Amit Garg
Psychotherapist

Answer: Hello, Welcome to icliniq.com. Some psychiatric disorders warrant the medicines to be continued for a long time. This is important first to attain remission and second to prevent relapse. Now, since there are problems with sleep, it would be advisable to follow sleep hygiene practices. Hope you are ...  Read Full »
 
Can Fluoxetine cause disturbed sleep?
Query: Hi doctor, I am very sad, surrounded by negative thoughts and anxiety. I have taken Fluoxetine (Fludac 20) for 6 weeks. Now I am fine, but I wake up early in the morning around 3.30 AM. Hence having disturbed sleep in the morning. My doctor changed medicine to Flunil 40. I think this dose is not req...  Read Full »
Dr. Kumarshri Shriniwas Saraswat
Psychologist Counsellor

Answer: Hello, Welcome to icliniq.com. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug. Being an selective serotonin reuptake inhibitor (SSRI) Fluoxetine causes sexual dysfunction. Both these side effects can be treated by taking tablet Trazodone (brand name ...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Is it possible to cure my respiratory allergy and throat infection with some medicine?
Hi doctor, I am suffering from nose block, throat pain, fever, occasional running nose, and headache. I am taking Nasaf ...Read more »
Can inhaling enamel paint residual fumes cause health issues?
Hello doctor, I (66 years, 145 lbs) am using a can of enamel paint in my basement. Total of 1 to 2 minutes. Had a mask ...Read more »
Arthritis in Its Many Forms
Arthritis is defined as the inflammation of a joint. There are various types of arthritis and despite their similarities ...Read more »