Am I feeling lethargic due to Fluvoxamine?

Hello doctor,

I have been on Fluvoxamine 100 mg CR for the last two months for health anxiety issues. Thoughts are controlled and sleep is fine. The mood is generally fine. But feeling very tired and lethargic a lot. Want to know if this is the effect of Fluvoxamine and if the change of SSRI will help to restore energy.

Thank you doctor,

I have been taking Fluvoxamine 100 at night and the tiredness has persisted. Is Sertraline a safer alternative for long-term use? Do I directly stop the Fluvoxamine 100 and switch to Sertraline? What should the starting dose be?

Hi doctor,

Thank you very much for the support. My age is 48 years. It would be grateful if you could please modify the prescription. Can I safely expect that Sertraline will not also cause tiredness and lethargy like Fluvoxamine- especially since you have prescribed it to be taken in the morning? Also, may I assume that long-term use of Daxid is safe and will not have any major adverse impact on my cardiac condition (one stent for a 95 % block in LAD- done eight months back). Or cause major adverse interactions with my other medicines- which are Ecosprin 75 mg, Atorva 10 mg, Cilacar T, Brilinta and Prolomet 25 mg after the stenting. Pan 40 mg, digestive enzymes, and probiotics for GERD and allied digestive issues. Also have chronic sinus issues also for which I take Acetylcysteine,Desloratidine,andAudiovit (for ear issues- tinnitus).

Thank you doctor,

Are there any other major issues I need to expect when I switch from Fluvox to Sertraline? I had been switched from Escitalopram (first 10 mg, then 20 mg) to Paroxetine, as the doctor felt it was not helping my health anxiety enough. But was switched out of Paxidep 25 mg to Fluvox because it caused nearly 5 kg weight gain over a few months.