Hey, because of rapid shifts in the dose, these symptoms occur, do not worry, the body takes time to adjust. You will start feeling better in a few days. Just continue the same dose which you are taking.

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Hello, The dose of fluvoxamine was increased to 250 mg for a few days and then reduced back to 200 mg (100 mg twice daily). Sudden dose changes — both increasing and decreasing — can sometimes lead to temporary side effects such as headache, weakness, fatigue, or mild increase in anxiety/OCD symptoms. When the dose is increased, the body takes time to adjust. When it is reduced again within a short period, the nervous system may again need time to stabilize. These symptoms are usually transient and settle within a few days to a couple of weeks. However, frequent dose adjustments without medical supervision can make symptoms fluctuate and increase discomfort.

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You increased fluvoxamine to 250 mg, then reduced it back to 200 mg (100 mg twice daily). Your current symptoms (weakness, headache) are commonly due to: • Dose fluctuation effect (sudden increase + decrease) • Mild SSRI side effects • Transient discontinuation-like symptoms after dose reduction Fluvoxamine can cause: • Headache • Fatigue • Weakness • Initial anxiety worsening when dose is changed What to do: ✔ Continue the stable 100 mg twice daily for now ✔ Take it after food ✔ Stay hydrated ✔ Give it 1–2 weeks to settle If symptoms: • Persist beyond 10–14 days • Become severe • Or OCD worsens significantly → Consult your psychiatrist before changing dose again. Do not keep adjusting dose on your own — OCD treatment needs gradual titration.

Hi. To understand your condition better additional information may be needed.Why was the dose increased? Were there some symptoms present at that particular time. And it is unlikely that the OCD symptoms increase after increasing the dose of medications. The symptoms you are experiencing may be part of reduction of the dose which will subside usually within a short period of time. Kindly consult