Hello I am on sertraline 100 and aripiprazole 2mg and atomoxiteine 18mg , my anxiety is in control but feeling tired all the day , my vitamin d and b12 report normal but still feeling tired all the day , tiredness affect my daily work.
Please suggest something.
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Your medications need to be optimised, if symptoms are controlled and some sedative or anxiolytic as Clonazepam or propranolol are being prescribed with above medications, gradually Clonazepam can be tapered.
It will keep you alert and not feel lethargic all day
Medication optimisation should be done under advice of your doctor
You can also do relaxation exercises, meditation, it further keep you active
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Persistent tiredness despite normal vitamin D and B12 and good anxiety control could be due to medication side effects, underlying sleep issues (such as sleep apnea or poor sleep quality), low physical activity, thyroid dysfunction, or residual depression. Aripiprazole and atomoxetine are usually activating, but sertraline at higher doses can sometimes cause fatigue in sensitive individuals. A careful medication review, screening for thyroid profile, sleep quality assessment, and discussion about dose adjustments or timing of doses may help.
Next Steps
• Consult your treating psychiatrist or take a second opinion with any other psychiatrist to review your current regimen, especially medication doses and timings.
• Request basic lab workup including CBC, thyroid function tests, fasting blood sugar, and possibly iron studies.
• Discuss possible gradual medication adjustments if side effects are suspected.
• Consider a sleep hygiene review and evaluation for sleep disorders.
Health Tips
• Do not stop or change any medication on your own; sudden changes can worsen symptoms.
• Maintain a consistent sleep schedule, regular light physical activity, and balanced diet.
• Keep a symptom diary noting fatigue levels, sleep quality, and daily activities to share with your doctor for a clearer picture.
You medicines need to be optimised. You dint mention how you feel emotionally, how are your thoughts with the medication? How is your lifestyle otherwise? Why was atomoxetine given?
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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