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Persistent fatigue and insomnia
I was suffering from constant fatigue and insomnia from a long period of time . Tsh,na ,k ,mg,cbc,diabetics profile ,lft normal ,vitamin b12 ,vitamin d normal. Doctor prescribed me fluoxetine 10mg in the morning and clonazepam 0.25 mg at night. All my fatigue went magically and I could do everything , went for long walks without getting tired. But after 2 weeks symptoms returned ,now even after 30 mins water muscles are paining and the fatigue has returned. Pls suggest why ? Should I stick to the medicine or change ??
Answers (14)
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You're on fluoxetine 10 mg (morning) and clonazepam 0.25 mg (night) for fatigue and insomnia. Initially, you felt much better, but symptoms like fatigue and muscle pain have returned after 2 weeks.
Next Steps
Possible Reasons:
Early response faded as your body adjusted.
Medication dose may be too low.
Conditions like chronic fatigue syndrome or fibromyalgia could be involved.
Health Tips
What to Do:
Continue medication for now — don't stop on your own.
Follow up with your doctor to review:
Dose adjustment
Possible switch in medicine
Rule out other conditions
Consider additional tests: ANA, CRP, CK, ferritin, thyroid antibodies.
Track your symptoms daily for better assessment.
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Take tab antoxid one morning and one evening for 30 days. Avoid fried, spicy, food and take more of fresh green vegetables, fruits, sprouts, healthy milk products, fish.
Do regular physical exercise, try to sleep and wake up at fixed time daily, this will help in setting the biological clock.
Learn to relax adequately.
Next Steps
On adv of your Dr. slowly reduce and stop fluxetine and clonazepam.
For pain, if more take tab paracetamol 500mg one every 8hours for 3 to 4 days.
consult online for further guidance.
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Hello,
Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Need few more details
Kindly connect
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Sometimes the medicine is the best choice and sometimes not so best
I think first of you should to the mandatory tests as you mentioned once again and then if it is still normal it’s in your normal routine that we can find the answer to i can definitely provide some tips to solve your problems
Next Steps
Consult me
Health Tips
Don’t get addicted or privileged to the benzodiazepines you’re taking
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Mmm.. I am still think I of the purpose of fluoxetin and clonazepam. Both are sedative to an extent.
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I can definitely help you over this being a general physician
You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Dr. Hareeshma K Viswanath
Psychiatrist
2 yrs exp
Ernakulam
Connect
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Continue same meds
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take supplements
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gurteshwar Singh
General Physician
3 yrs exp
Patiala
I would say you should change your medicine . My advise would be you should get iron profile done and start tab Supradyn . And for insomnia you can consult me I can advise you best alternative
Next Steps
Do consult me
Health Tips
Don’t get used to / addicted to Clonazepam ( benzo)
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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.