I have chronic fatigue. Feel tired every second of every day. Just wondering if Lexapro helps fatigue.
Hi, beepboop! From eMedicine:
*Antidepressants do not cure CFS. They may relieve symptoms such as fatigue, sleep problems, difficulty concentrating, and pain. But they will not affect the course of the illness or the speed of recovery. Antidepressants that are commonly used to treat chronic fatigue syndrome (CFS) include:
Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (for example, Prozac), paroxetine (Paxil), sertraline (Zoloft), citalopram (Celexa), and escitalopram (Lexapro).
Tricyclic antidepressants, such as amitriptyline, desipramine (Norpramin), imipramine (Tofranil), and nortriptyline (Pamelor).
Other antidepressants, such as bupropion (Wellbutrin), trazodone, venlafaxine (Effexor), and mirtazapine (Remeron).
When these medicines are used to treat CFS, they may be given in lower doses than the amounts used to treat depression
The choice of medicine may depend on the symptoms that are most bothersome, because each medicine has somewhat different side effects. For example:
If you have trouble sleeping, you may need a medicine to take at bedtime that causes drowsiness.
If you have trouble concentrating on daily tasks, you may need a medicine to take during the day that can help with concentration and clear thinking.
If depression has been diagnosed along with CFS, antidepressants may be used to treat depression also.
Best wishes, WCV
beepboop; If you have not yet done this get your blood tested which could show why you have chronic Fatigue unless it is from depression. In which case if the Lexapro works for you it won't help but just getting out of the dumps should help. pick you up.But if it's from a medical problem the Lexapro won't do anything for it.
It's very person-dependent; some people report increased energy, some increased fatigue and others no change. Sometimes the fatigue increase from anti-depressants (or other medications) is only a temporary symptom that stabilizes as you take the medication long enough.
Medication may not always be needed - a good and frequent physiotherapy plan (with quality therapists) could even increase energy levels alone, or be used in conjunction with medication if your doctor approves and it helps. As can nutritional counseling or medical stimulants. Again, it's very person-dependent, but the least effective dose is best, so taking it slow and trying natural (doctor approved) first may not help fatigue in the end, but it may help with peace of mind to know all avenues were pursued if you're concerned about the medication recommendations.
Other proven helpful methods include many types of therapy, cognitive and physical.
Although counterintuitive to many, it's essential for keeping fatigue from worsening that a minimum of 15 minutes each day are used for stretching, yoga, tai chi or another gentle movement exercise. This keeps the body safe from risks due to lack of movement and is shown to help fatigue levels, and pain levels for applicable patients. It's very important to keep exercise type and time at an appropriate level. Too much exertion is NOT good and can cause increased fatigue - so it's important to 'know your body' and be able to set appropriate limits.
- Lexapro Information for Consumers
- Lexapro Information for Healthcare Professionals (includes dosage details)
- Side Effects of Lexapro (detailed)
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