Suggest Treatment For Continuous Excessive Tiredness And Drowsiness
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Thanks
its a relapse, increasing duvanta will help.
Detailed Answer:
Hello,
You are on duvanta 20mg and were keeping fine on it till a month back...and now you have complaints of tiredness, lethargy and feel difficult to work..fatigued..
The most important thing which misses in your query is -what is your predominant mood now a day??
I guess its sad or low...or is it a combiantion of anxiety and sad..
Was there any stressor a month back or the symptoms came back out of sudden..?
In cases of relapse while bwing on medications ( like the one you are having) its better to look for the reason behind and to avoid it to prevent the next relapse.
The treatment - had i been treating you I would have increased the dose of duvanta by 20mg ( or make it 40mg a day) now and continued it for another six months. This will help your fatigue and also reduce the sleep to your normal timings.
If after raising your dose to 40mg,there is not a sufficient response- you may hike it by another 10 or 20mg.
I would also advise to get thyroid,vit D &vit B 12 levels done and to correct them if found disturbed. This is very helpful in early recovery.
You should also try to remain social (I know it is easier said than done in your situation, but its good for you). Eat more salad and take more water.
I hope the reply helps you. Please feel free to ask more questions for clarification.
Have a speedy recovery!!
Dr. Manisha Gopal
MD Neuropsychiatry