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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Feeling Exhausted, Depressed, Hair Loss, Weak Memory, Frozen Shoulder. Any Ideas?

I am tired all the time, could sleep for 18 hours and still feel exhausted. I am feeling like I can't hear people. I'm very depressed (I am taking setralone 100mg per day) but it doesn't seem to be working. My hair is falling out and my memory seems to be not working. I'm gaining weight even though I'm on a diet. I've had a frozen shoulder for a couple of years but its seems to have got better since I have up work last year and now just aches occasionally but I seemed to be aching all over
Mon, 26 Aug 2013
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Psychiatrist,  's  Response
Hello,
What you describe is a case of depression and you are already on 100 mg of Sertraline. I suggest you can increase the dose of Sertraline after consulting your treating psychiatrist. Maximum dose is 200 mg per day. Desvenlafexine is the other drug which may help your depression and not give you more sleep.
Your sleep should decrease once your depression improves, meanwhile you can start on Tab. Armodafinil/Modafinil to help you keep awake.
Please check your Hemoglobin, Blood Sugars and Thyroid Profile to rule out other reasons of weakness and excessive sleep.
You also should have regular exercise and healthy diet for your speedy recovery.
Hope your concern is addressed. Feel free to ask any more queries. Take care.
Regards.
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Feeling Exhausted, Depressed, Hair Loss, Weak Memory, Frozen Shoulder. Any Ideas?

Hello, What you describe is a case of depression and you are already on 100 mg of Sertraline. I suggest you can increase the dose of Sertraline after consulting your treating psychiatrist. Maximum dose is 200 mg per day. Desvenlafexine is the other drug which may help your depression and not give you more sleep. Your sleep should decrease once your depression improves, meanwhile you can start on Tab. Armodafinil/Modafinil to help you keep awake. Please check your Hemoglobin, Blood Sugars and Thyroid Profile to rule out other reasons of weakness and excessive sleep. You also should have regular exercise and healthy diet for your speedy recovery. Hope your concern is addressed. Feel free to ask any more queries. Take care. Regards.