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It is also known to interact with many medications, including antidepressants, allergy medicines, birth control pills, cough medicine, immunosuppressants, HIV medicine, sedatives, and many more. TCAs are thought to treat depression by raising levels of serotonin and norepinephrine in the brain. Bupropion prevents SAD, while escitalopram is often used to treat GAD. 3 Rates of depression and suicide have increased, primarily among those younger than 25 years. It's common for people to be confused about why these medications are prescribed for conditions other than depression. As well as specialist treatments for ME/CFS, making lifestyle changes can also help. Serotonin is one of the chemical messengers (neurotransmitters) that carry signals between brain nerve cells (neurons). Remember: if you have depression alongside adrenal fatigue, antidepressants may help your issue. SNRIs can cause sexual side effects Aug 3, 2023 · 3. Gut microbiome: There is significant evidence suggesting that antidepressants SSRIs treat depression by increasing levels of serotonin in the brain. If you use Elavil, Asendin, Sinequan, Anafranil, or Surmontil and have weariness, dry mouth, disorientation, bladder difficulties, or a racing heart, tell your doctor. Blood vessel control. The symptoms May 24, 2023 · St. Fatigue is possible with most antidepressants, but some are more likely to make you feel tired than others, including: Trazodone. The fact that many antidepressants can cause a chemical imbalance and actually deplete various neurochemicals over time could lead to fatigue. In this blog post, we have discussed the best antidepressant to boost your energy and motivation. This makes more serotonin available to improve transmission of messages between neurons. Mar 1, 2023 · The SNRI duloxetine is the only FDA-approved antidepressant for neuropathic pain. Some research also suggests that meditation may be beneficial as well, along with making dietary changes such as reducing gluten and dairy while eating more nutrient-rich, high-fat foods. Though they’re technically called “antidepressants,” these medications are also used to treat many different anxiety disorders — including GAD. All MAOIs—Nardil, Parnate, Emsam, and Marplan—cause tiredness. Dexedrine, which contains dextroamphetamine. For example, antidepressants help treat obsessive-compulsive disorder, social phobia, panic disorder, generalized anxiety disorder (GAD), and post-traumatic stress disorder (PTSD). “These can persist and can prevent people from continuing with their medication Jul 10, 2024 · Symptoms of antidepressant withdrawal most often start about 2-4 days after you stop taking your medicine. The aim of this review article is to summarize the literature published in recent years on how antidepressants affect sleep, as an addition to our and previous reviews on this topic [e. These medications may affect multiple symptoms -- pain, fatigue, depressed mood, and sleep Jul 15, 2022 · A 2020 review of 8 studies found that SAMe, when used alone or with antidepressant medications, improved depressive symptoms in people with MDD. S. SSRIs block the reabsorption (reuptake) of serotonin into neurons. Dec 12, 2022 · The antidepressants in Tables Tables1 1 and and2 2 with COVID-moderating effects, can also reduce stress and anxiety and some have other known or emerging beneficial actions [1, 12]. Mindfulness and May 13, 2022 · irritability. Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a debilitating disorder characterized by prolonged periods of fatigue, chronic pain, depression, and a complex constellation of other symptoms. A quarter of hospitalized older adults meet criteria for major depression. TCAs. Background. Based upon the presented data, we have developed a comparison table of these various antidepressants (Table 1). Dec 15, 2023 · According to Dr. Compatible with the proposed role for serotonin in central fatigue, these antidepressants at best seem to have no positive effect on fatigue per se. But they’re also prescribed for other health conditions, such as chronic pain, migraines, or insomnia. Doxepin. Fatigue and Sleep Disturbances. Seasonal affective disorder (winter depression) is a type of depression that recurs in the autumn and lasts until the spring. Handling Aug 11, 2020 · Some antidepressants, however, can cause significant fatigue. “Fatigue, depression, loss of sense of smell, brain fog and chest pain are the five most common symptoms I see,” said Christian Sandrock, an infectious diseases expert and the director of critical care at UC Davis Medical Center. Its symptoms are similar to those of regular depression, except sufferers are usually very tired and have an increase in their appetite. Antidepressants also have non-FDA-approved, off-label indications. The dosage of medication you are taking. May 24, 2018 · 1. The idea is that the adrenal glands can't keep up with the demands of the ongoing fight-or-flight state in the body that chronic stress causes. duloxetine (Cymbalta), a serotonin-norepinephrine reuptake inhibitor (SNRI), may cause modest weight gain with long-term Sep 30, 2021 · Antidepressants, such as amitriptyline (Elavil) are sometimes prescribed to treat fibromyalgia symptoms. Antidepressants can affect every aspect of sexual functioning and cause decreased libido, problems with arousal, ejaculatory delay, anorgasmia, and erectile dysfunction. Keep in mind that antidepressants are more likely to reduce suicide risk in the long run by improving mood. 4 Older antidepressants have more severe adverse effects. John’s wort may be helpful for some people, but other people may find it worsens their depression symptoms. When it comes down to Adrenal Fatigue one of the key indicators and symptoms, which can alert a person to the real problem, is the ineffectiveness of antidepressants. If your medicine doesn't seem to be working or is causing bothersome side effects, call your health care provider before making any changes. loss of appetite. fatigue, neuropathic pain, hot flushes, etc. You may have nausea, vomiting, cramps, diarrhea, or loss of appetite. However, if adrenal fatigue is the real reason, you will still experience low energy levels and fatigue. TCAs are less selective than other antidepressant medications in the cells that they affect. This activity Apr 17, 2024 · Antidepressants linked to weight loss include: Prozac (fluoxetine): One 2022 study found that adults who took 60 mg of Prozac each day lost an average of six pounds during their initial six months of treatment. • 10 mo. Apr 18, 2019 · These antidepressants include: escitalopram (Lexapro, Cipralex), an SSRI. May 11, 2024 · Sinequan (doxepin) When tricyclic antidepressants (especially amitriptyline) are used for chronic pain, they are usually given in doses much lower than those used for depression, and therefore usually result in fewer side effects. The amount of time you have been taking Jul 31, 2014 · Sexual dysfunction. flu-like symptoms. Amitriptyline is a low-dose tricyclic antidepressant that may be prescribed to help ease muscle pain. After a year, chronic fatigue, dysautonomia and neurological and Jun 14, 2024 · Of all the treatments for fibromyalgia (FMS) and chronic fatigue syndrome (), antidepressants may be the hardest for people to understand. For others, the symptoms are so debilitating that they feel they cannot stop their antidepressant for fear of how it will interfere with their lives. Certain antidepressants are more likely to cause withdrawal symptoms than others. Prozac (Fluoxetine) and Effexor (Venlafaxine Mar 8, 2024 · 4. Learn what factors may be getting in the way, and the various types of antidepressants your doctor may recommend instead. Ginger supplements may work to help regulate emotions and reduce irritability. Among psychostimulants, methylphenidate [ 78 ] and modafinil have also been considered [ 79 ], with some contrasting results [ 80 , 81 ] and further research needed [ 82 ]. Many foods contain specific substances that may help ease symptoms of depression. weakness and fatigue. Depression is more than feeling a little sad or "blue" for a few days. Along with boosting energy and lessening fatigue, exercise also causes your brain to release good-for-you chemicals that help keep you calm. Apr 10, 2024 · Some people claim that adrenal fatigue is a mild form of adrenal insufficiency caused by chronic stress. g. Quitting an antidepressant suddenly may cause symptoms within a day or two, such as: Anxiety. While this review addresses the epidemiology, burden, functional impact and management of fatigue in major depressive disorder, the main focus is on available Jan 7, 2022 · Brain fog is not a diagnosable medical condition, but a term often used to describe a variety of symptoms including difficulty with: Learning new skills. Feb 15, 2023 · An article by Baldwin and Papakostas describes strategies to address fatigue including using antidepressant medications that are less likely to induce or exacerbate fatigue symptoms; using antidepressant medications that are more likely to resolve the fatigue symptoms; and using adjunctive treatments to target residual fatigue and sleepiness in Mar 23, 2023 · Reducing stress, getting adequate sleep, and engaging in physical activity can help with antidepressant withdrawal. Some of the most common drugs that can make you tired are: Antidepressants. It can usually take a few weeks for feelings of sertraline drowsiness and fatigue to subside after starting this antidepressant. For decades, Zoloft has remained one of the most commonly prescribed antidepressants. Mar 15, 2023 · 4. And some patients do not believe that a mental health concern is the primary cause of their symptoms and many refuse medications due to concerns about their side effects. It’s not unusual for long-term antidepressants to stop working. Jun 17, 2024 · Paxil (paroxetine) is generally taken in the morning in order to prevent sleeplessness at night. Take your antidepressant consistently and at the correct dose. Antidepressants can help reduce insomnia, loss of appetite, and fatigue associated with depression. Jul 3, 2024 · Sertraline-induced sedation is a rare side effect of this antidepressant drug. increased side Jul 25, 2022 · Vitamin D supplements can help boost mood and energy levels and regulate neurotransmitters. One of the most commonly reported side effects of some medications is drowsiness. Mar 29, 2012 · The main difference between these conditions is that chronic fatigue syndrome is primarily a physical disorder while depression is a mental health disorder. 8), and pain, sleep, fatigue, and sense of well-being were improved, but there was no improvement in trigger points (O’Malley et al 2000). Jun 7, 2024 · Monoamine oxidase inhibitors are the oldest antidepressants available in the U. They can also help people with problems sleeping—including those with fibromyalgia, a syndrome that causes fatigue, generalized weakness, and pain amplification—to regain normal sleep regimens. The type of antidepressant you will be switching to. Symptoms indicate numerous affected organ systems. 1. However, it may be given at bedtime if it is found to cause drowsiness in the person taking it. “Shortness of breath and anxiety round it out. It’s indicated for fibromyalgia, chronic musculoskeletal pain, and diabetic peripheral neuropathic pain. Mirtazapine (Remeron) Request an Appointment. Antidepressants can be effective for treating a number of conditions, but the choice to start and stop one is very individual. Reply. Although there is no cure, physicians may treat symptoms with medications, such as antidepressants and anti Aug 9, 2017 · Among the most common side effects of antidepressants and residual symptoms leading to incomplete remission from depression are those related to sleep. In contrast, SSRIs and SNRIs are generally well tolerated. Although this constellation of symptoms is highly prevalent in clinical practice, the pathophysiological mechanisms underlying CFS are Jun 16, 2024 · Antidepressants work by reducing depression symptoms such as exhaustion, low mood, loss of interest, restlessness, anxiety, and problems sleeping. sexual problems such as low sex drive, erectile dysfunction, or ejaculation problems. There can be some overlap between the Feb 11, 2022 · Fatigue is the number one symptom seen at the clinic. Jan 29, 2020 · Mental health conditions, such as depression or anxiety, may have symptoms similar to adrenal fatigue and may not respond well to antidepressants and counseling. 35 As mentioned above, one third of Apr 21, 2023 · Exercise. Existing blood tests, according to this theory, aren't sensitive enough to detect a small drop in Dec 4, 2018 · dizziness. That-Group-7347. sexual problems. It’s better to focus on a well-balanced, healthy diet to Apr 25, 2022 · Some will experience only minor symptoms and miss the connection with their antidepressant. Sexual problems, including loss of sexual desire, erectile dysfunction, and others. Jan 1, 2018 · The antidepressant norepinephrine dopamine reuptake inhibitor bupropion has been suggested to reduce cancer-related fatigue [77], based on dopaminergic activity. I nsomnia, but when you do sleep, you experience nightmares, and/or your dreams are more vivid. They also help prevent you from having suicidal Jan 4, 2021 · First among several major findings: Antidepressants “of all types may incur protracted withdrawal potentially lasting months to many years, as has been observed for other psychotropics. We have learned that Wellbutrin (Bupropion) is considered the best one as research has indicated that this antidepressant can significantly help elevate your mood, energy, and motivation. Zoloft. A small number of people find that their medication causes shakiness or tremors. nausea. It may be as simple as adjusting the dose, avoiding alcohol, or taking the drug at a different time of day. Insomnia or vivid dreams. 855-695-4872 Outside of Maryland. ‘I Have the Shakes’. Studies show that psychological support, including cognitive behavioral therapy, can help treat symptoms of chronic fatigue syndrome. It's a very common, serious medical illness that affects your mood and general mental health It can make you feel tired, hopeless, worried, or fearful. Many antidepressants cause side effects that improve with time. "Many people report tiredness or fatigue as a side effect from their medicines. Aug 25, 2023 · The most common side effects of antidepressants are drowsiness and fatigue, gastrointestinal side effects such as nausea, sexual dysfunction, weight gain, and risk of suicide. Aug 8, 2022 · Given that, it makes more sense that they'd be helpful in a condition defined by fatigue. diarrhea. There’s some weak evidence that Zoloft, like Prozac, is less likely to cause sexual side effects. adults 20 to 59 years of age. Bupropion can benefit MS patients suffering from chronic fatigue, as this drug has been clinically shown to improve the fatigue severity scale when tested on a patient with MS (93, 94). May 15, 2022 · Neurotransmitters act throughout the body, and you may experience physical as well as mental effects when you stop taking antidepressants or lower the dose too fast. Some SNRIs, such as venlafaxine (Effexor XR), duloxetine (Cymbalta, Drizalma Sprinkle), milnacipran (Savella) and desvenlafaxine (Pristiq), may help relieve chronic pain. Symptoms are usually mild but they can be moderate or severe in some cases. eggs. Incorporating leafy greens, berries, tomatoes, avocadoes, mushrooms, turkey, salmon, walnuts, milk, and more foods into your diet may help boost your mood. Nutrient-rich foods Feb 5, 2024 · Summary. , diabetic neuropathy), and premenstrual syndrome. Eat a nutritious diet. SSRIs and SNRIs used for GAD include: Jan 30, 2018 · Fatigue is a frequently reported symptom in major depressive disorder, occurring in over 90% of patients. fish. Zabinski, these are some of the factors your healthcare provider will take into consideration when switching your antidepressant medication: The type of antidepressant you are currently taking. These generally improve with time. Drowsiness and Fatigue Drowsiness and dizziness are more common with tricyclic antidepressants (TCAs) or monoamine oxidase inhibitors (MAOIs) than selective serotonin Apr 11, 2019 · Older antidepressants had many hard-to-tolerate side effects, including severe fatigue, dry mouth and eyes, and difficulty urinating. Chronic fatigue is repeatedly a common withdrawal symptom of antidepressant discontinuation, even when medication is very slowly tapered off. Apr 23, 2018 · We included participants receiving antidepressants for other indications (e. While there is a wide range of side effects that taking antidepressant medications can cause, these are the most common: Weight loss or gain. Like all drugs, though, they do have side effects, including effects on sexual function, which can be difficult to talk about, but are important to tell Nov 2, 2023 · Abstract. When switching antidepressants, it’s possible to experience: side effects from the new and old medication. SSRIs may minimise the severity of COVID infections and/or depression mediated by increased cortisol, while clomipramine has anti-inflammatory properties and can Antidepressants can be useful for people with ME/CFS who are in pain or having trouble sleeping. MAOIs cause extreme drowsiness. Best Antidepressant For Adrenal Fatigue. ) only if the criterion of being affected by one of the above‐mentioned depressive conditions was met at the time of enrolment. This effect appears to be dosage dependent since people taking lower doses did not experience such weight loss effects. There are several TCAs available, but four commonly prescribed examples are: Amitriptyline. Another sleep-related symptom of antidepressant withdrawal is having vivid dreams, nightmares or other types of sleep disturbances, which likely contribute to daytime Oct 19, 2016 · Common side-effects include dizziness, headaches and feeling sick. The newer antidepressants, such as SSRIs and SNRIs, have fewer side effects, so MAOIs aren’t used as often INTRODUCTION. Mar 8, 2023 · Hyponatremia (low blood sodium) is a dangerous drop in salt levels in the body, usually experienced by older adults taking antidepressants. It is important to get emotional support, as well as treat your symptoms. +1-410-502-7683 International. Many people with chronic fatigue syndrome are clinically depressed, but that's generally considered a result of the symptoms and change in lifestyle and not a cause of the illness itself. Abstract. Both are commonly prescribed to treat depression. An estimated 10% of people taking sertraline will experience drowsiness. Depressive symptoms, apathy, and fatigue are common symptoms among medically ill older adults and patients with advanced disease. Wellbutrin (bupropion) is another antidepressant that is recommended to be taken in the morning in order to prevent insomnia at night. If you were on mirtazapine for a long time the fatigue could be from the withdrawal yet. 4–8 Jan 2, 2024 · It’s been a year since I made this decision, and since I’m currently recovering from adrenal fatigue, it’s hard to say if anything I’m experiencing now is related to my antidepressant use, except for the concerta (stimulant)- I believe it was a huge contributor to the demise of my adrenal glands. After Covid-19 infection, 12. Comparisons of antidepressants. Recalling information and words. Paroxetine in depressed cancer patients improved depression but not fatigue. Common complaints include the following: Digestive. increased depression. Jan 28, 2024 · Antidepressants While antidepressants are a common treatment, it doesn't mean all people taking them are depressed or have a psychiatric condition. . Feb 13, 2015 · They also indirectly alter the functioning of many others and the exact changes made in the brain aren’t really well-known. On the flip side, studies have found that the Western diet is linked to a heightened risk of depression. According to the review, there is moderate certainty of evidence that SNRIs can alleviate back pain, postoperative pain, fibromyalgia, and neuropathic pain. Has anyone been left with severe fatigue for a long time after stopping mirtazapine, or Jan 29, 2019 · Symptoms of antidepressant withdrawal are sometimes called antidepressant discontinuation syndrome and typically last for a few weeks. paresthesia (tingly feelings in the extremities) shock-like sensations. Jan 16, 2024 · Fatigue levels were assessed using the Visual Analog Fatigue Scale (VAFS) and Fatigue Severity Scale (FSS) questionnaires before and after the trial. It can change your thinking, sleeping, and eating. Obviously you had some bad withdrawal. Adderall, which contains amphetamine and dextroamphetamine. If you or someone you know has suicidal thoughts when taking an antidepressant, immediately contact your doctor or get emergency help. We are not aware of any comparative studies between duloxetine and TCAs. But, again, depression can arise as a less common sign of adrenal fatigue, so people often get confused between these two conditions. sweating. If you experience antidepressant Nov 21, 2019 · Understanding side effects of antidepressants. Insomnia. The studies used doses of 200–3,200 mg and May 26, 2023 · While antidepressants may be the drug of choice for depression, they also have FDA approval as treatments for other medical disorders. Jul 28, 2021 · whole grains. Antidepressants are commonly prescribed medications that help alleviate symptoms of depression and improve mood by balancing certain chemicals in the brain. Antidepressants can cause serotonin syndrome, which - while uncommon - can lead to seizures Jan 8, 2023 · During the first weeks of taking a new antidepressant, you may experience unpleasant side effects, including nausea, weight gain or sleeping problems. 2 (95% confidence interval, 2. Bupropion is one of the few antidepressants not frequently associated with sexual side effects. May 20, 2021 · Antidepressants, however, also have the capacity to alleviate numerous MS symptoms. 34 Citalopram, in idiopathic chronic fatigue, showed no difference with placebo. Around 40% of Jul 19, 2019 · This is important for discovering new antidepressant treatments but is even more important for treatment of fatigue, given that there are few existing treatments, often with unclear efficacy. fatigue (lack of energy) headaches Jan 19, 2022 · weight gain. Jan 26, 2022 · Antidepressants are prescription medicines to treat depression. Adrenal fatigue and depressive symptoms might overlap in a few points. Fatigue is a common side effect of antidepressants. When your doctor recommends an antidepressant to fight depression—such as selective serotonin reuptake inhibitors (SSRIs) or serotonin and norepinephrine reuptake inhibitors (SNRIs)—it’s about more than just boosting your mood. Antidepressants can help relieve the symptoms of depression and anxiety. Serotonin and norepinephrine reuptake inhibitors (SNRIs). Many people report improvement with side effects after a few weeks, but ongoing drowsiness and fatigue can make it difficult to manage daily responsibilities, such as concentrating at work or school. Jan 26, 2024 · Summary. Tricyclic antidepressants. Image: AlexRaths/Thinkstock. In addition, further studies should be done to examine whether previous immune activation due to sepsis or interferon treatments, for example, can Sep 25, 2023 · Getty Images. Mar 1, 2022 · The following article discusses the best antidepressant for adrenal fatigue and other possible remedies. It can take the brain a while to return to baseline from taking antidepressants. However, no food will cure the disease. Jul 20, 2023 · Likewise, antidepressants can also be prescribed as a treatment for medical conditions such as fibromyalgia, chronic fatigue, neuropathy (e. 4 days ago · More-commonly prescribed antidepressants in this category include trazodone, mirtazapine (Remeron), vortioxetine (Trintellix), vilazodone (Viibryd) and bupropion (Forfivo XL, Wellbutrin SR, others). One type of antidepressant called tricyclics can make you feel tired and sleepy. Oct 8, 2023 · Medications That Cause Fatigue. Currently, ME/CFS has no known cause, nor are the mechanisms of illness well understood. People with chronic pain often develop depression along with their chronic pain. sleepiness or drowsiness. ago. Aug 3, 2023 · Wellbutrin (bupropion) and Lexapro (escitalopram) are antidepressant medications. Image: iStock. The best antidepressant for anxiety and depression depends on a lot of personal factors, such as your symptoms, medical Oct 5, 2019 · Anyone taking an antidepressant should be watched closely for worsening depression or unusual behavior. healthy fats, especially olive oil. N ausea, which may include vomiting. Common examples include selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), and SSRIs treat depression by increasing levels of serotonin in the brain. 1 Among patients with advanced disease receiving palliative care, the prevalence of major depression is approximately 15%, with clinically significant depressive symptoms Feb 8, 2021 · There are risks when you stop antidepressants. insomnia. Sep 27, 2019 · Antidepressant side effects are difficult to distinguish from symptoms of depressed mood. Clinical presentations of fatigue within major depressive disorder encompass overlapping physical, cognitive and emotional aspects. It typically includes foods Oct 4, 2021 · Now, in some good news, a pilot study has shown that depressed patients who have suffered from COVID respond better to standard antidepressants than do people who have not had COVID. And while Mar 23, 2022 · Key takeaways: Out of 4,000 consumer reviews, about 60% of people who tried Effexor (venlafaxine), Cymbalta (duloxetine), Prozac (fluoxetine), Zoloft (sertraline), or Celexa (citalopram) said the medication was worth it. Symptoms include headache, muscle pain, disorientation Oct 1, 2019 · What to do when medication makes you sleepy. But it’s also the SSRI that’s most likely to cause diarrhea and other stomach side problems. anxiety. Another way they differ is that Wellbutrin is not approved for use in children or adolescents, while Lexapro is. As for side effects, duloxetine may cause nausea, somnolence, dizziness, and fatigue. 410-955-5000 Maryland. 9 SSRIs are more likely to cause sexual adverse effects than are noradrenergic drugs. 6–6. 5% develops post-Covid-syndrome (PCS). Dec 5, 2021 · However, if the root of your depression is adrenal fatigue, antidepressants are likely ineffective. Diet and supplements Jun 9, 2024 · Symptoms of antidepressant discontinuation syndrome can be easily remembered using the mnemonic FINISH: F lu-like symptoms such as headaches, achiness, sweating, fatigue, and lethargy. Prevalence rates up to 80% have been reported. Fatigue accounts for one of the most prevalent symptoms among MS patients 4 days ago · More-commonly prescribed antidepressants in this category include trazodone, mirtazapine (Remeron), vortioxetine (Trintellix), vilazodone (Viibryd) and bupropion (Forfivo XL, Wellbutrin SR, others). Apr 22, 2024 · Antidepressant medications are used to treat depression and anxiety. Nortriptyline (Pamelor). taking antidepressants or corticosteroids Feb 4, 2006 · A second meta-analysis found that the odds ratio for improvement with antidepressants (mainly TCAs but also including some other antidepressants) was 4. Fatigue. As a caveat, please note that there have Jan 22, 2024 · Conclusion. Lifestyle changes. For many people, SSRIs and SNRIs are a great first-choice treatment for generalized anxiety. Desipramine (Norpramin). ”. Too Mar 4, 2021 · Second‐generation antidepressants for winter depression. Symptoms of antidepressant discontinuation syndrome include:  . Complications Chronic fatigue can lead to more severe depression and increased medical costs, according to a 2015 study . If this sounds like something you are going through, it could definitely be a signal that Adrenal Fatigue may be the primary problem at hand. CFS is a stressful disease. Chronic fatigue syndrome (CFS) is characterized by chronic, medically unexplained fatigue associated with effort- and stress-intolerance, widespread pain, and impairment in sleep and concentration. Antidepressants are the most commonly prescribed medications for U. Common side effects may include blurred vision, weight gain, and sleepiness. Individuals may experience one or more of the following when coming off antidepressants: flu-like symptoms, such as chills and muscle aches. The most popular stimulants prescribed for chronic fatigue syndrome include: Ritalin and Concerta, which contain methylphenidate. constipation. Nov 28, 2023 · Yes. See if the side effects improve. ta nx px dj oq zy qf zi qr cl