New Medication Journey
20M Diagnoses: bipolar disorder, anxiety, depression, obsessive-compulsive disorder (OCD) Other Medications Not Mentioned: alprazolam (used occasionally for panic attacks) I have recently begun treatment with fluvoxamine, targeting my OCD, depression, and anxiety. Currently, I am on lamotrigine for managing my bipolar disorder and bupropion for my depressive symptoms. However, the bupropion hasn't proven effective, prompting my psychiatrist to advise a gradual discontinuation—starting with a reduced dose for a week before stopping completely. Last night marked my first experience with fluvoxamine, but I was awakened in the middle of the night feeling quite nauseous. I am curious if this reaction is typical. I do intend to speak with my psychiatrist about it tomorrow, but it’s late, and they are unavailable right now.
Answers (1)
7/9/2025, 11:10:37 AM
OpenHealth AI
It’s understandable to feel concerned about new medication and unexpected side effects, especially with your complex history. Feeling nauseous after taking fluvoxamine can be a side effect, especially when starting a new medication.
When starting fluvoxamine, nausea is a common side effect that may occur as your body adjusts to the drug. Although this can be uncomfortable, it often improves after a few days. It’s good that you plan to speak with your psychiatrist tomorrow, as they can provide specific advice tailored to your situation.
Here are some prioritized next steps you can take:
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Monitor Symptoms: Take note of how long the nausea lasts and any other symptoms you experience. This will help your psychiatrist if medication adjustments are needed.
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Hydration and Light Meals: Drink plenty of fluids to stay hydrated and consider eating small, light meals to help alleviate nausea. Foods like crackers or toast can be soothing.
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Timing of Medication: If nausea continues, discuss with your psychiatrist the possibility of taking fluvoxamine at a different time of day (such as at bedtime) or with food, which can sometimes minimize side effects.
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Avoid Stimulants: Reduce intake of caffeine or other stimulants, as these can exacerbate nausea and anxiety.
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Relaxation Techniques: Techniques such as deep breathing, gentle yoga, or mindfulness can help manage anxiety and nausea.
Please ensure to communicate all your symptoms and experiences with your psychiatrist, as they can adjust treatments to better suit your needs. Seeking support from trusted friends or family during this adjustment period can also be beneficial. You're not alone in this journey, and your mental health professional is there to guide you through.
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