The effectiveness of Fevarin (fluvoxamine) in the treatment of autonomic disorders and comorbid neurotic conditions


Fevarin, Phenazepam, adaptation disorder

Tatiana, St. Petersburg

October 21, 2021

Good afternoon. Dear doctors, please help me understand my condition. Woman, 31 years old. In June-July of this year, my husband and I got sick with Covid, and my mother died, also from Covid (cytokine storm). She and I had not lived together for many years, but we constantly called each other, the relationship was good. These two months I was very nervous and worried, because I am a sensitive person in life. But not a hypochondriac. On the contrary, I was rather indifferent to my health. But after everything I had experienced (and also the post-Covid syndrome hit me), I began to listen to my body, and if something tingled somewhere, I immediately felt nervousness and anxiety. Adding to the nervousness were surges in blood pressure (up to 165/110, 110 pulse), loss of appetite, nausea, especially in the morning (I took 2 pregnancy tests out of fear, but the answer was negative). There were also a lot of difficult uncontrollable thoughts, fear of death, fear of getting infected with Covid again, losing other loved ones, helplessness and powerlessness in front of the situation as a whole. It was terrifying that any person could die just like that. All this was spinning in my head, incessantly, poisoning my life. As a result, I couldn’t stand it and in mid-August I went to a psychotherapist. She diagnosed “nervous exhaustion” and prescribed Phenibut 3 times a day, 1 tablet. For a month. At first there was some positive effect, it seemed like I even had strength. But it ended quickly. I tried to be distracted by something, it worked for a while, then I simply didn’t have enough strength. She often cried, although there seemed to be no anxious or difficult thoughts in her head. But it was as if there was some kind of black stone inside. It’s hard, my mood is at zero, I don’t want to do anything. Well, or maybe one day the mood will improve a little, but then suddenly it will start to deteriorate by itself, especially in the evenings. On October 11, I went to see a psychotherapist again, this time to a different one. She diagnosed “adjustment disorder” and prescribed Fevarin, 50 mg. The first 2 days, take half a tablet, then a whole tablet. On the 19th, I ran to the doctor again, because after Fevarin I developed terrible anxiety, depression, and could hardly sleep. Well, and the usual pressure surges and nausea. The doctor prescribed Phenazepam. 2 mg, divided into 4 doses per day. For 2 week. This is the third day I have been taking Phenazepam. It really removes anxiety and relaxes you. But depression and bad mood remain. I have repeatedly seen doctors’ answers about Fevarin on this site - they say that it begins to act from the 2-5th week. That is, my condition suggests that Fevarin simply hasn’t worked yet, right (I’m currently taking it for the 10th day)? Should I continue taking it and wait for the effect? But Phenazepam was not supposed to improve mood, only relieve anxiety and improve sleep. Right? And another question about anxiety from Fevarin. Should she then pass? Or will it remain like this for the entire duration of taking the drug? And about pressure surges. I did fitness, my blood pressure was fine, or at least it didn’t get bad. Does this mean that the pressure surges are caused, so to speak, by my current anxiety nerves? I still think that until my condition improves, I shouldn’t contact other doctors about my blood pressure. But if I finally calm down and return to my old life, but the pressure surges remain, then yes, I probably should. And in general, when should you measure your blood pressure and take pills for it? It happens that I feel quite well, but my blood pressure is 145 over 100. My normal blood pressure is probably 120-130, I don’t know for sure, because before, before everything that happened, I somehow didn’t measure much. I am also overweight, and I lead a sedentary lifestyle. Thanks in advance for your answers.

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pressure

anxiety

phenazepam

Fevarin

adjustment disorder

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