system
How can severe depression along with fatigue be treated?
human
Dear Dr. Andrew, How are your Sir. I need some expert advice from you about my mother. My mother is 68 years old. Many years ago she had undergone Golbladder Stone operations; Tumor operations in stomach; Eye operations and Appendix operations. She suffered stroke 5 years back; She have issues of brain not functioning properly; have sound sleep issues for many many years; she is also suffering from Corn for many many years; she was suffering from acute high pressure, now high bottomline; have some neurological and physiological issues; suffering from depression; weakness ( cannot work as she was working earlier ); she cannot stand or sit for more than 15-20 minutes at a go; she had lost urge to eat foods; she cannot gossip for more than 10 minutes, as stated she is unable to use her brain; recently detected high Thyroid and Vitamin D deficiency. Course for Vitamin D done as advised Vitamin D3 60 K capsules once a week for 8 weeks. As recommended by doctors she is having Thyronorm 75( For Thyroid ) at around 7 am and Amlodipine S 2.5 ( For pressure ) at 8 am. After breakfast she used to Serta 50 and Premipex .125. Post Lunch she used to take a multivitamin Cobadex Forte. After dinner she used to take Nexito 10 and Premipex .125 on regular basis. Sleeping tablets Alzolam.25 / 5 or Nightrest 5 as and when required. Need your valuable guidance. Regards, Prabal Basu Ray Kolkata, India
gpt
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After stroke depression is common. As she is 68 yrs old medications are increased gradually. She is already on Nexito and Serta which are anti depressants. They usually take some time to show its effect. Fatigue is a part of depression. As depression will resolve these symptoms will recover on its own. Nexito is a activating drug and can cause insomnia in many. If there is a issue regarding the same it can be shifted to day time. Hope I have answered your query. Let me know if I can assist you further.