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Antidepressants can cause fatigue and tiredness as a common side effect for several reasons. It's important to note that not everyone experiences this side effect, and the specific effects can vary depending on the individual and the type of antidepressant being used. Here are some reasons why antidepressants may lead to increased tiredness:

  1. Serotonin-related effects: Many antidepressants work by increasing the levels of serotonin in the brain, a neurotransmitter that plays a key role in regulating mood and emotions. Higher serotonin levels may impact other brain functions, such as sleep regulation and energy levels, leading to feelings of tiredness or drowsiness.

  2. Histamine release: Some antidepressants can also affect histamine levels in the brain. Histamine is involved in the sleep-wake cycle, and alterations in histamine levels may contribute to feelings of fatigue.

  3. Individual differences: Different people may have varying responses to antidepressants due to their unique biochemistry and genetic makeup. For some individuals, certain antidepressants might have a more pronounced sedative effect, causing increased tiredness.

  4. Adjustment period: When starting antidepressant treatment, it's common to experience side effects during the initial period as your body adjusts to the medication. Fatigue might be one of these temporary side effects that could improve over time.

  5. Dosage: The dosage of the antidepressant can also influence the intensity of side effects. Sometimes, a higher dosage can cause more pronounced tiredness.

  6. Interactions with other medications: If you're taking other medications alongside antidepressants, there might be interactions that contribute to fatigue.

  7. Depressive symptoms: Depression itself can cause fatigue, and some individuals may experience increased tiredness as the antidepressant starts to improve their mood and alleviate depressive symptoms.

It's crucial to discuss any side effects you experience with your healthcare provider. They can help determine if the fatigue is indeed related to the antidepressant and may consider adjusting the dosage or trying a different type of antidepressant if needed. Sometimes, combining antidepressants with other treatment strategies, like therapy or lifestyle changes, can also help manage the side effects and improve overall well-being.

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