Illustration showing long COVID patients revitalized by fluvoxamine treatment in a clinical trial, with scientists and physician highlighting study results.
Illustration showing long COVID patients revitalized by fluvoxamine treatment in a clinical trial, with scientists and physician highlighting study results.
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Fluvoxamine eases severe fatigue in long COVID patients

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A study shows the antidepressant fluvoxamine reduces severe fatigue in long COVID patients. In a randomized trial of 399 adults, it was compared with metformin and placebo. Physician Judith Bruchfeld describes the findings as interesting.

A new study, reported by Dagens Medicin, examined treatments for severe fatigue in adults with long COVID – fatigue that does not improve with rest. 399 patients were randomized to receive fluvoxamine, the type 2 diabetes drug metformin, or placebo.

Fluvoxamine, used for depression, effectively reduced fatigue. Metformin and placebo showed no comparable effect in the study.

"These are interesting data from a well-conducted study. Fluvoxamine is a well-known drug with relatively few side effects and something that can be tested clinically on selected patients," says Judith Bruchfeld, senior physician in infectious medicine at Karolinska University Hospital who researches long COVID, to the newspaper.

The drug is sold in Sweden as Fevarin but is not subsidized.

Cosa dice la gente

Reactions on X to the fluvoxamine long COVID fatigue study are cautiously optimistic, with medical professionals and patients noting its RCT design and significant fatigue reduction versus placebo. Skeptics highlight the modest clinical effect size and lack of mechanistic data. Metformin showed no benefit, and some raised concerns about SSRI side effects.

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