Dysthymia, anxiety, insomnia last 20 years. Doctor prescribed me tab d veniz 50, tab tofisofam 50, tab melatonin 5 mg. I have also prediabetes, (fasting blood sugar 100, post prandial 160) grade 2 fatty liver. Can I take desvenlafaxine, tofisofam any raise blood sugar lever these medicines. Sertraline loose stool, escitalopram loose stool, fluoxetine loose stool, paroxetine more lethargy, mirtaz more sedation, duloxetine also taken for 1 year I got a blood sugar, tab venlafaxine also taken which is best for me sir/ madam. Now I am taking fluoxetine 40, inderal 40, clonazepam 0.25.

Anxiety

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Dr. Ankit Sinha Md Psychiatry In Pgi ChandigarhPsychiatrist9yrs exp

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Usually fluoxetine to be avoided in diabetic patients but if you have improvement with fluoxetine with controlled sugar level then you can continue with it or if you have good response with venlafaxine in past with controlled side effects then you can discuss with your doctor and inform him about your improvement with venlafaxine.

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Dr. Sartaj DeepakPsychiatrist12yrs exp

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Yes, you can take. There is less likelihood of causing diarrhoea and would be effective for you, especially when venlafaxine worked well for you. The combination won't be having any adverse effect on your blood sugar level. Regards.

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