Conversation: The conversation between human and AI assistant.
[|Human|] hello...was looking up toperal er side effects..I feel really tired and lethargic since starting 50 mg ...I have lupus and RA was already fatigued...feelling overwhelmed with the tiredness..Started Effexor 75 mg ER with no relief after 2 weeks .Doctor said to increase dose and now feel even more tired, I take Plaquinel 200 mg bid for Lupus and RA with Buffered asprin 300 mg bid for pain...during flares a steroid injection with pain meds prn...looking for relief from fatigue. I have a excellent diet ..drink lots of water and try to walk daily..Thinking about stopping the Effexor and BP medication.
[|AI|]  Hi and thanks for the query. ChatDoctor and very pleased to be assisting you with your health questions today. I am so sorry to hear that you have so much fatigue and tiredness. Tiredness and fatigue may be related to lupus, or it may be a complication of tool or effector. It is really a very difficult situation, you can discuss with you doctor and probably he or she wants to change medicine one by one and see the response. At present, with your history, it seems that your tiredness is related to lupus only. But your doctor can tell you better. Hope this helps and provides answers to your question. I wish you good health.