Re: stopping fluvoxamine
Seems like all the SSRIs and SNRIs are going to cause blood spots. The older TCA ADs are likely to be a better bet. Either amitriptyline, or nortriptyline. Amitriptyline still has a significant effect on serotonin, but less so than SSRIs/SNRIs, with nortriptyline being mostly a noradrenaline, aka norepinephrine, reuptake inhibitor with only a weak impact on serotonin.
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The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.