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Common Antidepressant May Help People with Long COVID Fatigue

Mayur Tembhare
  1. A global clinical trial found that fluvoxamine reduced fatigue and improved quality of life in adults with long COVID.

  2. The study included 399 adults in Brazil who had experienced ongoing fatigue for at least 90 days after a confirmed SARS-CoV-2 infection.

  3. Fluvoxamine is already widely available and well understood, making it a promising treatment option.

  4. More research is still needed to fully understand the effects of fluvoxamine on long COVID.

Common Antidepressant May Help People with Long COVID Fatigue

Topic: Health

A global clinical trial found that a widely available antidepressant called fluvoxamine can reduce fatigue and improve quality of life in adults with long COVID. The trial, led by McMaster University, included 399 adults in Brazil who had experienced ongoing fatigue for at least 90 days after a confirmed SARS-CoV-2 infection.

A new study has found that a common antidepressant may help people with long COVID fatigue. The study was conducted by researchers from Canada, Brazil, and the United States, and involved 399 adults in Brazil who had experienced ongoing fatigue for at least 90 days after a confirmed SARS-CoV-2 infection.

The researchers tested two existing medications: fluvoxamine (sold under the brand name Luvox) and metformin. They found that fluvoxamine was effective in reducing fatigue, while metformin was not. The study used a special design called an adaptive clinical trial, which allowed them to stop individual treatment groups early once the evidence became clear.

The researchers believe that fluvoxamine has potential as a treatment for long COVID fatigue because it is already widely available and well understood. They also note that more research is still needed to fully understand the effects of fluvoxamine on long COVID.

Long COVID continues to be a major global health challenge, affecting an estimated 65 million people worldwide. Despite its prevalence, there are few treatments supported by strong clinical evidence. This study provides new hope for people with long COVID fatigue, and highlights the importance of continued research into effective treatments.

Why It Matters

This study is important because it shows that a common medication may be able to help people with long COVID fatigue, which can have a significant impact on daily life. With an estimated 65 million people worldwide affected by long COVID, finding effective treatments is crucial.

Key Facts

  • A global clinical trial found that fluvoxamine reduced fatigue and improved quality of life in adults with long COVID.
  • The study included 399 adults in Brazil who had experienced ongoing fatigue for at least 90 days after a confirmed SARS-CoV-2 infection.
  • Fluvoxamine is already widely available and well understood, making it a promising treatment option.
  • More research is still needed to fully understand the effects of fluvoxamine on long COVID.
  • Long COVID affects an estimated 65 million people worldwide.

Key Terms

Fluvoxamine
A widely available antidepressant medication that has been shown to reduce fatigue and improve quality of life in adults with long COVID.
Metformin
A common diabetes medication that was tested as a potential treatment for long COVID fatigue, but did not show significant benefits.

Implications

This study is important because it shows that a common medication may be able to help people with long COVID fatigue, which can have a significant impact on daily life. With an estimated 65 million people worldwide affected by long COVID, finding effective treatments is crucial.

Source: https://www.sciencedaily.com/releases/2026/07/260718010158.htm

Journal reference:

  1. Gilmar Reis, Eduardo Augusto dos Santos Moreira Silva, Daniela Carla Medeiros Silva, Lehana Thabane, Thiago Santiago Ferreira, Luiza Lanna França Reis, Ana Paula Figueiredo Guimaraes Almeida, Marcela Menezes Amaral, Leonardo Cançado Monteiro Savassi, Vitoria Helena de Souza Campos, Maria Izabel Campos Simplicio, Luciene Barra Ribeiro, Thalyne de Souza Medeiros, Thais Campos Siqueira, Taynara Silva Vieira, Nayara Drumond Rausse, Tereza Cristina Garofolo, Eliane Carreiro Fagundes Silva, Ofir Harari, Gennaro D’Urso, Jamie I. Forrest, Jay Park, Jean B. Nachega, Christopher Lindsell, Jeffrey S. Glenn, Kristian Thorlund, Mark Dybul, Edward J. Mills, Gilmar Reis, Eduardo Augusto dos Santos Moreira Silva, Daniela Carla Medeiros Silva, Maria Izabel Campos Simplicio, Mark Dybul, Edward J. Mills, William Cameron, James Orbinski, Sonal Singh, Kristian Thorlund, Jonas Haggstrom, Ana M.R. Nogueira, Nayara S. Drumont, João V.B. Vieira, Kenia S.G. Gonçalves, Aline L.J. Martins, Tainara S. Vieira, Lineria H.M. Suterio, Thiago Santiago Ferreira, Marcela Menezes Amaral, Luciene Barra Ribeiro, Vania Regina Campos, Rosemary Muniz De Oliveira, Carla Stefany Oliveira França, Kenia Sthéfane Guimarães Darcena, Eliane Carreiro Fagundes Silva, Tereza Cristina Garofolo, Nicole Avelar De Rezende Oliveira, Thais Campos Siqueira, Nicole Ferreira Boari, Aline Lucia De Jesus Martins, Luana Grazielle Simplicio De Oliveira De Araujo, Thalyne De Souza Medeiros, Janaina Leyne De A Olveira, Bruno Reis Garcia, João Victor Barbosa Silveira, Larissa Ferreira Couto, Kelly Cristina A. R., Paula Luana Vasconcelos, Vitoria Helena de Souza Campos, Luiza Lanna França Reis, Ingrid Emanuele Da Silva, Onalia Celso Dos Santos, Paula Luana Vasconcelos Santos, Carina Bitarães, Kenia Sthefhane Guimaraes Darcena, Ana Paula Figueiredo Guimaraes De Almeida, Maria Vitoria Soares Cardoso, Mayra Darlliane Loiola Silva, Ivana Aparecida Mendes Veloso, Jessica Oliveira Brandão, Leonardo Cançado Monteiro Savassi, Felipe César Soares, Thais Nara Costa Ferreira, Diniz Antonio Pinheiro, Heron Domingues Guimarães, Augusto Viana da Rocha, Hilton Soares de Oliveira, Tânia Maria de Resende Amaral, Paulo Bigodinho, Nádia Cristina Dias Duarte Tomé, Guilherme Guimarães, Dulce Pimenta Gonçalves, Ângelo Oswaldo, Glauciane Resende do Nascimento. The Effect of Fluvoxamine and Metformin for Fatigue in Patients With Long COVID. Annals of Internal Medicine, 2026; 179 (5): 621 DOI: 10.7326/ANNALS-25-03959

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