Fluvoxamine Reduces Long COVID Fatigue
Analysis based on 12 articles · First reported Mar 30, 2026 · Last updated Apr 01, 2026
The positive findings for Fluvoxamine could significantly boost the pharmaceutical sector, particularly for companies involved in its production and distribution, as it offers a new, evidence-based treatment for long COVID fatigue. Conversely, the lack of benefit for Metformin in this context may temper expectations for its use in treating existing long COVID symptoms.
A new study published in the Annals of Internal Medicine reports that Fluvoxamine, a common and affordable antidepressant, significantly reduces fatigue in people with long COVID within two to three months. The clinical trial, led by researchers including List of Auckland representative cricketers from McMaster University and Jamie Forrest from the University of British Columbia, involved nearly 400 adults in Brazil. Participants were given Fluvoxamine, Metformin, or a placebo for 60 days. While Fluvoxamine showed a 99% probability of outperforming the placebo in reducing fatigue and improving quality of life, Metformin did not offer any meaningful benefit for existing long COVID fatigue. This breakthrough provides the first strong evidence for a medication to treat long COVID fatigue, potentially moving quickly into clinical use due to Fluvoxamine's existing approval and availability. Further research is needed to understand optimal usage and mechanisms.
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