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An Antidepressant Clears a Long-COVID Trial

In a 399-person randomized trial, fluvoxamine reduced persistent fatigue and improved reported quality of life.

Published Updated Story ID: mp-2026-07-19-003
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Summary

In a 399-person randomized trial, fluvoxamine reduced persistent fatigue and improved reported quality of life.

The REVIVE-TOGETHER trial enrolled 399 adults in Brazil with fatigue lasting at least 90 days after confirmed SARS-CoV-2 infection. Participants received fluvoxamine, metformin, or placebo for 60 days. Fluvoxamine outperformed placebo on fatigue and quality-of-life measures, while metformin did not improve established fatigue. The adaptive trial offers evidence for one symptom in one study population; the authors say further work must identify who benefits and how the drug fits into broader long-COVID care.

Why it matters

In a 399-person randomized trial, fluvoxamine reduced persistent fatigue and improved reported quality of life.

Limits and context

  • Fluvoxamine outperformed placebo on fatigue and quality-of-life measures, while metformin did not improve established fatigue.

Key claims

  1. In a 399-person randomized trial, fluvoxamine reduced persistent fatigue and improved reported quality of life.

    Qualification: Fluvoxamine outperformed placebo on fatigue and quality-of-life measures, while metformin did not improve established fatigue.

    Evidence: source-2026-07-19-003

Sources

  1. McMaster University via ScienceDaily: Fluvoxamine and long-COVID fatigueMcMaster University via ScienceDaily · secondary reporting

Corrections

No corrections have been recorded for this story.