When I use hard steroids that makes me crash hard, I find ssri's to prevent the down-mood, depressions etc. Started using cipralex when I came off of tren. Fatigue from SSRI preps are mainly an issue when your coming off them, the withdrawls are pretty nasty. However, the dbol/ssri effect described earlier seems like a very good explaination that I have not really thought about.
Fatigue from this particular SSRI has been an issue for people while ON, not during withdrawal. Might be worth *considering* a change in SSRI (for a couple of months). If it's creating sleep problems, this could be why you're so beat during the day. Just google "cipralex tired" or "cipralex fatigue"
If you prefer the SSRI because of energy / well being feelings, maybe look into replacing it with some other kind of stimulant (adderall, vyvanse) as they also support the release of "rewarding" neurotransmitters (like dopamine / seratonin).
If you just need to get through the day a med commonly prescribed for wakefulness for those with sleep disorders could help (provigil).
If you're still having fatigue issues AFTER you're done with all of the AAS then you probably have your answer via process of elimination.
Lastly, it might be worth checking into your thyroid and adrenals to make sure you're metabolism is straight. Being hypothyroid is no joke, shit ruins lives. Good luck!
Side Effects of Cipralex:
Some common side effects reported with this medicine include:
Difficulty in sleeping (insomnia)
Confusion
Shaking, usually of the hands (tremor)
Disturbances of the gut such as diarrhoea, constipation, nausea, vomiting or abdominal pain
Visual disturbances
Decreased appetite
Fever (pyrexia)
Dizziness
Alteration in taste
Seizures
Sleepiness (somnolence)
Nervousness
Sexual problems
Inflammation of the sinuses (sinusitis)
Pain in the muscles and joints
Increased sweating
Rash or itching