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Lake City, FL
A 23-year-old female asked:

Having trouble sleeping. i lay down at 8 but don't fall asleep till 4am. my dr. said its depression and prescribed me 20 mg prozac (fluoxetine)?

3 doctor answers5 doctors weighed in
Dr. Suzanne Fiala
Family Medicine 31 years experience
Possibly so: One of the symptoms of depression is sleep days regulation: seratonin, a brain neurochemical, affects mood as well as sleep. Prozac (fluoxetine) is a common antidepressant that enhances seratonin levels in the brain. If this is the cause of your insomnia, you should find your sleep cycles beginning to improve within a few weeks to months. Hang in there and give it a try.
Dr. Heidi Fowler
Psychiatry 26 years experience
Prozac is an SSRI: & is an appropriate choice for TX of depression. Somnolence can occur in up to 17% of people who take it. Hopefully, sleep will begin normalizing. Sleep hygiene is key. Retire & rise same time each day. Bedroom should be dark & cool - used only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep.
Dr. Judith Tellerman
Clinical Psychology 43 years experience
Best to discuss medication & possible sleep study with your Psychiatrist. If uncomfortable with your Dr. consult another for a second opinion. Have a physical exam by a Dr. to determine if you have a physical illness. Consult with a Clinical Psychologist for psychotherapy with ZOOM. Fears & anxiety could be heightened due to the Covid-19 pandemic. Stay safe & hopeful to elevate your immune system.

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