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Doctor insights on: Prozac For Atypical Depression

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Can Prozac (fluoxetine) accelerate depression?

Can Prozac (fluoxetine) accelerate depression?

Prozac (fluoxetine): One old hypothesis was that some severely depressed patients who had thoughts of self-harm & had no energy to carry on the act, when given medication that gave them extra energy fast, that they carried on the act of self-harm before they had the chance to work thru their depression. Again, this is only hypothetical, since data re. The subject are scarce & not much is written about it. ...Read more

Dr. Pamela Pappas
4,598 Doctors shared insights

Depression (Definition)

Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more


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Is Prozac (fluoxetine) a good medication for depression?

Is Prozac (fluoxetine) a good medication for depression?

Excellent: Inexpensive also but like anything else, it's all about you and what works for you. Talk to your doctor. Sometimes we try several until we find what works best for you. ...Read more

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Could not taking my Prozac (fluoxetine) for 2 weeks cause my depression to become worse?

Yes: Although Prozac (fluoxetine) is metabolized very slowly in the body, missing multiple doses can lead to a relapse. Most serotonin drugs are not effective until they are taken for several weeks in a row. Please take all medications as prescribed. If you cannot tolerate a medication due to a side effect, consult your physician on how to stop it. ...Read more

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I am just starting Prozac (fluoxetine) and was wondering what will happen if my depression increases?

Depression: Prozac (fluoxetine) and similar medications can take several weeks to reach full effectiveness. After and even within that time period, if your depression worsens, it will be important to contact your physician, as you may need a change in dosage or to shift to a different medication. However giving the medication time to work is an important piece of starting an antidepressant. ...Read more

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What are the long term side effects of using prozac (fluoxetine)? I currently use it for my depression.

What are the long term side effects of using prozac (fluoxetine)? I currently use it for my depression.

There are issues: I agree with dr. Lindenbaum about prozac's relative safety, but there are issues in some people. You may never experience any problem, and your doctor may have prescribed it appropriately (for moderate to severe depression). But some have had movement disorders or "tics" develop - which may or may not go away. You may want to read dr. Joseph glenmullen's well-researched book "prozac backlash.". ...Read more

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Is it true when starting Prozac (fluoxetine) that anxiety/depression can get worse before getting better?

Is it true when starting Prozac (fluoxetine) that anxiety/depression can get worse before getting better?

Yes: Unfortunately, it usually takes 2+ weeks for the good effects of antidepressants to start, while side-effects can happen right away. Prozac (fluoxetine) is a relatively activating or stimulating antidepressant. It can worsen anxiety, especially at first. (in fact, if anxiety was a major problem, I might choose a different ssri in the first place.) the prescribing doc should help with any side effects. ...Read more

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I would like Prozac (fluoxetine) not for depression but to lower my sexdrive. Could I lie to my dr. And get some?

Why lie?: It is an off label but legitimate use for prozac (fluoxetine). However, bipolar disorder does need to be ruled out as a cause of your elevated sex drive or else Prozac (fluoxetine) could actually make it worse. Please be very straightforward with your physician and I think you will be rewarded with good results. Best wishes. ...Read more

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I am 65 yr old female would taking 20 mg of Prozac (fluoxetine) every other day be beneficial for depression and anxiety?

I am 65 yr old female would taking 20 mg of Prozac (fluoxetine) every other day be beneficial for depression and anxiety?

Why every other day?: Prozac (fluoxetine), (fluoxetine) along with other antidepressant medications, are dosed either daily or twice daily, depending on the medication. Prozac (fluoxetine) is designed to be dosed once a day, and is recommended it be taken that way. Also, it would be much easier to remember to take it daily. There is a formulation of Prozac (fluoxetine) that is taken once a week, called Prozac (fluoxetine) Weekly. Hope this information is helpful. All the best. ...Read more

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I am suffering with antenatal depression and just been prescribed prozac (fluoxetine). Should I try it out for a bit before returning to work?

I am suffering with antenatal depression and just been prescribed prozac (fluoxetine). Should I try it out for a bit before returning to work?

Pregnant & depressed: Being pregnant and depressed is not easy. Please don't assume Prozac (fluoxetine) should be your sole treatment of depression. Results are much better when combined with psychotherapy, so please make sure this is part of your treatment. Timing your return to work depends on your discussions with your psychiarist & your therapist. Prozac (fluoxetine) will take 4-6 weeks to show effectiveness. ...Read more

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Taking 60 mg prozac (fluoxetine). Really struggling w/ depression. Feel hopeless and lifeless and its hard to care anymore. I want to feel better again?

Taking 60 mg prozac (fluoxetine). Really struggling w/ depression. Feel hopeless and lifeless and its hard to care anymore. I want to feel better again?

There's hope..: Here are some things i'd like to know: who is treating you? Your family doc or a psychiatrist? How long have you been on Prozac (fluoxetine) at this dose? Have you been on any other meds, either alone or with the prozac (fluoxetine)? Are you seeing a therapist? You need to see your doctor and let them know how bad you are feeling. Get a referral for a therapist if you don't have one. You can feel a lot better! ...Read more

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I was put on Prozac (fluoxetine) for severe depression, how many years is the recovery usually?

I was put on Prozac (fluoxetine) for severe depression, how many years is the recovery usually?

Weeks, not years: You may feel better in a matter of weeks, not years! If this is your first serious depression and treatment goes well, you may be able to stop Prozac (fluoxetine) after 6-12 months. If you've had more than one episode, your doctor will want you to take medicine longer as a precaution. It's possible for depression to last years, but usually not, especially not if treated. Good luck. ...Read more

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Is there a non-medication that will make my Prozac (fluoxetine) stronger or make anxiety/depression lower?

Is there a non-medication that will make my Prozac (fluoxetine) stronger or make anxiety/depression lower?

Please don't mix: Natural meds/supplements w/prescription drugs. It changes the dose and makes it unclear as to what is working. Talk w/your doc. He/she may have some suggestions. Exercise and healthy diet is a better choice. ...Read more

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I am having feelings of worthlessness and depression. I question if Prozac is the right drug for me now.?

I am having feelings of worthlessness and depression. I question if Prozac is the right drug for me now.?

Depression: Prozac MAY be helpful, or another medication your doc prescribes, Please see a mental health pro such as a clinical psychologist to get to the root of the situation. Cognitive behavioral therapy is one useful treatment but the therapist may have others. America is a "give me a pill" culture but working at the real issue is often more effective. Peace and good health. ...Read more

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What to do if I have been on various depression med's for over 8 years after stoping Prozac (fluoxetine) but now that I'm back on it i?

What to do if I have been on various depression med's for over 8 years after stoping Prozac (fluoxetine) but now that I'm back on it i?

Keep asking: Keep taking your meds as prescribed by your doctor. What else are you doing to manage your depression? Meds alone are usually not enough. Ask your doctor about psychotherapy if you haven't already. Find ways to support yourself emotionally and physically. Best wishes and good luck! ...Read more

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I have been taking Prozac (fluoxetine) for my depression for the first couple of months I was even more unstable and very suicidal. What would have caused this?

I have been taking Prozac (fluoxetine) for my depression for the first couple of months I was even more unstable and very suicidal. What would have caused this?

Antidepressants: Not all antidepressants are for everyone. Your psychiatrist will help you select the right medication for you. We can not pinpoint what the exact cause was in your particular case. A black box warning exist for some antidepressants, mentioning situation like the one you describe. Discuss it with your dr. ...Read more

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I have been on anti-depressions for years, celxa, Paxil (paroxetine) and prozac, I'm don't feel like it helps anymore. Can you become immune to it after so long!?

I have been on anti-depressions for years, celxa, Paxil (paroxetine) and prozac, I'm don't feel like it helps anymore. Can you become immune to it after so long!?

Not immune: Immunity doesn't happen, but sometimes people may not respond as well to a single medication over time, or life stresses may cause depression to overtake a medication. The best thing to do is to keep working with your psychiatrist as there are many combinations of medications. Also consider psychotherapy along with medication, as the two together can be more effective. Hope this answer helps. ...Read more

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Does higher Prozac (fluoxetine) dosage mean its more potent? Or how does that work, I'm going from 20 to 40mg (DR) will this decrease my panic atks/depression more

Does higher Prozac (fluoxetine) dosage mean its more potent? Or how does that work, I'm going from 20 to 40mg (DR) will this decrease my panic atks/depression more

That's the hope: The 20 mg was a lower starting dose. If that did not completely control your symptoms after 4-6 weeks then it is appropriate to increase to 40 mg. The maximum dose is 80mg. ...Read more

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If a person with tx-resistant depression is put on 80mg Prozac (fluoxetine) for a wk and has no side effects or reported benefits, does it make sense to try 120mg?

If a person with tx-resistant depression is put on 80mg Prozac (fluoxetine) for a wk and has no side effects or reported benefits, does it make sense to try 120mg?

Work w/your doctor: This is something that you really need to work with your own physician on. 80mg/day is quite a large dose already --and personally, I wouldn't change the dose after only a week. You and your doctor need to decide when Prozac (fluoxetine) is at its maximal dose for you, and when augmentation strategies are needed as well. Deplin (prescription folate) and other things, including psychotherapy, are options. ...Read more

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I take prozac (fluoxetine), (fluoxetine) would taking procera avh or brainalert conflict with prozac (fluoxetine)? I have major depression otherwise am quite healthy

I take prozac (fluoxetine), (fluoxetine) would taking procera avh or brainalert conflict with prozac (fluoxetine)? I have major depression otherwise am quite healthy

Do not mix these.: Both of these are supplements, which means they are unregulated and untested. Based on the ingredients they report to have, you could have a serious interaction. Brainalert has also been found potentially dangerous by the FDA:
https://www. Fda. Gov/ICECI/EnforcementActions/WarningLetters/2017/ucm589575.htm

Please do not mix these with Prozac. Speak to your prescriber if you have cognitive concerns. ...Read more

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I am taking Prozac (fluoxetine) for depression. My wife and I are trying to have a baby and its not working. Can it have to do with the prozac (fluoxetine)? what can be done

FERTILITY: This is a bit more complicated not clear if Prozac (fluoxetine) affects male fertility. I am not sure if you have seen a fertility specialist to see if there are other causes and that ought to be the first step. ...Read more

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What do you recommend if I take 20mg of prozac (fluoxetine) evert day for depression; yesterday I bought some st johns wort (5000mg tablets), can what do you recommend if I take them together?

Why?: If you are not happy with prozac, (fluoxetine) talk to your doctor. If you are not happy with your doctor, get another doctor. I don't understand why you bought st. John's wort before you know what to do with it? The issue here is not whether combining Prozac (fluoxetine) with st. John's wort is good idea for you. The even more important problem is how to repair your relationship with your doctor. ...Read more

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Is marijuana better than Prozac (fluoxetine) for depression?

Is marijuana better than Prozac (fluoxetine) for depression?

Cannabis & Depress'n: Marijuana worsens depression & anxiety. Users feel temporary relief from these problems but long term use decreases serotonin levels, leading to increased depression & anxiety. The temporary relief is not "feeling better." rather, as one former user described, "it lowers my give-a-damn quotient." apathy does not = feellng good. However, exercise can help some types of mild depression & anxiety. ...Read more

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Can Prozac (fluoxetine) prevent depression?

Can Prozac (fluoxetine) prevent depression?

In some, yes: Depression can be recurrent in some people's lives -- and also very disabling when present. In cases with 2 or more clear depressive episodes, your doctor may recommend saying on Prozac (fluoxetine) (or other antidepressant) permanently & preventively. For some this works and is reasonable -- especially if there aren't problematic side effects. Without previous history though, I wouldn't take it in advance. ...Read more

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How does Prozac (fluoxetine) work to get rid of depression?

How does Prozac (fluoxetine) work to get rid of depression?

Prozac (fluoxetine): Antidepressant medication like Prozac (fluoxetine) has an effect on the serotonin system in the brain. Serotonin is one of many neurotransmitters in the brain that are felt to have an effect on one's mood. Prozac (fluoxetine) is an ssri, which stands for selective serotonin reuptake inhibitor. There are six different ssris on the market. ...Read more

Dr. Heidi Fowler
1,057 Doctors shared insights

Fluoxetine (Definition)

Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better ...Read more


Dr. Alan Ali
778 Doctors shared insights

Prozac (Definition)

Prozac is a serotonin reuptake blocker which is a kind of ...Read more