Hi Neil, I'm on day 60 something of Prozac, took 20mg for 4 weeks, 40mg for 4 weeks and dropped down to the 20mg again 8 days ago because of side effects and not improving much. I was sleeping well before starting it but within a week of taking it my sleep has been poor, with early morning waking. I take Zopiclone a couple of times a week to get a good nights sleep - luckily it does work for me. I believe Nytol is good and it's OK to take with Prozac but not tried it myself.
I find the sleep problems add to my anxiety, as said I normally sleep really well, even if stressed, sleeping is my escape and I long for a decent night again. I've had problems with increased sweating, chest pain, lack of energy and increased anxiety since starting the Prozac hence the reduced dose - I'm not sure it's for me either. I'm sticking with it for another week and then changing to escitalopram if no improvement. I have read somewhere that if Prozac is going to work for you, you would normally notice some improvement within 2 weeks - all be it small improvements and up to 12 weeks for the full effect. Prozac is a stimulating anti depressent and not the best for anxiety but it's worked for me before - it's just not doing the trick this time.
7 weeks is a long time waiting for a drug to work - do you feel any different taking it, apart from the insomnia. Sleep is so important - I think we can cope with most things if we get a good nights rest. I would talk to your Dr again about it next week ? time for a change.
Love Sam