Results 1 to 5 of 5

Thread: Prozac - What dosage and week finally made a difference?

  1. #1

    Prozac - What dosage and week finally made a difference?

    I'm on 40mg of Prozac on week 3 for extreme anxiety, depression, and stress because I let it go unmanaged for so long. Like crying every day, fear of dying, multiple panic attacks, etc.


    I'm just wondering when I should feel a difference, lately it's felt like it's made my anxiety worse, but I have hope.

  2. #2
    Join Date
    Jan 2017
    Posts
    3,554

    Re: Prozac - What dosage and week finally made a difference?

    Quote Originally Posted by Aundremyles View Post
    I'm on 40mg of Prozac on week 3 for extreme anxiety, depression, and stress because I let it go unmanaged for so long. Like crying every day, fear of dying, multiple panic attacks, etc.
    You were started on 40mg/day, or have been on 20mg for a while and the dose has been increased because the anxiety and depression worsened?

    I'm just wondering when I should feel a difference, lately it's felt like it's made my anxiety worse, but I have hope.
    It typically takes 4-12 weeks for an AD to kick-in with fluoxetine likely to become effective at the longer end of the range because of its very long half-life (it takes about 30 days for plasma levels to stabilise). Most ADs will initially make anxiety (also depression) worse because of the greater serotonin activity. Bio-feedback mechanisms usually reduce serotonin synthesis and expression after a few weeks and the heightened anxiety then diminishes, but may return for a while after dose increases.
    __________________
    The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.

  3. #3

    Re: Prozac - What dosage and week finally made a difference?

    Started on 20. Had increased and unmanaged anxiety. Went to 40. Got extremely bad anxiety. I'm supposed to go to 60 tomorrow.

  4. #4
    Join Date
    Apr 2003
    Location
    , , United Kingdom.
    Posts
    46,966

    Re: Prozac - What dosage and week finally made a difference?

    Hi

    This is just a courtesy reply to let you know that your post was moved from its original place to a sub-forum that is more relevant to your issue.

    This is nothing personal - it just enables us to keep posts about the same problems in the relevant forums so other members with any experience with the issues can find them more easily.

    Please also read this post:

    http://www.nomorepanic.co.uk/showthread.php?t=213239
    __________________
    Nicola

    “Don't be afraid of death; be afraid of an unlived life. You don't have to live forever, you just have to live.” - Natalie Babbitt

    Please help keep NMP running and donate to the running costs: http://www.nomorepanic.co.uk/donate




  5. #5
    Join Date
    Jan 2017
    Posts
    3,554

    Re: Prozac - What dosage and week finally made a difference?

    Quote Originally Posted by Aundremyles View Post
    Started on 20. Had increased and unmanaged anxiety.
    As per my earlier post, ADs (especially SSRIs and SNRIs) often worsen anxiety at the beginning which is why most treatment guidelines recommend starting them at half the usual minimum therapeutic dose for anxiety/panic patients, so at 10mg for fluoxetine.

    Went to 40. Got extremely bad anxiety. I'm supposed to go to 60 tomorrow.
    Increasing the dose that early will have caused the heightened anxiety and increasing it again so soon will likely only make it worse. Also, 60mg is the recommended maximum dose. It is very unusual for new patients to be prescribed maximum doses so soon. Do you have a past history of requiring high AD doses to get good results? Who has prescribed this, your GP, or a psychiatrist?
    __________________
    The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Does your bodyweight make a difference with Dosage?
    By bigmo in forum Escitalopram / Lexapro / Cipralex
    Replies: 3
    Last Post: 27-12-19, 21:11
  2. Wow what a difference this has made - Magnesium
    By Bonkersbob1710 in forum General Anxiety / Generalised anxiety disorder (GAD)
    Replies: 15
    Last Post: 02-11-14, 20:32
  3. Finally starting to tell the difference.
    By elysemarie123 in forum Health Anxiety
    Replies: 7
    Last Post: 16-09-14, 02:54
  4. Newbe - difference between Prozac and venlafaxine
    By aseamark in forum Introduce Yourself
    Replies: 1
    Last Post: 31-08-12, 11:48
  5. Finally made it!!!
    By ElizabethJane in forum Mirtazapine /Zispin
    Replies: 1
    Last Post: 16-10-08, 17:54

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •