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Thread: Fluoxetine increase dosage

  1. #1

    Fluoxetine increase dosage

    Hi I’m Nannar1950,
    I’ve suffered Anxiety the past 4 yrs. recently my GP prescribed Fluoxetine. Dosage was 20mg alternate days. After six weeks I noticed my anxiety got worse the days I didn’t have to take it. So GP upped me to 20 mg everyday. I’m now on week three but feeling no better. I’m a little confused because changing the dosage does this mean I’ve started from the beginning again.? Side effects are just as bad too.

    thanks for reading .

  2. #2
    Join Date
    Apr 2010
    Posts
    8,334

    Welcome to No More Panic!

    Hiya Nannar1950 and welcome to NMP

    Why not take a look at our articles on our home page, they contain a wealth of information and
    are a great starting place for your time on the forum.

    I hope you find the as site helpful and informative as I have and that you get the help and
    support you need here and hope that you meet a few friends along the way
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    Emmz xx

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  3. #3

    Re: Welcome to No More Panic!

    Thank you for your lovely welcome Emma ��

  4. #4
    Join Date
    May 2021
    Posts
    2,745

    Re: Fluoxetine increase dosage

    I think because your dose has been upped it's kind of prolonged your start up symptoms, so you probably need to hang on in there a while longer before things start to settle down.

    Has your GP suggested any counselling/CBT too? Medication can help immensely, but long term having some counselling etc really helps. Personally, for me , counselling/CBT + medication + some lifestyle changes all go hand in hand.

  5. #5

    Re: Fluoxetine increase dosage

    Hi Catkins,
    Thank you for your reply. Last year I had counselling which helped lots. First weekly then fortnightly progressing to once a month.I reached the point my councillor agreed with me I was in a better place and that I would let her know if I needed her. However I recently found she has moved away from my area. So my GP has now registered my with a NHS counsellor and I’m waiting for a reply.
    in January I was admitted to hospital with low blood pressure when standing. The consultant after 5 days told me I have Postural Hypotension and there is no cure. This really has freaked me out.

    thank you for replying to me I appreciate it.

  6. #6
    Join Date
    May 2021
    Posts
    2,745

    Re: Fluoxetine increase dosage

    Yes, I've had that when I was pregnant and also randomly throughout the years. With me it was connected to other things I.e. being pregnant, not drinking enough etc. Over the years I've had a tendency to have BP on the low side and not standing too long without moving helps, drinking plenty etc helps. At one point I ended up having to give up Tai Chi as the slow movement, virtually standing still made me go all woozy.

    You can live a really good life with postural hypotension and there are things you can do to help yourself. Maybe discuss with your GP?

  7. #7

    Re: Fluoxetine increase dosage

    Thanks Catkins. I drink at least 2L water daily. Before standing I do 50 heal raises slowly stand then March on the spot before walking slowly. If I don’t then I go very dizzy. When hospital consultant told me it really scared me.

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