It is easy to fall into the trap of blaming everything on the AD, but not everything you're experiencing is necessarily down to the fluoxetine. Anxiety may be a driver of some of it too, perhaps the main one.
If you're having trouble sleeping then a dose of the otc antihistamine Benadryl containing diphenhydramine as the active ingredient an hour before bed may help as it is mildly sedating - so
don't drive until you work out how it affects you. You could also try taking it instead of alprazolam (Xanax) for anxiety. Alternatively, ask your doctor to prescribe *hydroxyzine, a stronger antihistamine with good anti anxiety properties. It isn't as potent as alprazolam, but it may be potent enough to make a substantial difference.
*Hydroxyzine comes in two forms, hydroxyzine pamoate (Vistaril) and hydroxyzine hydrochloride (Atarax). Anecdotally, the pamoate form is claimed to be the more effective anxiolytic, but just how true this is remains a matter of debate in forums.
It almost always is, but as with so much in life, there is no 100% guarantee.
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