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Found 14 results

  1. So I was manic for 8 weeks. I am now severely depressed and my pdoc took me of fluoxetine when i was manic, but now she has put me back on fluoxetine 20 mg. I'm worried I will become manic again. I had a very bad manic episode this time and don't want a reccurance. If you became manic on an antidepressant how long did it take for you to become manic. Was it gradual or sudden? I wonder could I recognize symptoms quickly and go off it.
  2. Hello forum, I've had long term problems with treatment-resistant depression and also - in the last 3 or 4 years - have suffered from vertigo, migraines and stomach cramps. I have been taking 40mg fluoxetine daily which doesn't do much at all - makes me slightly less irritable, give me some very strange & vivid dreams, but not much else. Doctor has just given me some nortriptyline to take alongside the fluoxetine as a combination therapy. Initial dose 25mg and then increase to 50mg after 10 days. I started with the 25mg of nortriptyline 4 days ago and it has hit me quite hard. I felt very drowsy at first although this has eased a little now. Sleeping a lot too - possibly not a bad thing because my sleep quality isn't great. Feel "stoned" but not necessarily in a good way. On the other hand, no vertigo, no migraines, no stomach cramps and my mood is ok (albeit in a daze). I read something about fluoxetine interacting with TCAs like nortriptyline - something to do with liver enzymes that I don't understand - the upshot of it all was that one should be careful with TCA dosages because fluoxetine makes the TCA hang around in the system longer, as if it were a bigger dose than it actually is. Doctor has talked about gradually getting the nortriptyline dosage up to 75mg - 100mg in due course. But I don't know on reflection how familiar he is with this drug (especially in combination with fluoxetine) - he is following the guidance of a psychiatrist who assessed me, but I don't think the psychiatrist gave any advice on suitable dosages. Also the doctor said it's ok to drink alcohol in moderation when taking nortriptyline , which contradicts what I've read elsewhere (I don't plan to drink btw). I'm a bit concerned...should I be, do you think? (I would ask the doctor myself but it can take 3 weeks to get an appointment with him!) Thanks, A.
  3. Hello I am currently cross tapering from Paroxetine (Paxil) to Fluoxetine (Prozac) for OCD. Right now I am taking 20mg Fluoxetine and 30mg Paroxetine. The idea is to stop Paroxetine and to increase dose of Fluoxetine to 40 or 60mg. Could you share with me, in your opinion, what is the optimal dose to treat OCD symptoms?
  4. So I currently take 300 mlgs of seroquel,not xr, at night, plus I take sertraline 50mlg and fluoxetine 20 mlg both on the day. Also take clonazepam and alprazolam at nights, sometimes one or the other or both. I have access to Ritalin 10mlg, I was doing research that some people use it whit other antidepressants or antipsychotics, I wanna take it because I just feel emotionally dull and I have anhedonia, also I suffer from tiredness and lack of energy. And a lot anxiety sometimes but not as often as before. Can I take it safely or I could get a serotoninergic syndrome or a dopaminergic syndrome?. Thanks.
  5. This question has been bugging me for quite a while but I'm not sure if anybody knows the answer. One of the treatments of bipolar depression is OFC (olanzapine-fluoxetine combination). I'm wondering why fluoxetine is often not recommended in the treatment of bipolar depression, even when used with a mood stabilizer and it is OK to used as part of OFC? And why can other antipsychotics not be used in combination with fluoxetine? What is so important or special about olanzapine that it is the only antipsychotic indicated, alongside fluoxetine, for the treatment of bipolar depression. Why can't ability, risperdal, geodon, seroquel etc be used. For example AFC ( aripiprazole-fluoxetine combination ). I take seroquel and fluoxetine and this sorted my depression Any thoughts??
  6. I am currently in my 22 day of taking Sertraline and just started 100 mg yesterday. Let me start by saying that I'm going to keep taking my Sertraline for 6-8 weeks and then make an informed desicision. My main reason for thinking about switching is that I used to be on Fluoxetine and it decreases my appetite. I hate being hungry. But I find myself worrying a lot about what the switch will be like if I decide to change from Sertraline to Fluoxetine. Do any of you have experience and/or knowledge in this? Is it likely that pdoc will make me taper down to 50 mg before switching or is it possible to make a switch from 100 mg Sertraline to 20 or 40 mg Fluoxetine from one day to another? I am anxiety free right now and I am very scared that tapering from 100 to 50 mg of Sertraline will make me anxious again. (Though I really was not anxious when I took 50 mg in my second week of starting treatment). I want to believe this - but can I? (source: http://www.bpac.org.nz/BPJ/2012/december/docs/bpj_49_nzf_pages_34-35.pdf)
  7. I started Sertraline (Zoloft) 2 weeks ago because of derealization, anxiety and panic attacks. (First week 25 mg, second week at 50 mg, and today starting with 75 mg.) I have been absolutely shocked by how hard it has been starting with Sertraline, because of initial side effects of deperzonalisation and anxiety, but I have noticed a change for the better. It has had some effect on my anxiety and I have not had any panic attacks this past week. The derealization is unchanged, but I am not as scared by it any more, and that helps me to "feel normal". I have gained about 3 pounds these 2 weeks and I am worried that I will continue to gain weight because my appetite is significantly increased and my energy is low. I have been bulimic and depressed in the past and Fluoxetine (Prozac) has been a great medication for me. It decreased my appetite and made me feel better about myself. Should I ask to switch from Sertraline to Fluoxetine right away or should I stay on Sertraline for as long as I can manage and see how I feel even if it means gaining some pounds? I am concerned about gaining weight, but the most important thing is that I can function well enough to work, which I can do right now. I am very scared that changing medications will make my anxiety and derealization worse. But in the long run I can not possibly stay on a medication that increases appetite. I know that when I start to feel good again I will think about this a lot. I am scared that if I increase Sertraline to 100 mg in the following weeks tapering of it will be hell and that I will have to be on it for a long time, gaining weight, feeling tired and not being productive at work. I'm scared of my body getting used to it. Perhaps if I change now then it would be easier. My favorite antidepressant is Bupropion (Voxra, Wellbutrin), but I understand that since I have developed anxiety it might not be working for me right now. It used to make me productive, positive, decrease my appetite and increase my libido. My pdoc had me stop it because she thought it might be causing the derealization and I miss it a lot, but since I stopped it I have developed anxiety and now I am to scared to try it again. Having panic attacks with persistent derealization is in lack of better words; a nightmare. List of things that I am scared of: In order of most to least scary Panic attacksIncreased anxietyIncreased derealizationGaining weightBeing tired and non-productiveNot feeling like doing anythingAny input would be greatly appreciated!
  8. Earlier this year I did something really stupid. A week earlier my psychiatric doctor added Fluoxetine to the Wellbutrin that I had been on for some years. I went out and drank a lot (this is not normal for me) and the next morning I took Tramadol. This resulted in me having my first anxiety attack (with derealization) and ending up in the emergency room thinking I was going to die. The morning after that (and ever since) I had persistent derealization and decided I did not take any more Fluoxetine. A couple of months later I talked to my doctor about the derealization still being there 24/7 and she wanted me to stop Wellbutrin since it might be a side effect. I stopped Wellbutrin and now I was derealized and had a lack of energy and didn't feel like doing anything. My derealization didn't get better even after a couple of months without it. Then I got another anxiety attack (possibly because of Primolut Nor) which made my derealization much worse and this time I also continued to be anxious. Another doctor put me on Sertraline and I'm currently fighting through the initial side effects (so much worse than Wellbutrin or Fluoxetine). I still don't feel like doing anything and if I do, I just don't have the energy. I don't want to be around people either. It's to buzy and loud and I'm scared to panic. Do you think that in the future I could get on Wellbutrin again, with or without Sertraline, or will it just trigger anxiety since it is so activating? I loved being on Wellbutrin, having a healthy sex drive, getting things done and being able to keep my impulses back. When I was on wellbutrin I never had a depressed though. I wasn't very happy either, but I just DID things. I feel like I never do anything since I stopped them and if I do anything I really do not enjoy it as much anymore. It was much easier to control the appetite as well.
  9. Hello, I'm new here and I want to inquire about something that I'm sure you've heard about a billion times... well, now a billion and one. I'm on Buproprion and Fluoxetine, which I've drank on and I feel Ok. When I had a higher dose of Fluoxetine I felt like death the next day, but I'm on a lower dose and I feel fine when drinking on it. Some more anxiety the next day is all. I recently started Abilify on top of those meds. I also take a small dose of Propranolol and I have Xanax and Klonopin at my disposal (barely use them, but they are there and I take only a half or a quarter of one to get the effect). We are having a surprise party for my cousin this weekend. My whole family will be there and, of course, I'd like to indulge a bit. Not crazy heavily. But... socially. Maybe sip on a mixed drink and have a few of those over the course of multiple hours. What are the thoughts given my scenario?
  10. I was on 80 mg fluoxetine for 4 days ago, and now are on 40 mg. To morrow i have a plan to take 20 mg, and in a week on 0 mg. But is this seizure triggering, Even if i do not have seizure tendenses, and i do not have epilepsy?
  11. Hi, I am new to this site/forum, reading it for a couple days. Anyways Before taking prozac i had symptoms of extreme confusion, i even kind of forgot name of people, terrible concentration, complete distophia anhedonia, life seemed like something completely unenjoyable by abstractions made by human consciousness, only enjoyable stuff was you know to eat, to sleep but i had complete lack of appetite. I felt terrible its worse than being lonely like some silence before a big storm. And feeling those made me see a doctor immediately. I told her my symptoms and she said that you are really confused and mind fogged it does not take a doctor to see that. She prescribed me prozac/fluoxetine and remeron/mirtazapine. I started taking prozac due to feeling of not enjoying anything, forgetting When i started taking it, first 2-3days i didn't feel much difference i was feeling just like i always felt for a couple weeks anyways, after that i started to feel this not too intense but some kind of ecstatic euphoria its like feeling constantly peaceful. I really enjoyed every second. I was able to study 2-3hours a day without forcing and distressing myself. but since 2-3days i feel lethargic, horribly depressed and i feel alone like there is this absolute loneliness like silence like a shadow that is perhaps due to listening samuel barber and schubert i guess i should avoid those despite of their attractive magic. But i feel like can not enjoy anything like i just kill the time? Is this normal. Before prozac i used escitalopram, and zoloft they were okay. But i kind of want prozac to work i do not want to feel like this first week was wonderful now i am in 16. day i think or 17 They say this may be due to adjustments of autoreceptors. But people say they get worse when taking prozac but mine seems little different first 3-5days was not so different then i felt that peacefulness then terrible again. That made me post this. Oh and btw i used zoloft and cipralex/Escitalopram before. they were fine but that second week that euphoria-like feelinng of peace in prozac. They didnt have that i was not energetic like prozac. Will it get better? I have 3-4days before i can visit the doctor again. Thank you for reading and helping out
  12. After seeing the same Pdoc (Dr F) for about 8 years, it got to the point where he had run out of medications for me to try and didn't know where to go from here. So I ended up seeking a 2nd opinion (with Pdoc's blessing) & have now got a new Pdoc (Dr M) (who works out of the same place in the city as my previous Pdoc). I was on Pristiq (desvenlafaxine), however Dr M has decided that Prozac (fluoxetine) might be a better AD for me in terms of my anxiety & mood switches (I'm BPII). So this morning (after 13 days Pristiq free and on Dr M's orders) I took 20mg tablet of Prozac & so far am alright (I always worry when I take new meds for the first time!). I also take 150mg of Seroquel XR (Quetiapine) at night & over the next few months, Dr M wants to wean me off Seroquel & give Litihum a try. This is mainly due to weight issues, plus me finding seroquel good, but very sedating. I also take a maximum of 5mg every other day of Valium (diazepam) for my anxiety (Dr M knows about this) So the short story is: How have other people found Prozac? has anyone take it with either Lithium or Seroquel? Has anyone found it useful for anxiety &/ or panic attacks???
  13. Hello everyone, I've been around this forum for ages, just scoping it out and never posting... Official n00b here. Aside from physical health problems, my craziness has... I don't remember not being crazy. In the sense of kind of always being terribly pessimistic and dark, kind of fed up of this world, I don't know, along with having a sense that somehow everyone's going to hate me already. I kind of am in awe if they don't, though I'm supposedly 'popular'. Somewhere along the line, I stopped believing I was a human. I don't think I'm a human, sort of. I look like one, but feel like I don't think like one or really like humans very much. I officially became crazy earlier this year when I realised that all day suicidal thoughts weren't normal (in retrospect, haha). Three months or so of solidly sitting indoors, sleeping weird hours, eating loads, wishing I was dead, sometimes self injuring, made me eventually see a doctor. Finally I got diagnosed with depressive disorder not otherwise specified by a GP. I deferred university but I only have work and exams left so no real reason to go back. I got put on fluoxetine, but it didn't somehow help me much. It also totally wiped me out for a couple of weeks. I am not longer taking it. I saw a psychiatrist once, but she didn't find anything except 'moderate' depression. And maybe brain damage. I thought it was an odd thing to say since I've been tested a lot (physical health stuff) but she must have had something in mind, I suppose. I was advised by a GP not to pursue this line of enquiry unless I didn't mind getting upset (I was kind of upset that it was 'obvious' to her, enough to say that after one hour of meeting me [she didn't actually tell me that to my face, only in letter form]). The psychiatrist told me to take citalopram, but I don't take it. I don't know if I'm keeping myself in this mindset because I'm in the middle of nowhere with no friends. I only talk to my family, more or less. I sometimes drink a lot. I can't feel motivation to do anything. I can still do most of the minimally strenuous things required by my life (no job / no responsibilities / no urgency), but I don't know where the line is. Mostly I feel really bad, my emotions are really reactive and I still sometimes self injure. I think my parents think that psych meds make you fat and slow, but not necessarily better. I don't want to disappoint them, in a way, by taking them. I would like to think that if I got myself here, to this crazy, I can get myself away from it, but in a sense I don't know where it starts and I end, so I don't know if I can do that. In my unprofessional opinion, I think I might have something more, but I'm trusting it will be found, because self diagnosis isn't always a good idea. Sorry for the essay.
  14. I've been on fluoxetine for 7 months now, at 40mg for the past 3 months and for a while it was amazing. I had all the benefits and non of the side effects but over the past month depression has started creeping up on me again, also with some delusional thinking. The obly thing that's changed is me getting a part time job. Is it possible that my AD is losing it's effectiveness? Or is this just the result of having extra responsibility of a job? ...is it even possible for AD's to reduce in their benefits over time? This has become such an issue for me I've been thinking about upping my dose myself to 60mg or at least buy an over the counter product to help like 5htp.
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