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Prozac 2nd try


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New doctor will be slowly bringing up my Prozac while lowering my lexapro.

In addition I will be using lamictal for both mood and Glutamate properties. I will be titrating up to a common dose my doctor uses 25-50 and if need be higher.

In regards to riluzole vs memantine. My new doctor has seen better results with Memantine. 

I initially was only looking for a very knowledgeable psychiatrist who knew meds. I ended up finding a ocd specialist. He also has had patients with eye pain which was shocking.

He's also has seen more promising results using nac vs Inositol with his patients.  I know he isn't full of shit because I have read his pubmd papers in the past and was shocked when I found out he was going to be my doctor. 

The rationale of going from lexapro to Prozac is I'm already have discomfort on a none full thereputic dose on lexapro at 10mg. So that doesn't leave us that much room.

With Prozac he says if we can make it to 30mg Prozac we will have better results. 

Odd because I thought lexapro was more potent but I guess it's all different. 

I explained how when I tried to go from 20 to 60 in one day I had severe panic attacks and other issues including bad thoughts. He's hoping with lamictal on board it will help.

 

Edited by 300.3
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I've been on an off prozac also.  I've been on it since 1991.

At the highest dose, with current pdoc, was 80 mg, and we both felt like maybe I could go off of it.

At first I went to 60 mg, and after a week or so I was becoming very weepy at everything.  So I went back to 70 mg.  Tried that for awhile then went back to 60 mg and I did ok.  Then to 40mg, back to 50 mg, etc ... kind of like 2 steps forward and one step back.  The weaning down was a very slow process for me, but I think it was because of the high dose as well as how long I had been on that dose. 

When I first started prozac in 1991 I was on 10mg, then increased to 20 mg for awhile ... and was on that dose for a few years.  Over the years my dose went up and eventually it got to 80 mg.  I was on that dose for a long time before we decided to see if I could go off of prozac. 

In the end, I was off of it completely for a few weeks ... then the weepiness came back and I was put on 10 mg for a 2nd try at it.  It still worked and I have been on that dose until today.

Getting from 80 mg to completely off took about a year.

Also ... to keep in mind ... some people don't have the same response as I did the 2nd time (where the med still worked).  Sometimes the med won't work the next time around.

I hope you have success in the med changes.

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Keep us posted! I'm interested in what the new combination of meds will do. I'm glad they have been effective, but hopefully that eye pain will not be present with Prozac!
Have you been on Prozac before or just started it?

I wish I could try memantine, but lamicital (as a glutamate agent) does sound interesting. I don't have a pdoc at the moment so my general doctor would probably not prescribe it. He's not pro meds anyway and wanted me to go off Lexapro after it stopped working instead of trying another SSRI. He wasn't happy with me going on sertraline (the pdoc working for him advised it, but still he wasn't liking it). 

Myself I'm still not sure what I will do after sertraline (as a Plan B in case it doesn't work for me). Prozac is on my list so I'm curious to what others say about it!


 

Edited by Catwoman
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Thank you mik

I just don't understand why my doctor thinks the 30mg of Prozac would be more effective .. 

Also I mentioned my horrible experience trying to go back to 60mg but I think that was my own doing by going from 20mg to 60mg in one day?

Edited by 300.3
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Yes catwomen I have been on Prozac before.. it was another amazing drug that worked for me. It's the drug that caused burning eyes when I got to 60mg after i had lowered my dosage to 20 for 5 months.

My knee jerk reaction was to go right back up on Prozac when I woke up with anxiety one morning.. I don't think I should have done that 

Edited by 300.3
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Thanks mik

I continue to read more stories which of course is not research, of people using 25-50mg of lamictal for anxiety,depression and ocd..

 

Does anyone have any backed research studies?

Also i am hesitant to ask but will .. he dangerous is lamicatal ? Besides the rash?

Again I have read many experience s no issue at all..as if they aren't taking anything ?

Also I'm way out of my knowledge base on this med.. how does it work?  And what happens between the 25-50mg?

Edited by 300.3
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4 hours ago, 300.3 said:

Currently my issue is not that the meds aren't effective it finding a happy medium between my eye pain and the meds working

I'm sorry ... I was trying to say how going on a med for a 2nd time won't always work like it did the first time.  For some people going on a med a second time find it doesn't work.

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3 hours ago, melissaw72 said:

I'm sorry ... I was trying to say how going on a med for a 2nd time won't always work like it did the first time.  For some people going on a med a second time find it doesn't work.

I agree with Melissa. I was on prozac for a 2nd time. Went up to 80mg and it didn't work as well as it used to the first time I took it. The first time I took it, it was great for my anxiety and the 2nd time I still had anxiety and had panic attacks. 

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I was on Prozac 5 years. Last 2015 I tappeared down to 20 mg from 60 over a 5 month period. 

In Feb 2016 I woke up one morning with anxiety. I knew I fucked up.. I right away that morning went back up to 60. I had over 10 panic attacks a day

.

Iaawal

What was the time span between the first and the second time?

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4418246/

Looks promising

Edited by 300.3
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6 hours ago, 300.3 said:

Thank you mik

I just don't understand why my doctor thinks the 30mg of Prozac would be more effective .. 

Also I mentioned my horrible experience trying to go back to 60mg but I think that was my own doing by going from 20mg to 60mg in one day?

3

I think he's going for a lower dose of serotonergic drug (hence the 30 mg Prozac) for the sake of using more glutamatergic drugs (using the Lamictal and memantine (Namenda)).

It's a low dose of Lamictal, but you should feel some effects. You may need up to 100 mg to really feel things though.

I've never taken memantine. My dad takes a form of it for cognitive dysfunction, Namzaric (which combines the acetylcholinesterase inhibitor donepezil 10 mg with memantine extended release 28 mg) and it seems to do well for him.

I think it's a rational decision, based on your track record with serotonergic drugs affecting your eyes. Basically lower serotonin (while retaining some serotonin) while adding glutamate modulation will change how your med cocktail is affecting you.

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Can't belive you said that mik..I was going to ask if was a wise choice.

I have no issues going to 100mg of lamictal if need be.. lamictal is a different beast to me as you know because I only know ssri drugs and the basics of anti psyc meds.

I just hope this lamictal doesn't mess with my eyes.. I haven't read the official side effects so I don't enable my Ocd.. but I have read a sweet spot does exist for people.

Again I fucked up in reading too much because I read 2 stories about people getting double vision from lamictal?? 

2 minutes after emailing my doctor he got back to me about my increased anxiety today. I messed up and took to much Prozac and didn't know I did until I told him what I took.

 

 

 

 

 

Edited by 300.3
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13 minutes ago, 300.3 said:

Can't belive you said that mik..I was going to ask if was a wise choice.

I have no issues going to 100mg of lamictal if need be.. lamictal is a different beast to me as you know because I only know ssri drugs and the basics of anti psyc meds.

I just hope this lamictal doesn't mess with my eyes.. I haven't read the official side effects so I don't enable my Ocd.. but I have read a sweet spot does exist for people.

Again I fucked up in reading too much because I read 2 stories about people getting double vision from lamictal?? 

2 minutes after emailing my doctor he got back to me about my increased anxiety today. I messed up and took to much Prozac and didn't know I did until I told him what I took.

10

Well, Lamictal is known to cause anxiety in low doses at first, which I experienced a little of at first, but it didn't last but for 1-2 weeks.

Yeah don't read too much about your new drugs... ;)

Oops! :X

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Yeah exactly my mess up

Not sure if it will make a big difference but I plan on losing weight... not for all the typical reasons lol. I'm going ton do it for the meds. Maybe if I lose weight I'll get more of an effects of meds .. and since I'm going to try a low dose of Prozac maybe weight lose will have an impact on plasma levels?

Edited by 300.3
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The second time I took Luvox it worked. I went off it some time later, the intrusive thought came back and I went on Luvox again. This time I had more side effects, no real benefit and after 9 weeks I switched to Lexapro, which did work. 

The same thing happened to me with Lexapro last year but I think there is enough time between the first and the second time (lets say at least a year) than it could work.

How long has Prozac been for you?

No don't do internet searches...(I do it too...it is kind of addictive for me)

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