clinic Posted August 15, 2017 Share Posted August 15, 2017 (edited) My dx is psychosis and ocd/panic. When i take 40mg prozac, i become psychotic and paranoid. Does anyone know why this is happening ? Right now im on 20mg and dont have psychosis. Is there a way to fix it ? My current meds are: clozapine 275mg at night paroxetine 25mg in evening fluoxetine 20mg in morning clobazam 20mg at night Edited August 15, 2017 by clinic Link to comment Share on other sites More sharing options...
Iceberg Posted August 15, 2017 Share Posted August 15, 2017 Why do you have both Paxil and Prozac? Two SSRIs isn't a typical thing With the psychosis you might have extra sensitivity to ads Link to comment Share on other sites More sharing options...
Catwoman Posted August 18, 2017 Share Posted August 18, 2017 Combining two SSRI's is kind of rare....unless you're cross tapering. Paroxetine is touching more receptors than fluoxetine and I think the serotonin inhibition of the paroxetine and the fluoxetine might be too much for you. It could -in theory- cause serotonin syndrome when you take 40 mg and paroxetine (maximum dose is 60 mg per day I think?) together. I do not think that psychosis is a symptom of serotonin syndrome, but I'm not a doctor either. Have you asked your pdoc? Link to comment Share on other sites More sharing options...
mcjimjam Posted August 27, 2017 Share Posted August 27, 2017 Maybe Prozac just isn't the right med for you. Is your doctor fully informed of how it affects you? Link to comment Share on other sites More sharing options...
notloki Posted August 27, 2017 Share Posted August 27, 2017 Try to avoid taking 2 SSRI's together, especially at high doses. Serotonin Syndrome can include hypomania, mental confusion, and hallucinations. Link to comment Share on other sites More sharing options...
AnxietyGirl74 Posted August 29, 2017 Share Posted August 29, 2017 I'm not sure about the Prozac, and I'm not a doctor at all, but has your doctor maybe suggested upping the Paxil? I was on 60 mgs of Paxil at one point and I also have OCD. Link to comment Share on other sites More sharing options...
clinic Posted August 29, 2017 Author Share Posted August 29, 2017 (edited) I would like to notify everyone that I have stopped prozac yesterday completely.Even 10mg was giving me paranoia. I will now be taking just one SSRI -pexep 37.5mg after 1 week. On 50mg paroxetine I become restless. Does anyone know how to fix restlessness ? I have tried all SSRI except fluvoxamine and citalopram(have tried escitalopram though) I still have anxiety on paroxetine though Edited August 29, 2017 by clinic Link to comment Share on other sites More sharing options...
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