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Not able to take prozac above 20mg ?


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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 by clinic
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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?
 

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  • 2 weeks later...

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 by clinic
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