Consider a dose increase after several weeks if insufficient clinical improvement is observed. Administer doses above 20 mg/day once daily in the morning or twice daily (i.e., morning and noon). The maximum fluoxetine dose should not exceed 80 mg/day.
When should I increase my antidepressant?
“You should see some improvement within three months of starting an antidepressant ,” explains Zinia Thomas, MD, a psychiatrist based in St. Louis. “If you have been on an adequate dose of a depression medication for three months and you don’t get results, it’s probably time to try something new.”
How quickly can you increase Prozac?
You may see an improvement in your symptoms after 1 to 2 weeks , although it usually takes between 4 and 6 weeks before you feel the full benefits. That’s because it takes around a week for fluoxetine levels to build up in your body, and then a few weeks longer for your body to adapt and get used to it.
Should I increase fluoxetine?
Adult — Initiate PROZAC 20 mg/day , orally in the morning. Consider a dose increase after several weeks if insufficient clinical improvement is observed. The full therapeutic effect may be delayed until 5 weeks of treatment or longer.
What will 40mg of fluoxetine do?
FLUOXETINE 40mg R149 (Fluoxetine Hydrochloride 40 mg)
Fluoxetine is used in the treatment of anxiety and stress; major depressive disorder; bulimia; depression; premenstrual dysphoric disorder and belongs to the drug class selective serotonin reuptake inhibitors. Risk cannot be ruled out during pregnancy.
Can missing one antidepressant affect you?
Missed or extra doses
It’s important not to miss any of your doses , as this could make your treatment less effective. You may also get withdrawal symptoms as a result of missing a dose of the medicine. If you do miss 1 of your doses, take it as soon as you remember, unless it’s almost time to take your next dose.
What is the strongest antidepressant?
The most effective antidepressant compared to placebo was the tricyclic antidepressant amitriptyline , which increased the chances of treatment response more than two-fold (odds ratio [OR] 2.13, 95% credible interval [CrI] 1.89 to 2.41).
Is 10mg fluoxetine enough?
Adults—At first, 10 milligrams (mg) per day as a single dose in the morning. Your doctor may adjust your dose as needed. However, the dose is usually not more than 60 mg per day. Children—Use and dose must be determined by your doctor.
Why is Prozac bad?
The FDA requires Prozac to come with a black box warning stating that antidepressants may increase the risk of suicide in people younger than 25 years. It can lead to suicidal thoughts, or a worsening of these, in children and young adults. Other possible side effects include: decreased libido and sexual dysfunction.
Is 10mg of Prozac a lot?
Typical dosing for Prozac (fluoxetine)
The dose of Prozac (fluoxetine) depends on your age and the indication you’re taking the medication for. The typical dose range is 10 mg to 60 mg by mouth once daily .
What are the long term side effects of fluoxetine?
Clinical studies have shown that there are many side effects upon chronic administration of SSRIs, like sexual dysfunction, 9 suppression of rapid eye movement sleep , 10 nausea, 11 , 12 decreased appetite 13 and deterioration of symptoms (for example, aggression), 14 , 15 indicating that optimization of chronic treatment of ...
Is Prozac a happy pill?
The original “happy pill” was fluoxetine , more commonly known as Prozac. This medication, approved for use in 1987, was the first drug of its kind to be prescribed and marketed on a large scale. The use of this medication is very common, especially for the treatment of depression, but it is not without its risks.
What does fluoxetine 20 mg do to you?
Fluoxetine works by increasing the amount of serotonin (a natural substance) in your brain. Serotonin helps maintain mental health balance. An increase in serotonin helps to treat symptoms of depression, obsessive-compulsive disorder, bulimia nervosa, and panic attacks.
How much is an overdose on fluoxetine?
Fluoxetine overdose typically results in a benign clinical course, with the most common symptoms being tachycardia, drowsiness, tremor, nausea, and vomiting, and has therefore been identified as “ minimally toxic in doses up to 1,500 mg and with combined plasma levels [fluoxetine plus norfluoxetine] up to 1390 ng/mL. ” 1 ...
Can fluoxetine cause weight gain?
Antipsychotic drugs, antidepressants , and mood stabilizers are common drugs that have the most potential to increase weight gain. All 12 of the leading antidepressants, including fluoxetine (Prozac), sertraline (Zoloft), and escitalopram (Lexapro), make gaining weight more likely .
Does fluoxetine cause weight loss?
Conclusions: Acute therapy with fluoxetine is associated with modest weight loss . After remission of depressive symptoms, weight gain for patients taking fluoxetine for longer periods is not different from that for patients taking placebo and is most likely related to recovery from depression.
