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Re: Prozac book and dosage question

Posted by King Vultan on October 20, 2004, at 9:45:20

In reply to Prozac book and dosage question, posted by sabre on October 20, 2004, at 5:59:20

> Hi
> I'm just reading a book written just over a decade ago, called 'Listening to Prozac' by Peter Kramar.
>
> I was curious about a comment he makes on p.339 that different patients react to different doses. He said for those prone to anxiety, 20mg may be too high a starting dose. Patients with panic-anxiety are started on 2.5mg....one eighth of the therapeutic dose!
>
> After experiencing unpleasant results due to taking drugs such as Serzone, Paxil, Lexapro and Moclobemide and trying to get to the min. therapeutic dose (as directed) I wonder whether it would have been preferable to try an even smaller starting dose as he suggests. The book makes it sound like a miracle drug.
>
> Has anyone had any success with Prozac for social anxiety/panic? What dosages worked for you?
> Thanks
> sabre

People with panic disorder oftentimes need a lower starting dosage and a slower dose escalation to avoid setting off panic attacks. Prozac was the first drug I tried years ago, and I found it intensely activating, with my anxiety levels increasing at first. My overall experience was not the best, but some of the problems I experienced were largely of my own doing. I think I would probably react better to it if I tried it again but feel it is likely far inferior to the Parnate I am currently taking, anyway. I've had Kramer's book for over ten years, and yes, the stuff really does come across in there as something unique and magical. I think it's probably a good drug, all things considered, but do not believe it is as glorious as it is portrayed in the book; for instance, he makes essentially no mention of the sexual side effects it can cause.

Todd


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