Posted by Bill LL on April 18, 2005, at 12:47:49
In reply to How to combat Prozac poop out?, posted by 3 Beer Effect on April 17, 2005, at 22:39:16
I would increase it to 40 mg right now. I would eventually go up to at least 80 mg if needed. Then, augment it with Strattera, or replace it with Cymbalta. Strattera will increase norepinephrine. Cymbalta will increase both serotonin and norepinephrine.
> Hello,
> I´ve been on 20 mg generic Prozac for about 6 months now & it has been a wonder drug for me. It allowed me to kick my nasty addiction to psychostimulants/Dextrostat & I quit drinking all together. (I am now of the opinion that psychostimulants/amphetamines are the spawn of the devil & should not be taken for depression or social phobia because they make it worse in the long run & their short half lives seem to contribute to mental dependency & mood swings). Anyways, the wonderful effects of Prozac on getting rid of social phobia are starting to wane, & it feels like my social anxiety is coming back.
>
> I guess an easy solution is to increase the dose, but won´t you the same poop out happen at 40 mg in another six months? I wonder if there is some other solution that won´t cause the same tolerance effect. Sometimes Buspar is used to augment SSRIs since I guess it helps increase the amount of Serotonin available at the synapse? I wonder if augmentation might be a better choice than increasing the Prozac dose? But, I´ve heard that Buspar is destroyed in the stomach & isn´t very bioavailable. Did they ever come out with an improved buspar like medicine (gepirone etc? or a sublingual buspar?).
> Does buspar make you dumb? (I need to be able to solve problems & think quickly at work, Prozac is the only SSRI that doesn´t have a dumb drug effect on me.)
>
> What about lower dose 5-htp (50 mg) or l-tryptophan? Will these cause serotonin syndrome when combined with prozac? If 5-htp doesn´t help me sleep, will tryptophan? (milk does seem to help me sleep).
>
> Thanks,
> 3 Beer Effect
poster:Bill LL
thread:485685
URL: http://www.dr-bob.org/babble/20050418/msgs/485954.html