Posted by med_empowered on February 26, 2006, at 1:22:31
In reply to Anyone?, posted by Maxime on February 25, 2006, at 20:27:40
hi! its **not** a stupid question, especially when you have experienced such uncomfortable side effects with this medication before.
From what I understand, boosting the blood levels is a lot like upping the dosage; your 50mgs packs more of a "punch," which means you can get more good and bad side effects. That said..I don't think its all that predictable, unless you get blood levels measured (this was once done for TCAs; I think now its only done for Pamelor, but I may be wrong).
I guess the only thing you can do is enjoy the good effects, and wait it out. If you experience undesirable side effects such as lactation, then you'll probably need to adjust the dosage downward, or discontinue.
I remember you once took Adderall for your depression; could you revisit that (or use another stimulant..dexedrine, ritalin, provigil, etc.) ? Another option (**IF** side effects become troublesome) would be switching out the TCA for something TCA-ish, but a little cleaner; Wellbutrin, for instance, could jumpstart the prozac w/o the same side effects as a TCA (although obviously you might have other side effects). Switching out both for something like Cymbalta, which pumps up neuroepinephrine and serotonin about equally (and is chemically related to Prozac) might be another option..so might something like the "california rocketfuel" combo of remeron and effexor.
That said..I'd just enjoy the good effects for now, and try not to worry about problems until you come across them.
Good luck!
poster:med_empowered
thread:612431
URL: http://www.dr-bob.org/babble/20060219/msgs/613370.html