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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by pandora on March 29, 2001, at 21:27:44
I tried researching this subject in the archives, but didn't really find the answers I was looking for. I was put on Prozac (20 mg) in 1990 for panic d/o with agoraphobia. In 1993, I discontinued it b/c I was doing so much better (away at college, much less anxiety in general) and figured it was a good time to try going off it. After about 3 months off, my doc and I decided I needed to go back on... the anxiety wasn't crippling, but it was mighty uncomfortable. After restarting the 20 mg/day, I noticed that it wasn't working quite as well as before... I realize this is a common phenomenon with stopping and staring ADs. I increased the dose (per doctor's orders, of course) to 40 mg/day. In 1998, I decided that rather than increase the dose again (I wasn't feeling all that great anymore, but now the culprit was depression, not anxiety), I'd rather d/c it and try something new. Now, after 3 years, Effexor seems to have pooped out on me and my doc is suggesting Prozac again.
My question (yes, there's actually a question here!) is: what are the chances of Prozac working as well as it did originally now that I've been off it for 3 years?
Posted by stjames on March 29, 2001, at 23:16:48
In reply to Revisiting Prozac... Cam? others?, posted by pandora on March 29, 2001, at 21:27:44
> My question (yes, there's actually a question here!) is: what are the chances of Prozac working as well as it did originally now that I've been off it for 3 years?
James.....
Odd but true, some things that did not work in the past or quit working in the past may work again. It is also a good idea to give things that did not have major side effects another chance.
james
Posted by Cam W. on March 30, 2001, at 13:32:03
In reply to Revisiting Prozac... Cam? others?, posted by pandora on March 29, 2001, at 21:27:44
Pandora - Further to what James, after a couple or three years of being off of Prozac, your neuroreceptor mix may have changed and the Prozac may work again. It may be worth giving the drug another adequate trial. The next step, if the Prozac doesn't work would be augmentation of Effexor or Prozac. There are several method of augmentation and you could ask your doc which one he/she feels may be of help, in your particular case.
Hope this helps - Cam
Posted by pandora on March 30, 2001, at 14:28:13
In reply to Re: Revisiting Prozac... Cam? others?, posted by stjames on March 29, 2001, at 23:16:48
Thanks for your input... I'm going to talk to my doc about trying one more increase in Effexor before switching back to Prozac... I'm at 225mg right now and I figure 300mg is worth a shot before attemping to withdraw from it... good thing is, I've already got Prozac samples on hand if and when I decide to wean off Effexor. : )
This is the end of the thread.
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