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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by lexman on May 6, 2004, at 17:51:54
Also, when do the side effects go away?
Posted by harryp on May 6, 2004, at 19:39:50
In reply to How long does it take for prozac to kick in?, posted by lexman on May 6, 2004, at 17:51:54
It can take up to five weeks (unfortunately). The side effects often get better with time, but it depends on the person.
If it's any consolation, I think Prozac has the best side effect profile (for most people) of all the SSRI's. It was the only one I could tolerate, and you rarely see threads complaining about how badly Prozac messed the poster up--as you do with some OTHER drugs I could name...
It's also a pretty effective AD, and appears to be comparable to the tricyclics for many people. The reason it isn't prescribed more is because it's generic. I haven't yet met a psychiatrist who wasn't totally in thrall to his drug reps!
Posted by Keith Talent on May 8, 2004, at 2:20:49
In reply to How long does it take for prozac to kick in?, posted by lexman on May 6, 2004, at 17:51:54
For depression, benefits will start when you've been on the optimal dose for you for two weeks. They won't peak until about four to sixteen weeks.
For anxiety, doses usually need to be much higher than for depression. Benefits don't tend to be fully apparent until about 3 or 4 months. Fluoxetine, in particular, has a reputation for increasing anxiety during the first fortnight. This is presumably because it antagonises serotonin-2 receptors, causing release of noradrenaline and dopamine in the cortex (no other SSRI does this).
This is the end of the thread.
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