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  1. Are My Meds Working?

    This sounds ridiculous, but I do not know. I was put on Prozac (20mg daily) to help with depression after splitting up with my husband. Some days, I feel like the Bees Knees, and what a big loss he had when I chucked him. Other days, and there are many of these (especially during my college breaks, when I am at home with the kids) I just sit and cry because our relationship died. Yet I don't want him back.

    My sister and sister in law both say that Prozac is meant to be short term. Six months, your serotonin levels are back to normal, you come off the Prozac. Any weepiness/ emotional flaws after that time, and these are down to my 'true' personality, they said. Not depression. Their doctors told them this. I am mighty troubled that I am going to be the world's biggest emotional rollercoaster for the rest of my life, if Prozac has had its optimum effect on me. (By the way, have been on 20mg daily for about 10 months now). Does anyone know if this is an accurate description of how Prozac works, please?

  2. Are My Meds Working?

    This sounds ridiculous, but I do not know. I was put on Prozac (20mg daily) to help with depression after splitting up with my husband. Some days, I feel like the Bees Knees, and what a big loss he had when I chucked him. Other days, and there are many of these (especially during my college breaks, when I am at home with the kids) I just sit and cry because our relationship died. Yet I don't want him back.

    My sister and sister in law both say that Prozac is meant to be short term. Six months, your serotonin levels are back to normal, you come off the Prozac. Any weepiness/ emotional flaws after that time, and these are down to my 'true' personality, they said. Not depression. Their doctors told them this. I am mighty troubled that I am going to be the world's biggest emotional rollercoaster for the rest of my life, if Prozac has had its optimum effect on me. (By the way, have been on 20mg daily for about 10 months now). Does anyone know if this is an accurate description of how Prozac works, please?

  3. #3

    Are My Meds Working?

    Mrs King,

    Treating depression, especially following a traumatic event in one's life, often goes through cycles of good days and bad days.

    You've stated your only concern is that sometimes you will feel in good spirits while on other days you feel you fall back into the depression.

    It seems these cycles are a expected part of the therapy which can last for more than the ten months you are being treated.

    Are you seeing your treating physician for regular visits for support and a review since the last visit?

    The use of Selective Seretonin Uptake Inhibitors (SSRI's) can last months and years until a maintenance dose is achieved.

    A subject worthy of discussion is whether your physician of pharmacist has discussed the potential for drug interactions with fluoxetine (Prozac).

    Let us know what if anything was explained to you about what other medications , prescribed or over the counter, might affect the effectiveness of Prozac.

    Let us know any other prescribed medications you take as well as any other over the counter meds such as ant-acids, cold and cough medications, oral contraceptives etc.

    There could be other underlying factors contributing to the swings you experience.

    Looking forward to hearing from you.
    Steve

    Dum spiro spero....While I breathe, I hope

    Tourette Canada Forum

  4. #4

    Are My Meds Working?

    Mrs King,

    Treating depression, especially following a traumatic event in one's life, often goes through cycles of good days and bad days.

    You've stated your only concern is that sometimes you will feel in good spirits while on other days you feel you fall back into the depression.

    It seems these cycles are a expected part of the therapy which can last for more than the ten months you are being treated.

    Are you seeing your treating physician for regular visits for support and a review since the last visit?

    The use of Selective Seretonin Uptake Inhibitors (SSRI's) can last months and years until a maintenance dose is achieved.

    A subject worthy of discussion is whether your physician of pharmacist has discussed the potential for drug interactions with fluoxetine (Prozac).

    Let us know what if anything was explained to you about what other medications , prescribed or over the counter, might affect the effectiveness of Prozac.

    Let us know any other prescribed medications you take as well as any other over the counter meds such as ant-acids, cold and cough medications, oral contraceptives etc.

    There could be other underlying factors contributing to the swings you experience.

    Looking forward to hearing from you.
    Steve

    Dum spiro spero....While I breathe, I hope

    Tourette Canada Forum

  5. #5

    Are My Meds Working?

    My sister and sister in law both say that Prozac is meant to be short term. Six months, your serotonin levels are back to normal, you come off the Prozac. Any weepiness/ emotional flaws after that time, and these are down to my 'true' personality, they said. Not depression. Their doctors told them this.
    No. None of that is true.

    First, medications like Prozac are not intended to stop you from feeling anything - that would not be helpful at all in the long run - you are grieving the loss of a dream if not the relationship as well as struggling with coming to terms with abuse and trauma.

    Second, once you are in a major depression and start to take an SSRI like Prozac, you may start to feel a better in 6 months but at that point only half the job is done - you still need to rebuild resilience, both psychologically and in terms of neurochemistry. This typically takes at least a year, sometimes more. Discontinuing the medication at 6 months leaves you vulnerable to relapse. If you can remain on the medication for one and a half to two years, your risk of relapse (suffering another major depression in the future) is significantly reduced.

  6. #6

    Are My Meds Working?

    My sister and sister in law both say that Prozac is meant to be short term. Six months, your serotonin levels are back to normal, you come off the Prozac. Any weepiness/ emotional flaws after that time, and these are down to my 'true' personality, they said. Not depression. Their doctors told them this.
    No. None of that is true.

    First, medications like Prozac are not intended to stop you from feeling anything - that would not be helpful at all in the long run - you are grieving the loss of a dream if not the relationship as well as struggling with coming to terms with abuse and trauma.

    Second, once you are in a major depression and start to take an SSRI like Prozac, you may start to feel a better in 6 months but at that point only half the job is done - you still need to rebuild resilience, both psychologically and in terms of neurochemistry. This typically takes at least a year, sometimes more. Discontinuing the medication at 6 months leaves you vulnerable to relapse. If you can remain on the medication for one and a half to two years, your risk of relapse (suffering another major depression in the future) is significantly reduced.

  7. Are My Meds Working?

    Thank you both, so much, for replying. I don't take any other medicines, except paracetamol for headaches. I did try 40mg fluoxetine daily for two weeks, but I was still weepy, and very tired, so I cut back to 20mg a day, again. I am not sure exactly what Prozac is meant to do, apart from help the brain to optimize use of poor serotonin levels (I read some of the posts :o) So I am not sure what results to expect, except I was hoping to avoid all suffering. Lol. Just joking.
    I have been able to process my thoughts quite well, I think, with my counsellor. I believe you are right, David, that the death of the dream probably causes me more pain than the loss of the person. Trouble is, he wasn't always horrible, so I keep thinking maybe it's all my fault. Maybe I simply misunderstood him. That's when I take the nosedive, and the crying begins. Actually, my husband once mugged somebody, so he is capable of real anti-social and selfish behaviour. But he hid it under such a charming exterior that my memory sometimes only remembers the nice guy; then I think I've really lost something worth having and I cry. Is this a normal reaction, do you think? I have found some really uplifting moments in the posts here, and I know that I could never take him back. Nor do I like him. I know that forwards is the only way for me now. So why can't I go?

  8. Are My Meds Working?

    Thank you both, so much, for replying. I don't take any other medicines, except paracetamol for headaches. I did try 40mg fluoxetine daily for two weeks, but I was still weepy, and very tired, so I cut back to 20mg a day, again. I am not sure exactly what Prozac is meant to do, apart from help the brain to optimize use of poor serotonin levels (I read some of the posts :o) So I am not sure what results to expect, except I was hoping to avoid all suffering. Lol. Just joking.
    I have been able to process my thoughts quite well, I think, with my counsellor. I believe you are right, David, that the death of the dream probably causes me more pain than the loss of the person. Trouble is, he wasn't always horrible, so I keep thinking maybe it's all my fault. Maybe I simply misunderstood him. That's when I take the nosedive, and the crying begins. Actually, my husband once mugged somebody, so he is capable of real anti-social and selfish behaviour. But he hid it under such a charming exterior that my memory sometimes only remembers the nice guy; then I think I've really lost something worth having and I cry. Is this a normal reaction, do you think? I have found some really uplifting moments in the posts here, and I know that I could never take him back. Nor do I like him. I know that forwards is the only way for me now. So why can't I go?

  9. #9

    Are My Meds Working?

    It is quite normal, actually. The problem with abusive individuals is that they are capable of being charming when they choose to be. In addition, they are very good at (and can be quite convincing superficially at) blaming other people for whatever they do wrong -- that's part of what causes you to question yourself now... "was he right?"... the answer is "not a chance" but it's understandable that you will ask the question.

  10. #10

    Are My Meds Working?

    It is quite normal, actually. The problem with abusive individuals is that they are capable of being charming when they choose to be. In addition, they are very good at (and can be quite convincing superficially at) blaming other people for whatever they do wrong -- that's part of what causes you to question yourself now... "was he right?"... the answer is "not a chance" but it's understandable that you will ask the question.

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