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About mikl_pls

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  • Birthday 09/11/1987

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    Alabama, US

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  1. That's good that you're experiencing good results with such a little change. The half-life of Prozac is about 4-6 days after chronic administration with its active metabolite, norfluoxetine having a half-life of about 4-16 days. It may take a while for this dose change to reach steady state in your system, but after a while, taking 60 mg may be easier, but that is if you want to and/or need to and don't feel like alternating doses each day. (That would be hard for me to keep up with! lol)
  2. 50 mg is on the high end of the starting dose range. Perhaps you could try splitting it in half for 25 mg for a little while? Also, for sleep, you could ask your doctor about adding low-dose trazodone. It helps the SSRI work better and helps you get higher quality sleep.
  3. Have you tried doxepin (Sinequan) for that? It is supposed to be good for middle/late insomnia but not so great for sleep induction.
  4. Just know that they call Topamx "Dopamax" for a reason--it causes cognitive issues and whatnot. It can also cause weight loss in some people, sometimes so much so that they have to discontinue it. But it can help OCD, and sometimes depression. Good luck with the Topamax! Let us know how you do on it!
  5. Trazodone 200 mg for me. Sometimes a Xanax 1 mg if needed, but rarely if ever. Sometimes I take some natural supplements with it.
  6. Zoloft and other SSRIs can sometimes do this. Have you tried Prozac or an SNRI like Effexor, Pristiq, Cymbalta, or Fetzima?
  7. Zoloft has been a life-saver for me and my best friend. My dad and boyfriend both take it too and it seems to work well for them.
  8. Wellbutrin caused me a lot of nausea for the first 3 weeks I took it and cognitive problems for the first week or two, but after that it was magic.
  9. Good luck! I had good results with Viibryd once I hit the target dose of 40 mg, but it was short-lived. It pooped out on me. I hope it is a successful medicine for you.
  10. I would either increase the Prozac or add something like Wellbutrin. Going up to 60 mg to 80 mg Prozac would be my first step. Then adding Wellbutrin SR 150-300 mg or Wellbutrin XL 150 mg would be my next step.
  11. Things can get worse before they get better with SSRIs and SNRIs. Effexor is basically an SSRI at 37.5-112.5 mg, and becomes an SNRI at 150 mg, and a SNDRI at 300-375 mg. Depending on your condition that you're being treated for will dictate the dosage of Effexor XR that you take. You may need a higher dose to feel more of an antidepressant effect (i.e., >150 mg because of working on two neurotransmitters), but if it's an anxiolytic effect you're seeking, you need to maintain in the lower dose range (37.5-112.5 mg). It takes a while for the serotonin receptors to downregulate and desensitize, during which time you may feel some unwanted activation. But after these receptors desensitize, you will then feel the therapeutic effects of the Effexor.
  12. Sometimes SSRIs can cause these symptoms, and they get worse before they get better. Otherwise, you may need to be screened for latent bipolar disorder. You may need a mood stabilizer.
  13. SSRIs commonly raise anxiety due to their mechanism of action at first before they lower the anxiety. Stay the course, it will get better.
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