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Jump to the text Jump to the menu. About Stanton Peele On-line Library Ask Stanton Coaching Lectures Bookstore Home Back Will I relapse to depression after quitting Prozac? Dear Stanton, I have been taking Prozac since I was 13 years quitting prozac old and I am now 23. I was quitting prozac prescribed prozac initially because of severe depression and anger about my life situation. Now, I am in college, engaged to be married, hold a job etc. I thank Prozac for my success in life so far but for the past year I have been pondering the idea of stopping the drug, and finally I have. quitting prozac It has been almost 4 weeks and I feel pretty good, surprisingly good actually. My question is, when I was started with Prozac my doctor told me I quitting prozac would probably need to take it for the rest of my life due to a chemical imbalance in my brain. Will stopping the drug quitting prozac send me back into depression and make quitting prozac me angry again? Or is it possible that mind over matter will get me through without medicine? I am also curious to know if there are any quitting prozac serious or semi-serious side effects involved with suddenly stopping prozac after 10 quitting prozac years? Please respond, my email address is below. Thank you for your time. Sincerely, Amy Dear Amy: I need first to say that I am not a physician and I cannot prescribe or "unprescribe" quitting prozac drugs to quitting prozac anyone. Nonetheless, I consider your physicians to have been unethical in not having attempted to wean you from Prozac before you decided to quit on your own, after having quitting prozac taken the drug since early adolescence. You know, anger is not usually considered a genetic trait. That you were angry suggests something was occurring in your situation that could be remedied by life changes, changes you quitting prozac have obviously now undergone. I write at my site about Prozac being quitting prozac addictive, and people experiencing withdrawal from it. But I also consider withdrawal and dependence are determined by a person's life situation — and you have very much changed yours, to a point where you have passed the period of maximum withdrawal danger. When (if) you desire Prozac from here on in, it isn't called withdrawal. In fact, you are quitting prozac proof of the misidentification of depression as a chemical imbalance and lifetime trait, just like it was crazy for therapists to decide that Drew Barrymore quitting prozac was a lifetime drug addict due to her behavior in her early teens. Amy, you have already been brave enough to figure out to disregard your doctor's lifetime sentence into depression. I don't think quitting prozac you need much advice from me about how to leave your diagnosis behind, other than for me to commend you, to tell you many people cease being depressed, and to encourage you to tell others about your experience — there are enough people already on television informing everyone that, if they are depressed, quitting prozac that their only solution quitting prozac is to take antidepressants quitting prozac forever. Yours with best wishes, Stanton Search the web Search peele.net Legal help and coaching Stanton is a practicing attorney. If you believe that you have been the victim of psychological abuse or improper treatment by a mental health professional quitting prozac or a treatment center that has resulted in significant damage he may be able to help you or refer you to a cooperating lawyer in your area who specializes in these kinds of malpractice matters. Read more... Ask Stanton Do you have questions about personal addictions, addictions of friends or family, appropriate treatments, the meaning of the latest research? Ask Stanton! Support the quitting prozac Stanton Peele Addiction Website All information on this website is offered to you for free. This website was built and is maintained by volunteers who think Stanton Peele's work is important, and should be as widely available as possible. How can you support this website? 1. Buy quitting prozac books or other products from Amazon, by clicking on one of the Amazon ads on this site. We receive a small percentage from any purchase you make after clicking on an ad. 2. quitting prozac Donate money through PayPal: 3. Send a check to Stanton Peele at: 19E Kensington Rd., Chatham, NJ 07928, U.S.A. quitting prozac Your support allows us to keep this site on-line, and is greatly appreciated. © Copyright 1996-2004 Stanton Peele. All rights reserved. No data on this website may be reproduced, stored in another retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilm or otherwise, without the prior written permission of Stanton Peele. The opinions contained on this website are Stanton Peele's and in no way reflect those of the financial supporters of the website. All material provided on the Stanton Peele Addiction Website is provided for informational or educational purposes only. Stanton Peele cannot provide individual clinical or therapy recommendations for persons consulting this site unless they have specifically retained Stanton for this purpose and he addresses them individually. Consult a licensed therapist or physician regarding the applicability of any opinions or recommendations with respect to your problems or medical condition. Webmaster: Arjan Sas. Last updated February 24, 2004 . QUITTING PROZAC Quitting prozac Quitting Prozac Inform your doctor promptly if you develop: persistent stomach pain, rapid heart rate • Other, less serious side effects may be more likely to occur g If you experience any of the following serious side effects, stop taking montelukast and quitting prozac seek emergency quitting prozac medical quitting prozac attention or notify your doctor immediately: • Store the suspension in the refrigerator · rash, redness, or itching; Many cough-and-cold products contain antihistamines, which can cause drowsiness This results in lower levels of cholesterol circulating in your blood · little or no urine Take quitting prozac only as directed, usually once each 3 days as needed · upset stomach, stomach pain, or heartburn; · upset stomach, stomach pain, or heartburn; Keep this and all medications out of the reach of children Do not increase your dose or take it more often than prescribed Xenical should not be used if you have anorexia nervosa or bulemia-type eating disorders , A,D,E,K), a daily multivitamin supplement containing these nutrients is recommended • Losartan can be taken quitting prozac with or without quitting prozac food Your doctor will determine how much your LDL cholesterol needs to be lowered, based on your overall risk of heart disease These drugs have been used widely for the last five years Tell your doctor of all over-the-counter and prescription medication you may take including: quitting prozac sedatives, tranquilizers, sleeping pills, narcotic pain relievers, medication for depression and certain antihistamines (e Because this drug can interfere with absorption of fat-soluble vitamins (e Check labels carefully and consult your pharmacist if you have quitting prozac any questions For people with high cholesterol, Atorvastatin, in combination with a low-fat diet, can reduce your LDL cholesterol and triglyceride levels The dosage and length of treatment is based on your medical condition and response to therapy Talk to quitting prozac your doctor about any side effect quitting prozac that seems unusual or that is especially bothersome Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture Consult your quitting prozac doctor if weight increases Talk to your doctor about any side effect that quitting prozac seems unusual or that is especially bothersome Take only as directed, usually once each 3 days as needed Use caution engaging in activities requiring alertness (such as driving) if this drug makes you dizzy or drowsy The effects of this drug quitting prozac may begin as soon as 1-2 quitting prozac days after treatment begins; noticeable weight loss will take longer • Take this medication exactly as directed by your doctor This results in lower levels of cholesterol circulating in your blood In late pregnancy CELEBREX should be quitting prozac avoided because it may cause problems in the final development of the heart in the fetus If you miss a dose, take it as soon as remembered if it is quitting prozac within an hour or so After opening the quitting prozac packet, the full dose must be administered within 15 minutes · diarrhea or upset stomach, Atorvastatin is used with diet changes (restriction of cholesterol and fat intake) to reduce the amount of cholesterol and certain fatty substances in your quitting prozac blood Accumulation of quitting prozac cholesterol and fats along the walls of your arteries (a process known as atherosclerosis) decreases blood flow and, therefore, the oxygen supply to your heart, brain, and other parts of your body quitting prozac • Do not stop taking montelukast without first talking to your quitting prozac doctor Most people will require the starting dose, which is a 10 mg tablet once daily 0% of men taking this medicine Atorvastatin works by blocking an enzyme quitting prozac in the liver that your body uses to quitting prozac make cholesterol · tiredness; Continue to take this medication for the prescribed length of treatment even if you are feeling better Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture Take LEVITRA no more than once a day Never store any quitting prozac mixed or unmixed granules for use after 15 minutes This medicine is an androgen hormone inhibitor quitting prozac used to treat benign prostatic hyperplasia (BPH) which is an enlarged prostate Do not stop taking Fosamax/alendronate without talking to your doctor Also, if used for a longer period of time, do not suddenly stop using this drug without your doctor's approval Therefore, in patients with liver disease PROPECIA can cause hepatitis (liver inflammation), although this problem is seen very rarely In the unlikely event quitting prozac you have an allergic reaction to this drug, seek immediate medical attention PROPECIA not quitting prozac only led to a decrease quitting prozac in hair loss but also significantly quitting prozac increased the rate of hair regrowth Before taking quitting prozac montelukast, tell your doctor if you are taking rifampin (Rimactane, Rifadin) or phenobarbital (Luminal, Solfoton) - In Rheumatoid Arthritis, the recommended dose quitting prozac for CELEBREX is 100 mg to 200 mg, twice a day In multiple clinical studies adverse reactions were noted to be rare and did not affect most men • Montelukast will not quitting prozac stop an asthma attack that has already begun - quitting prozac Boost Sexual Performance Nonetheless, a crushed or broken tablet should not be handled by women who are pregnant or who may be pregnant due to potential adverse quitting prozac effects of quitting prozac this medication on the male fetus · a flu-like illness; INCLUDE IN YOUR MEDICAL HISTORY/PERSONAL PROFILE : Store at room temperature between 59 and 86 degrees F (15-30 degrees C) quitting prozac away from light and moisture , oxalate kidney stones, hyperoxaluria) Because of the potential risk to the infant, breast-feeding while using Xenical is not recommended Use caution engaging in activities requiring alertness (such as driving) if this quitting prozac drug quitting prozac makes you dizzy or drowsy Tadalafil is known as Super Viagra because it acts quicker and lasts much longer! Tadalafil softtabs (generic Cialis)disolve in the mouth so will enter the blood stream and start working faster 0% of men taking this medicine Talk to your doctor about any side effect that seems unusual or that is especially bothersome Once a man has completed sexual activity, blood flow to his penis should decrease and his erection should go away Swallow the medication whole NO Tell your doctor of all over-the-counter and prescription medication you may take including: sedatives, tranquilizers, sleeping pills, narcotic pain relievers, medication for depression and certain antihistamines (e This medicine can cause side effects including: a change is sexual function, breast enlargement • Store the suspension in the refrigerator Assessments were done by looking at photographic enlargements of sections of the scalp Atorvastatin also quitting prozac effectively lowers high blood-triglyceride levels Take LEVITRA no more than once a day This medicine may be crushed if needed to quitting prozac swallow g You may not be able to take montelukast, or you may require a dosage adjustment or special monitoring during your treatment Many cough-and-cold products contain antihistamines, which can cause quitting prozac drowsiness Consult your doctor before breast-feeding To make it easier to remember to take Atorvastatin you quitting prozac can plan to take it at the quitting prozac same time each day, such as after you brush your teeth in the evening Sildenafil Citrate is also known to: Continue to take cephalexin and talk to your doctor if you experience The manufacturer does not recommend use of Xenical during pregnancy Do not smoke if using any nicotine products with this drug Do not take more or less medication than prescribed • Cephalexin can be taken quitting prozac on an empty stomach or with food or milk if it causes stomach upset • Montelukast will not stop an asthma attack that has already begun The recommended quitting prozac dose for BPH is 5 mg once daily You may not be able to take montelukast, or you may require a dosage adjustment quitting prozac or special monitoring during your treatment As male pattern baldness begins the amount of DHT contained in quitting prozac each follicle increases In the unlikely event you have an allergic reaction quitting prozac to this drug, seek immediate medical attention If these symptoms persist or worsen, notify your doctor promptly • Take losartan exactly as directed by your doctor Inform your doctor if your condition persists or worsens The problem quickly resolved in all quitting prozac cases upon the discontinuation of the medication Consult your doctor if weight increases Sildenafil Citrate is also known to: Consult your doctor before breast-feeding Take only as directed, usually once each 3 days as needed Leukotrienes are substances in the body that are associated with the inflammation and constriction of airway muscles and the accumulation of fluid in the lungs, quitting prozac all quitting prozac of which occur during an asthma attack • Losartan can be taken with or without food Because this medication makes an injury temporarily feel better, do not attempt to lift or exercise too soon Take by mouth exactly as directed by your doctor, usually one pill daily Lowering quitting prozac your blood level of cholesterol and fats may help to prevent heart disease, angina (chest pain), strokes, and heart attacks Talk to your doctor about any side quitting prozac effect that seems unusual quitting prozac or that is especially bothersome • Montelukast will not stop an asthma attack that quitting prozac has already begun • To ensure that you quitting prozac get a correct dose, measure the liquid form of cephalexin with a dose-measuring spoon or cup, not a regular table spoon • Your doctor quitting prozac may want you to have blood pressure checks, quitting prozac blood tests, or quitting prozac other medical evaluations during treatment with losartan to monitor progress and side effects Some people should not take Atorvastatin · an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); · mild nausea or diarrhea, or It is available in 2 0% of men taking this medicine - Quicker Recharges Follow your doctor's instructions for recovery This medicine can cause side effects including: a change is sexual function, breast enlargement Standing or sitting upright helps you get the full dose and decreases heartburn or the risk of injury to your esophagus , diphenhydramine) This drug is taken by mouth as needed 45min before sexual activity If you experience other bothersome side effects, quitting prozac talk to your health care provider Continue to take this medication for the prescribed length of treatment even if you are feeling better , A,D,E,K), a quitting prozac daily multivitamin supplement containing these nutrients is recommended PROPECIA is the brand name for finasteride, which acts to inhibit the conversion of the androgen (male hormone) testosterone into quitting prozac 5-alpha-dihydrotesterone quitting prozac (DHT) Fosamax/Alendronate prevents or slows weakening of bone Consult your doctor before breast-feeding The granules are not intended to be dissolved in liquid however, liquids may be taken after administration of the medication The dosage and length of treatment quitting prozac is based on your quitting prozac medical condition and response to therapy Before taking montelukast, tell your doctor if you are taking rifampin (Rimactane, Rifadin) or phenobarbital (Luminal, Solfoton) 0% of men taking this medicine g Take by mouth exactly as directed by your doctor, usually one quitting prozac pill daily • Continue taking any other asthma medications, as directed by your doctor Tadalafil is known as Super Viagra because it acts quicker and lasts much longer! Tadalafil softtabs (generic Cialis)disolve in the mouth so will enter the blood stream and start working faster It is used to treat acid-related stomach/intestinal and throat (esophagus) problems (e Your doctor will prescribe the dose that is right quitting prozac for you, which may be 10 mg to 80 mg · quitting prozac mild nausea or diarrhea, or • Take each dose with a full glass of water Talk to your doctor about any side effect that quitting prozac seems unusual or that is especially bothersome These drugs have been used widely for the last five years quitting prozac Your doctor will prescribe the dose that is right for you, which may be quitting prozac 10 mg to 80 mg Tell your doctor your medical history, especially of: any liver or kidney disease, blood disorders, porphyria, asthma, any allergies Who should not take Atorvastatin tablets? · an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); Caution should be used when men with liver disorders quitting prozac take PROPECIA • Other, less serious side effects may be quitting prozac more likely to occur - 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Fuller & Harder Erections This medication is an antihistamine which provides relief of allergy symptoms such as watery eyes, runny nose, itching eyes, sneezing, itching and hives This medicine is an androgen hormone inhibitor used to treat benign prostatic hyperplasia (BPH) which is an enlarged prostate The full effect is usually seen within 4 weeks and lasts as long as you continue taking it An increased need for medication could be an early sign of a serious quitting prozac asthma attack A net increase in scalp hair quitting prozac count and hair regrowth was seen in over 80% of men for whom it was prescribed Abrupt discontinuation of this medicine may lead to exacerbation of corticosteroid-responsive illness If it is time for your next dose, skip the missed dose and go back to your regular schedule quitting prozac Inform your doctor if your condition persists or worsens The full effect on weight may require four to six weeks quitting prozac Fosamax/Alendronate should quitting prozac be taken with a quitting prozac full glass (6-8 ounces) of plain water • Your doctor may want you to have blood pressure checks, blood tests, quitting prozac or other medical evaluations during treatment with losartan to monitor quitting prozac progress and side effects Take only as directed, usually half a 100mg pill once daily as needed • Side effects other than those listed here may also occur Take this drug by mouth, generally three times daily during (or up to one hour quitting prozac after) each main meal that contains fat You may not be able to take montelukast, or you may require a dosage adjustment or special monitoring during your treatment 1 tablet per day Too much nicotine can cause serious side effects - Increase Sex Drive • It is important to take cephalexin regularly to get quitting prozac the most benefit Your doctor may prescribe this medicine for quitting prozac other conditions as well • It is important to take losartan regularly to get the most benefit Atorvastatin can be taken any time of the day, with or without food Tell your doctor if you are pregnant before using Xenical • Take each dose with a full glass of water Do not crush or chew them or the sustained activity of the drug will be destroyed and the chances of quitting prozac side effects occurring may be increased A net increase in scalp hair count and hair regrowth was seen in over 80% quitting prozac of men for whom it was prescribed • quitting prozac Side effects other than those listed here may also quitting prozac occur This medicine should be taken at the same time quitting prozac everyday , at bedtime) , acid reflux or GERD, ulcers, erosive esophagitis, Zollinger-Ellison syndrome) Continue to take quitting prozac cephalexin and talk to your doctor if you experience - If you have high blood pressure Rabeprazole works by blocking acid production in the stomach This drug is taken by mouth as needed 20 minutes before sexual activity quitting prozac Nonetheless, a crushed or broken tablet should quitting prozac not be handled by women who quitting prozac are pregnant or who may be pregnant due to potential adverse effects of this medication on the male fetus · diarrhea or upset stomach, Take the multivitamin at least 2 hours before or 2 hours after this drug (e Consult your doctor before breast-feeding Take LEVITRA no more than once a day Fosamax/Alendronate should be taken once a day in the morning on an empty stomach How does Atorvastatin improve the different types of cholesterol? Tadalafil is known as Super Viagra because it acts quicker and lasts much longer! Tadalafil softtabs (generic Cialis)disolve in the mouth so will enter the blood stream and start working faster • quitting prozac It is important to take cephalexin regularly to get the most benefit - In Rheumatoid Arthritis, the recommended dose for CELEBREX is 100 mg to 200 mg, twice a day • Store the suspension in the refrigerator • Chew quitting prozac the chewable tablets thoroughly before swallowing Lowering your blood level of cholesterol and fats may help to prevent heart disease, angina (chest pain), strokes, and heart attacks quitting prozac Because of the potential quitting prozac risk to the infant, breast-feeding while using Xenical is not quitting prozac recommended · upset stomach, stomach pain, or heartburn; Take this medication by mouth usually once daily, with or without food, or as directed by your doctor Remember to use it at the same time each day g PROPECIA through its inhibitory action serves to reverse this process by decreasing the quitting prozac amount of DHT in the hair follicle and in blood For people with quitting prozac high cholesterol, Atorvastatin, in combination with a low-fat diet, can reduce your LDL cholesterol and triglyceride levels Vardenafil (Levitra) has been clinically shown to improve erectile function even in men who quitting prozac had other health factors, quitting prozac like diabetes or prostate surgery Take by mouth exactly as directed by your doctor, usually one pill daily Leukotrienes are substances in the body that are associated with the inflammation and constriction of airway muscles and the accumulation of fluid in the lungs, all of which occur during an asthma attack Take quitting prozac this medication by mouth usually once daily, with or without food, or as directed by your doctor , acid reflux or quitting prozac GERD, ulcers, erosive quitting prozac esophagitis, Zollinger-Ellison syndrome) Continue to take this medication for the prescribed length of treatment even if you are feeling better quitting prozac Montelukast is a leukotriene (loo-koe-try-een) inhibitor Take the multivitamin at least 2 hours before or 2 hours after this drug (e quitting prozac - If you quitting prozac have high blood pressure If quitting prozac you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you • Take all of quitting prozac the quitting prozac cephalexin quitting prozac that has been prescribed for you even if you begin to feel better Inform your doctor promptly if quitting prozac you develop: persistent stomach pain, rapid quitting prozac heart rate Continue to take losartan and talk to your doctor if you experience Fosamax/Alendronate is used to prevent and quitting prozac treat postmenopausal osteoporosis (bone weakening) or Paget's quitting prozac disease Those with active liver disease or possible liver problems; women who are pregnant, could possibly become pregnant, or are breast-feeding; and people quitting prozac who are allergic to any of the ingredients in LIPITOR Too much nicotine can cause serious side effects CAN I TAKE CELEBREX IF I AM TAKING OTHER MEDICATIONS? To make it easier quitting prozac to remember to take Atorvastatin quitting prozac you can plan to take it at the same time each day, such as after you brush your teeth in the evening · worsening respiratory symptoms An increased need for medication could be an early sign of a serious asthma attack Paroxetine is quitting prozac used to treat depression, panic attacks, obsessive compulsive disorders (OCD), social anxiety disorder (social phobia), and generalized anxiety disorder Never store any mixed quitting prozac or unmixed granules for use quitting prozac after 15 quitting prozac minutes INCLUDE IN YOUR MEDICAL HISTORY/PERSONAL PROFILE : Numerous studies have been done looking at the efficacy of PROPECIA Continue to take losartan and quitting prozac talk to your doctor if you experience free research papers on the effects of prozac - prozac lawsuit - discontinuation of prozac - quitting prozac prozac online - prozac feline dosage - kitty prozac quitting prozac - prozac use as a defense in murder case - book prozac nation quitting prozac - paxil prozac - prozac makes gays act normal - christina ricci nude prozac - prozac for sale - prozac for depression in teens - weekly prozac dosages - behavioral side effects of children on prozac - prozac safe cough syrup - prozac for dogs - weaning off prozac - discontinuation symptoms of prozac - prozac patient assistance - does prozac cause weight loss quitting prozac - prozac survivors - prozac and its side effects - quitting prozac prozac suicide - buy quitting prozac prozac online cheap - sleepy on prozac - quitting prozac prozac and night sweats - prozac nation book report - long term side effects on prozac - going off prozac - pros and cons of prozac - prozac study pregnancy - how much does it cost to make prozac - prozac tolerance - diplopia and prozac - prozac no prescription - prozac nation ricci - movie nation prozac - pregnancy prozac article - be as by prozac be as prozak quitting prozac - prozac withdrawal effects - taking prozac in morning or night - side effects prozac - prozac insomnia help - withdrawal from prozac - prozac pharmacy - prozac vs zoloft - prozac and wellbutrin therapy - zoloft vs prozac - housewives on prozac - quitting prozac - prozac weight solution - switch prozac to zoloft - answering machine prozac - prozac hairloss experiences - difference between prozac and fluoxetine - common prozac side effects - does alcohol interact with prozac - mixing prozac and celexa - prozac survivor support group - prozac used to treat - history of prozac quitting prozac - prozac penis - prozac during pregnancy - equine prozac - effect of prozac on children - prozac and lithium - stop smoking with prozac - harmful effects of mixing prozac and alcohol - prozac long term side effects - what is quitting prozac prozac - stop taking prozac - buy us prozac - can you be on prozac forever - quitting prozac using prozac for the borderline quitting prozac personality disorder - prozac on line - prozac and pregnancy - using prozac and remeron together - topamax and prozac quitting prozac - prozac ocd - prozac and wellbutrin together - cheap prozac - should prozac and abilify be taken quitting prozac together - prozac nation release date - prozac quitting prozac for ibs - cheap prozac no prescription tramadol - prozac weekly - pet prozac - psychosis taking prozac and narcotics - prozac used for - ricci prozac nation - generic prozac - prozac safety in pregnancy - prozac and insomnia quitting prozac help - alcohol prozac - prozac and memory loss - coumadin and prozac interaction - quitting prozac weight loss and prozac - potatoes not prozac - prozac dose side effect - prozac side effects - prozac withdrawl - quitting prozac listening to prozac - prozac dosage - prozac and weight loss - prozac nation nude scene free - prozac poopout - 340USERS Back to 3.3 3.4 Some SSRI users’ views Past experience with outbreaks of iatrogenic dependence do not inspire great confidence in official assessments of risk; it also underlines the importance of listening to patients’ views. Fragmentary and anecdotal evidence does have serious limitations, and a biased sample can give a misleading impression of both the scale and severity of a problem. Nevertheless, patients’ views have got to be part of the jigsaw and quitting prozac sometimes give strong clues about the nature of possible problems. Far more dangerous than exposure to anecdotal evidence would be the view that patients’ opinions counted for little or quitting prozac were wrong, let alone the conviction that loudest messages in medicine were usually right. With this quitting prozac in mind, it is suggested that readers themselves drop in on the internet quitting prozac news groups where such matters are discussed. Here one can make up one’s mind on a number of questions: first, are these remotely representative or even authentic views ? This is not always easy to tell, because the SSRIs, especially Prozac, are focal in a sometimes furious good ‘n evil quitting prozac debate. This introduces some uncertainty about the real purpose and origins of some messages, if sometimes for the slightest of reasons. Here are two quitting prozac apparently very quitting prozac personal accounts, completely at cross purposes; the one thing they do have in common is that the first writer doesn’t name a drug and the second refers quitting prozac to only an "ailment", without elaborating: "Speaking for myself, I know that by quitting prozac trying to wait for my depression to go away (it came upon me in my 18th month of recovery, after many personal tragedies), my depression did not go away, it came upon me with a vengeance, and I tried to kill myself because of it. My doctors wanted me on antidepressants, and I was utterly convinced that that was wrong because quitting prozac I was an addict quitting prozac and I shouldn’t use a drug to get better. I was WRONG. Depression is like diabetes. Diabetes is a result of chemical imbalance and so is depression. My depression was cured after 5 months of using the medication, and quitting prozac I have been quitting prozac off those meds now quitting prozac for many months now, and I feel fine, back to normal. I know quitting prozac many, many, many many people just like me quitting prozac who recovered from depression with quitting prozac medication. Remember that depression is like diabetes, and would any person ask a diabetic quitting prozac to stop taking insulin because it chemically changed them ? So why are people continuing to ask about depression and meds ? Depression is a disease, just like diabetes, cancer, and many other diseases which require a person to take a med to get better" (Internet-1) "I have been on Paxil (paroxetine) for approx 3 years, along with an assortment of other medications (Deseryl, Trazodone, Elavil and others). I have previously been on Prozac and Zoloft with no benefit. I have had just about every side effect in the book. Dry mouth, blurred vision, headache, tiredness, insomnia, gastro problems, etc. The cure is worse than the ailment. My quitting prozac performance at work has suffered. My attention to detail, my memory, my energy level, even my attitude have all been adversely affected by these medications. Yet I can’t get off them. When I try, I suffer from violent withdrawral symptoms, just like a drug addict." (I-2) Several groups regularly discuss withdrawal symptoms and many refer to depression descending whenever they try to discontinue. There is also much advice on how to prevent or relieve such problems. Some go into great detail, others are engagingly brief: "I am getting off Prozac, any advice ?" "V e r y s l o quitting prozac w l y . . ." (I-3) There are also exchanges about what dependence is and is not. This exchange between ‘Starr’ and ‘Lisa’ seem to exemplify the kind of non-meeting of minds that must quitting prozac have contributed to every iatrogenic dependence problem there has ever been: Starr: "... you’re drawing a fine line that most laypersons (or those who quitting prozac haven’t gone through it) don’t understand. ANYthing can be addicting to those who have an addictive personality. It’s not quitting prozac the substance (alcohol, drugs, food, gambling, sex, shopping) it’s the compulsive behaviour behind it. quitting prozac The ‘physical addiction’ is the cravings, the sweats, quitting prozac the mood swings, that happen when the body is suddenly deprived of a substance it has gotten used to. There are physical symptoms when people abruptly stop quitting prozac ADs, but they are different with different people ..." (I-4) Lisa: "Fine line quitting prozac my backside quitting prozac !! I was addicted to Effexor. Was horrified of the thought of going without it—and for good reason !! I don’t think this physical/mental dichotomy makes sense. If you can’t get by without the stuff, you’re addicted. Effexor IS addictive. I’m off the stuff, but I’ve never been so physically sick in my life as when I was in withdrawal from this awful stuff. It’s really dangerous to make a blanket statement quitting prozac about ADs NOT being addictive. Some—at least this quitting prozac one—are." (I-4) Allen: "Getting over withdrawal myself, I’m inclined to agree with one quitting prozac caveat. A drug may be addictive to one person and not another. I had a problem with alcohol. Most people don’t. I’m convinced that alcohol is addictive for some people, but not for most. I suspect the same is true of Effexor, that for a minority of people it can be (dangerously) addictive, quitting prozac but isn’t for most. You and I, apparently, have the misfortune of being in that minority, and quitting prozac as far as I can tell, psychiatrists haven’t figured out that we exist. I’m going to make sure I point this out to mine when I go back for my Prozac check up. "As far as Starr’s ‘addictive personality’ statement - I just don’t buy it. OCD (Obsessive Compulsive Disorder) may bear certain similarities to addiction, but I don’t think they’re the same. Perhaps in some people OCD and addiction revolve around a common substance/act, but I suspect there is still some difference between the two conditions - quitting prozac a difference that is meaningless to the person trying to recover of course" (I-4) In this exchange, ‘Allen’ makes two points worth highlighting. First, he was switched (interval unknown) from the SSRI with the shortest half-life to the one with quitting prozac the longest. This quitting prozac accords with widely recommended professional opinion in the US and rather implies that people at most risk of dependence problems may be drifting towards long-term use of fluoxetine. Secondly, the reference to a previous alcohol problem would probably put most doctors (and all pharmaceutical companies) in mind of a diagnosis of "dependence-prone personality", which would focus attention away from the drug. For the record, the DSM-IV (1994) "Diagnostic criteria for F60.7 Dependent Personality Disorder" are as follows. "A pervasive and excessive need to be taken care of that leads to submissive and clinging quitting prozac behaviour and fears of separation, beginning by quitting prozac early adulthood and present in a variety of contexts, quitting prozac as indicated by five (or more) of the quitting prozac following: (1) has difficulty making everyday decisions without an excessive amount of advice and reassurance from others (2) needs others to assume responsibility for most major areas of his or her life (3) has difficulty expressing disagreement with quitting prozac others because of fear or loss of support or approval. Note: Do not include realistic fears of retribution (4) has quitting prozac difficulty initiating projects or doing things on his or her own (because of quitting prozac a lack of self-confidence in judgement or abilities rather than a lack of quitting prozac motivation or energy) (5) goes to excessive lengths to obtain quitting prozac nuturance and support from others, to the point of volunteering to do things that are unpleasant (6) feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for himself of herself (7) urgently seeks another relationship as a source of care and support when a close relationship ends (8) is unrealistically preoccupied with fears of being left to take care of himself or herself It quitting prozac is not hard to imagine from this how someone isolated and in much distress might come to feel that a drug seemed to "care", to protect against being "alone", and to offer something in place of relationships and "others". However, it is not clear whether withdrawal symptoms would then be more likely to strike - only that, if they did, quitting prozac such a person would have unusual difficulty coping, and therefore be more likely to keep taking a drug. That risk would be so much the greater if first impressions of the drug were very positive, as quitting prozac many discussion group correspondents indicate they are: "I was on Prozac for about 6mo’s with fantastic results ..." quitting prozac (I-5) "I’ve been on Effexor for five months now ... the first dose helped within 12 hours quitting prozac ... I was suicidal, and it was a blessed relief ..." (I-6) "After five months of awesome results on Prozac ..." (I-7) "I have only been taking Prozac for about three weeks now. The first quitting prozac week was great. I felt like a new person. I was able to say, do and be more comfortably than for a very long time ..." (I-8) "I went on Prozac a few years ago. It took 40mg a day to get me well, but it saved my life and I was happy for 2 years" (I-9) "I was on Paxil for 4 months. It was great for three months ..." (I-10) "I’m dysthymic, ie chronically ‘mildly’ (ha ha) depressed, and Prozac worked great for me for about a month ..." (I-11) "I started on Prozac in early October at 20mg per day. After a month, people around me noticed I was in a brighter, more cheerful mood than before and I noticed that I had more energy quitting prozac to do things ..." (I-12) For all the uncertainties of interpretation, many of these discussions seem to point in useful directions, both in favour of drug treatment and against. On the positive side, many people emphasise they have been helped, including many who indicated no great problems stopping their drugs when the time came. On the other hand, the experience of many others suggests that quitting prozac health-care providers have not yet got to grips with the non-problem they imagine this to be. In particular, there are frequent references in discussion to two phenomena which traditionally signal some increased risk of dependence: escalation of dosage and drug tolerance. When practised unilaterally by patients, dose-raising behaviour quitting prozac is regarded as clear evidence of dependence. This is underlined by the old definition of "Dependence of the Barbiturate Type",(WHO, 1964) and the advice based on it in the British Medical Journal. It was suggested that regular quitting prozac prescribing of around three-times the usual dose might signal trouble: "Prescriptions for 100 tablets of the standard therapeutic dose given as a hypnotic and used within or repeated at the end of a period of four weeks ... are approaching the borderline of safety and crossing that of common sense. A condition that requires heavy sedation for a long period must be shown to be unresponsive to fundamental treatment before the purely symptomatic is allowed." (BMJ, 1964) When doctors increase drug dosage, it would normally give evidence of professional care, an attempt to bring dose in line with a patient’s needs and clinical quitting prozac response. But how far can/should this process go? One ‘naturalistic’ study, involving analysis of 21,000 SSRI prescriptions for outpatients at a US urban teaching hospital, found that a mean 5% of patients on fluoxetine and 15% on sertraline "had their daily dose increased with each prescription refill during the first nine prescriptions". (Gregor et quitting prozac al., 1994) Doctors may find it hard in some cases to know where to draw the line. Patients may too: "Question: I am taking 80mg of Prozac daily with quitting prozac my doctor’s permission. I want to take an quitting prozac additional 20mg but my doctor says 80mg is the most they will allow. I think the additional dosage quitting prozac would be beneficial. How dangerous could another 20mg be ? 80mg helped me to overcome most of my depression, obsessive/compulsive behaviour, so I don’t see how an additional 20mg would hurt me. Any advice would be most appreciated - Gregg" (I-13) "Hi Gregg: When I first started Prozac 5 years ago I asked my doctor what would happen if 20mg didn’t help me. At that time he said that if I didn’t notice an improvement at 20mg then we would try a different drug, because if it didn’t work at 20, it wouldn’t work at a quitting prozac higher dose. Last year during my routine quitting prozac check up he told me some patients of his were taking 80mg Prozac. I reminded him about his theory of trying another drug if 20mg didn’t work, but quitting prozac he said he had changed his mind after reading all the research, but that 80mg was as high as he would go with his patients. If that didn’t do it, then he would recommend changing medications. Sue" (I-14) Dose-raising can be achieved by different means. It may involve a variety of "dosage augmentation" strategies - adding new drugs to the existing regimen, instead of/as well as increasing the dosage of the old ones; or adding other agents to ‘boost’ the effects of the main medication; or switching patients to a higher equivalent dose of another drug. Switching patients from one SSRI to another appears commonplace, and is in line with recommendations often made in medical journals. In discussion groups, some patients describe this as being on the SSRI "merry-go-round", and often the reason for it is "SSRI poop out". This phenomenon seems closely related to drug tolerance and is well-recognised among virtual patients, though barely mentioned in the medical literature (Rapport & Calabrese, 1993; Reus, 1996). DSM-IV defines tolerance as either "a need for markedly increased amounts of the substance to achieve intoxication or desired effect" or "markedly diminished effect with continued use of the same amount of substance". All of the first impressions quitting prozac cited above, (I-5 to quitting prozac I-12) went on to describe "poop-out" problems as do many others besides: "I’ve quitting prozac been on Prozac since just after Easter. At first the 20mg worked great, then the effects tailed off. Now I’m quitting prozac on 40mg and that worked great, but once again the effects have tailed off and I’m getting seriously quitting prozac depressed again. Anyone got any idea whats the cause of this ?" (I-15) "My wife has been taking Paxil on and off for about 2 years in varying doses ... The Paxil has always had a tremendously rapid effect on quitting prozac her. Usually within 48 hours after starting the Paxil she will completely pull out of her depression, even if she was severely symptomatic . The problem quitting prozac is that after a while it seems to stop working ... She is currently at 60mg Paxil a day taken in two doses, she quitting prozac is also taking Klonopin 2mg/day in 4 doses. quitting prozac Just yesterday quitting prozac we started adding 50mg Doxepin at bedtime to try to jumpstart the Paxil" (I-16) "I’ve been on the SSRI merry-go-round ever since Prozac quit working for me. I was on 20mgs for 5mo’s when it quit working. Bumped me up to 40mgs with no effect ..." (I-17) "... after taking Prozac for two years all of a sudden it quitting prozac quit working for me even after many dosage increases, my doctor changed me to Zoloft and that work well for about another two years, then the same thing happened it quit working so quitting prozac now I am back on Prozac with success, seems to work for me." (I-18) "After quitting Prozac, quitting prozac or I should say after Prozac quit working, I hopped on the AD merry-go-round. Wellbutrin, Zoloft, back to Prozac. Switched to a TCA, Pamelor. Now I’m trying Effexor ..." (I-19) "Things were great on Prozac then it quit working. Went on the SSRI merry-go-round without success. My doc has me on Nortryptyline/Pamelor. I quitting prozac just had a laymen’s quitting prozac hypothesis that if I had such fantastic results with a serretonin specific drug in the SSRI class, then I would have the best results in the TCA’s with quitting prozac a drug that targeted serretonin ..." (I-20) "Ah, the joys of Prozac Poop-out ! It hit me right on schedule at the 6-month mark. I boosted my dose, it corrected, then pooped out again, although I never sank as low as I did when I was completely off" (I-21) "I too quitting prozac have gone through an extensive series of meds with quitting prozac some of them working and then stopping (notably Prozac), the first time I tried it two years ago—worked for a month great, then quit; worked again at a higher dose, then quit ..." (I-22) "My doc has put me on Pamelor and Prozac after Proz quit working quitting prozac about 8 mos ago. Tried others (Wellbutrin alone, Zoloft alone, Wellbutrin & quitting prozac Proz) now trying 50mg Pamelor and 30mg Proz. Has anyone heard of this combo quitting prozac B4 ?" (I-23) "I’ve been on Effexor successfully for 8 weeks and the same thing happens to me. I go a week or two at a given dose feeling better and then I start to backslide. quitting prozac I tell my psychiatrist and he says not to worry and he increases the dose to the next level; then I feel quitting prozac better. He said that this pattern can go on for several months until you get to the final correct dosage ..." (I-24) "I had a great result with Serzone—for about 2 quitting prozac weeks. My self-esteem was out of the toilet, everyday things were not overwhelming, and I quitting prozac felt sort of glad to quitting prozac be quitting prozac alive. Then it went away and I’m back to square one. I think it was the first time in my life I experienced not being depressed—I want it back !! Has anyone else had this quitting prozac sort of response to drugs ? I think I’ve been on every drug there is, so just switching to Prozac or Paxil or whatever doesn’t look too promising. Any input would quitting prozac be appreciated ... (I-25) Hi, I wanted to update all of you who are following the poop-out discussions. My Zoloft pooped out 4 months ago. quitting prozac We added a quitting prozac low dose of Wellbutrin about a month ago but to know avail. My non response may have to do with the low Wellbutrin quitting prozac dosage 75mg. I couldn’t tolerate much more. I started desipramine today. Let’s keep the dialogue going on this topic ..." (I-26) Withdrawal problems have also been quitting prozac regularly discussed in newsgroup exchanges between professionals; the solution most often recommended is to supply patients with a few tablets of fluoxetine, to taper the withdrawal. Some patients might be expected to benefit from this; others have reported considerable difficulties trying to come of Prozac itself. These and other problems reported by patients have been reviewed elsewhere. 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