I asked my DR if I could increase my 40mg (daily) prozac as it didn't work good anymore. DR said to...?


Question:
..DR said start back at 20mg daily instead of the 40mg I have been taking for over 2 years. DR said that makes your body think it is starting all over on Prozac again? He is my DR...thought he was great..does this make sense? First I have heard of it!

Answers:
It is best to speak with your pharmacist about medication changes. He/she has access to numerous publications about your medication and can tell you if this is true.
well he is a dr and you aren't so i'd listen to him
it tends to make sense. i don't know about antidepressants, but with other medications your body can often become immune to their effects and they will not work as well.

he's your doctor, after all. if he's given you good advice in the past, i'm sure the guy knows what he's talking about! the least you can do is try it, and if it doesn't work, tell him so.
that doesn't make since to me either. I'd get a second opinion from your OBGYN or family doctor..

usually with anti depressants they increase when not working.. I'd think it would only do that if you stopped and started back up but again ask another doctor.
Logically the doctor would have the best answer, although for me I'd say you probably need to switch medications, not change dosage. I wouldn't necessarily speak with a pharmacist because within the pharmaceutical world it really is all about money (why else would they have name brand drugs that people buy when generics are the exact same).
That is the most ridiculous thing I have ever heard. I would get a second opinion. If you're going to decrease your dose it would only be to wean yourself off of it. Prozac goes very well with Welbutrin. Try that with it, at 150mg extended release, then go up on welbutrin and down to 10 on prozac (up to 300mg) then eventually get off prozac.

in summary, in case that was all a blur up there, best thing to do when a med is not working is to change meds.
The dosage is getting high.
Decreasing your dosage will lower the amount of the drug in your bloodstream, to which your body will become accustomed. When you go back to your normal dosage again, it will raise the amount in your bloodstream and because your body had become adjusted before, it will readjust to the new level, even though it is what you had been on for 2 years. With anti-depressants such as Prozac, it is not usually a good idea to keep upping the dosage because your body could come to rely on a very high dosage which would not be good for you.

If you ever have questions like this about your medication and your doctor, you should definitely speak to your doctor first. Voice your concerns and ask your questions, even if you are only given a 10 minute medical management checkup. Your doctor will be far better able to explain his or her reasoning to you in those 10 minutes than you will be able to come up with on your own. The added stress of disbelief in the doctor's orders may also aggravate your other symptoms. Good luck!
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