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Re: Prozac with Serzone.

Posted by Toby on December 30, 1998, at 9:16:41

In reply to Re: Prozac with Serzone...Dr. Bob, Toby, etc. ???, posted by Michael Schell on December 29, 1998, at 9:25:52

Prozac and Serzone are a useful combo and should do as well as anything for OCD. I think I have missed something, as I don't know why one would have to start with Serzone and then add Prozac specifically for sexual side effects. Are we talking about using Serzone for OCD and then if it's not completely effective, adding Prozac and hoping that the Serzone will counteract any sexual side effects Prozac may bring with it? That sounds reasonable. The only thing to keep in mind is that prozac is a very long acting medication and there is a potential to increase blood levels of serotonin too much, causing a nasty thing called Serotonin Syndrome which can cause seizures. Generally this occurs in "slow metabolizers" of particular medications and this is a genetic thing which you don't find out about until the reaction is already occurring. I'm babbling about this because the usual thing is to start with Prozac since it is long acting and then to add the shorter acting medication, Serzone or what have you, to it for augmentation. Dr. Bob or someone may have other thoughts.




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