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Re: Prozac and mania

Posted by laima on August 15, 2006, at 12:28:16

In reply to Re: Prozac and mania, posted by pulse on August 14, 2006, at 8:17:16


I used prozac for many years without a benzo, no problems. It WAS very activating for me at the very start, but then settled down quickly. I guess all of our bodies are different. Did you say you are using 40mg? I thought that sounded high- I think they usually start people on 20 mg. That's one reason it could be especially "activating" for you--but PLEASE do not mess around with dose without talking to your Dr. Be sure to mention the details of your sleep difficulties and EVERYTHING else that you are taking.

ps- I have sleep problems, too. My current doctor said that for some people, the seratonin effects of ssris like prozac can interfere with "sleep architecture", in my own case meaning, getting the right amount of "slow wave" restful sleep.

Good luck!

> yes, this is a quite typical (start-up) response to prozac, IF you aren't on a benzo. i'm most definitely NOT suggesting you go on a benzo, btw. (see below)
>
> if you are not bipolar, it's not mania at all! prozac does indeed cause major sleep disruption and also poor sleep quality in many, if not most...again, when used alone.
>
> i am also not suggesting implementing with a prescription sleep aid, but that is because ALL of them make me GI ill in the extreme - nice way to go to sleep! plus, the original ambien works for 4 hours to the second, for most folks. then, one must become a co-conspirator with their pdoc to double dosing it, i.e., taking another at the 4 hour wake-up point. this, to me, is not good doctoring. the new ambien cr, as many here have pointed out, simply doesn't get the job done, as is advertised. lunesta was another dud - for me.
>
> prozac was the best ad ever for me. of the many times i've re-tried it, it never lost it's efficacy. however, ever since i went on klonopin, and then on a too high dose of it - anything above .5 mg/twice a day - for me - does this: i do NOT get that famous prozac better-than-well each day (or any day) feeling. prozac is the only ssri that is stimulating - in a good way, imo. in the past, i ONLY tried other ads to find a 'better mousetrap,' but i never did. not even close.
>
> i can no longer take prozac - or any ad - due to the serotonin (serotonin is the main culprit; 2nd is norepinephrine) making be so very GI ill, in all ways, upper & lower. the nausea, especially of serotonin, now NEVER diminishes or goes way, as it should. btw, i'm not an isolated, idiosyncratic case re: this or similar. it is, apparently, somewhat 'rare.' search the archives.
>
> however, for you, if you aren't bipolar, i strongly suggest sticking the prozac out. you can very probably count on the nausea stopping either within the 1st week, or, at the latest, the 2nd. surely by the 3rd, in MY (past) experience. if you have already been on it longer to MUCH longer - you didn't mention - i don't know what to suggest.
>
> for sleep, tylenol pm is the only thing that works for me, just fyi.
>
> one last thing: if you are taking any p-stims along with prozac, the nausea will most definitely be increased. perhaps by much.
>
> good luck & enjoy what you can ...during this wait.
>
> pulse


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poster:laima thread:675767
URL: http://www.dr-bob.org/babble/20060810/msgs/676686.html