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Offline poppadr3w

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Fluoxetine Side Effects
« on: June 09, 2014, 08:36:48 AM »
So it has been a few months that I've been on Prozac. Well, Fluoxetine. My Psychiatrist initially started me at 5mg and told me to ladder up 5mg every 4 days until I hit 40mg. At 40mg I felt slightly better, but I felt like it was only the tip of the iceberg. After some time he said I can then ladder up in the same fashion to 60mg. I went to 45mg and felt alright, and then 50mg. It was at 50mg I felt a bit jittery and held off (This started a couple of weeks ago). It was like my body had this energy and didn't know what to do with it, so I'd get a bit anxious. But the extra energy felt nice, so I decided to trudge through it as best as I could. Things got better. I could actually go out and feel alright, and if anxiety did start to set in then I felt like I could battle those attacks easier than I had before.

I'm also on Propranolol 10mg 3x per day and Alprazolam .25mg as needed. I am trying my best to take the Xanax as minimally as possible.

Anyway, the SSRI initially gave me sexual side effects, so my Psychiatrist prescribed Viagra 100mg and said to break it in half. The first time I took it I felt alright. Libido was increased and I had a slight headache. Then the next time, which was 2-3 weeks ago, I took it and it was great for a few hours, but then I got an intense headache, flu-like symptoms and so on. Around this time I also started getting muscle spasms, but I wasn't sure to attribute it to the Viagra incident or the increasing of the Prozac. I called the nurse practitioner and she said that neither of the medicines have such side effects, yet when I Google'd "Fluoxetine and muscle twitching" many sources come up stating that it is a potential side effect.

I see him tonight, but I am scared and I am getting annoyed. The spasms were happening my hands, knees and ankles primarily, and rarely my face (Feels like my lip quivers). Last night I took 45mg instead of 50mg and my hands and everything feel ok, but my knees are spasming quite frequently. It's becoming worrisome because I can't deal with this forever. For the first week or so it happened I was a bit freaked out but I figured it'd pass, and now it has gotten worse.

Over the past few weeks I did drink twice, though, with the average beer intake being around 5-7 beers over a span of I guess 2-5 hours. They were Bud Lights, so they weren't heavy beers. Could this exacerbate the symptoms? For example, last Saturday I had people over and we played drinking games. Yesterday the spasms seemed worse than usual and I felt out of it. I didn't necessarily feel hung over (Which I've felt in the past many times), but I felt like I was kind of out-of-body. I tried to take a nap and I just laid there and would close my eyes for large spans of times and I'd "wake up" to my knee jolting or something. I believe I slept, but it felt it was more like I just laid there and there was a time warp or something.

I figure I'll cool it with any drinking from now on, sadly. With the Summer months coming and all of my friends playing drinking games and frequenting the bars, I'll just be there... sipping a water or something. I had stopped drinking for awhile and thought that I could handle it by now. Last year when this anxiety manifested I had stomach issues which lead to a myriad of testing to find out my stomach, physically, seems fine. This lead to the diagnosis of anxiety, so I tried different medications. Lexapro first (Made me severely depressed and impotent), Cymbalta (Felt out of it and the old psychiatrist was terrible at explaining that after an increase I may feel anxious), went to herbal medicine (Such as St. Johns Wort) and couldn't give it enough time before a family tragedy happened and I was overcome with symptoms, and then went to this new Psychiatrist where he started me on the Prozac, Propranolol and Xanax (As needed).

Sorry for the long post. I know I've posted the story here a few times, but now I am severely scared that I'll one day break into a full on seizure (I've never had one). These muscle spasms are worrying me that much. I guess it also has to do with not being in TOTAL control of my movements. I can even feel some tension in my knees as I sit here and type this.

Suggestions? And I do see the Psychiatrist AND my Therapist tonight, so I'll be talking to professionals, but I figured I'd ask this community as well since I like input from others, especially those with vast knowledge and/or those with personal experiences.
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Re: Fluoxetine Side Effects
« Reply #1 on: June 09, 2014, 03:15:21 PM »
So it has been a few months that I've been on Prozac. Well, Fluoxetine. My Psychiatrist initially started me at 5mg and told me to ladder up 5mg every 4 days until I hit 40mg. At 40mg I felt slightly better, but I felt like it was only the tip of the iceberg. After some time he said I can then ladder up in the same fashion to 60mg. I went to 45mg and felt alright, and then 50mg. It was at 50mg I felt a bit jittery and held off (This started a couple of weeks ago). It was like my body had this energy and didn't know what to do with it, so I'd get a bit anxious. But the extra energy felt nice, so I decided to trudge through it as best as I could. Things got better. I could actually go out and feel alright, and if anxiety did start to set in then I felt like I could battle those attacks easier than I had before.

Hi Poppadr, I have two questions for you on the Prozac/Fluoxetine.

1)  Are you taking the generic Prozac - or using the Brand Name Prozac? 

After using all the other AD's you mentioned I came back to Prozac and have been on it for over 10+ years, I noticed that went I took generic Fluvoxetine - I felt very different, my anxiety increased and I was getting more "brain fog" -  My memory recall and critical thinking had SLOWED Down - I noticed I had Fluvoxetine from at least three different pharmaceutical manufacturers!  - I asked my doctor to put me back on "Brand name - Do not Substitute" and within 3-4 days... I started to feel like myself again... 
Conclusion:  There was big difference for me - the generic did not work as well, in spite of all advice of my doctors - telling me that there are no differences - well my body sure disagreed with them! :yes:

Now, I hearing many people are having similar experiences when it comes to Generic vs Name Brand for psychiatric medications.

2) Just curious, why are you going to 50-60 mg range?  For me this was too high, I had to increase my Benzo  (valium from 10 mg to 20 mg) intake to offset the - the anxiety and agitation without any benefits over a one month period, so I switched by to 40 mg and was back in balance.

I have gone from 20mg to as high as 60 mg - finally, at 40 mg I have much better control of my OCD, and handle much more stress. 



Just another side note:  Xanax vs. Valium - I noticed that when I took Xanax it offered great relief quickly of anxiety, but with Valium I noticed it helped me for a longer period of time, and it also helped me when I hurt my back, since then, I noticed that doctor used this med. as a muscle relaxer (my wife was given valium for her lower back pain).

I hope this might be helpful...Hope your visit goes well ... please keep us informed after your visit with your dr.  - and let us know about the muscle spasms you currently having at this dosage level.


Best of luck  :action-smiley-065:
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Offline insights

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Re: Fluoxetine Side Effects
« Reply #2 on: June 09, 2014, 08:22:32 PM »
My Psychiatrist initially started me at 5mg and told me to ladder up 5mg every 4 days until I hit 40mg. At 40mg I felt slightly better, but I felt like it was only the tip of the iceberg. After some time he said I can then ladder up in the same fashion to 60mg.

How long were you on 40mg/day?

Quote
I went to 45mg and felt alright, and then 50mg. It was at 50mg I felt a bit jittery and held off (This started a couple of weeks ago). It was like my body had this energy and didn't know what to do with it, so I'd get a bit anxious.

Prozac is the most stimulating of the SSRIs and can cause what you've experienced. 

Quote
Anyway, the SSRI initially gave me sexual side effects, so my Psychiatrist prescribed Viagra 100mg and said to break it in half. The first time I took it I felt alright. Libido was increased and I had a slight headache. Then the next time, which was 2-3 weeks ago, I took it and it was great for a few hours, but then I got an intense headache, flu-like symptoms and so on.

Intense headaches are a common Viagra side-effect, unfortunately. There are other things you can try, though the Wellbutrin suggestion may not be right for you as it is the most stimulating of all the antidepressants even at low doses.

Quote
I called the nurse practitioner and she said that neither of the medicines have such side effects, yet when I Google'd "Fluoxetine and muscle twitching" many sources come up stating that it is a potential side effect.

In this case Dr Google is right and the nurse practitioner wrong. Muscle twitching is a side-effect of many antidepressants though relatively uncommon. Magnesium supplements may help, but you should discuss this with your psychiatrist.

Quote
Over the past few weeks I did drink twice, though, with the average beer intake being around 5-7 beers over a span of I guess 2-5 hours. They were Bud Lights, so they weren't heavy beers. Could this exacerbate the symptoms?


Yes, alcohol can increase Prozac side-effects. It can work the other way too, with Prozac increasing the effects of alcohol. 

Quote
I know I've posted the story here a few times, but now I am severely scared that I'll one day break into a full on seizure (I've never had one).

The muscle spasms are not a sign that you are at increased risk of seizures. They are mediated by different pathways. The incidence of SSRI triggered seizures is very low.

Ian

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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline poppadr3w

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Re: Fluoxetine Side Effects
« Reply #3 on: June 10, 2014, 08:22:05 AM »
So it has been a few months that I've been on Prozac. Well, Fluoxetine. My Psychiatrist initially started me at 5mg and told me to ladder up 5mg every 4 days until I hit 40mg. At 40mg I felt slightly better, but I felt like it was only the tip of the iceberg. After some time he said I can then ladder up in the same fashion to 60mg. I went to 45mg and felt alright, and then 50mg. It was at 50mg I felt a bit jittery and held off (This started a couple of weeks ago). It was like my body had this energy and didn't know what to do with it, so I'd get a bit anxious. But the extra energy felt nice, so I decided to trudge through it as best as I could. Things got better. I could actually go out and feel alright, and if anxiety did start to set in then I felt like I could battle those attacks easier than I had before.

Hi Poppadr, I have two questions for you on the Prozac/Fluoxetine.

1)  Are you taking the generic Prozac - or using the Brand Name Prozac? 

After using all the other AD's you mentioned I came back to Prozac and have been on it for over 10+ years, I noticed that went I took generic Fluvoxetine - I felt very different, my anxiety increased and I was getting more "brain fog" -  My memory recall and critical thinking had SLOWED Down - I noticed I had Fluvoxetine from at least three different pharmaceutical manufacturers!  - I asked my doctor to put me back on "Brand name - Do not Substitute" and within 3-4 days... I started to feel like myself again... 
Conclusion:  There was big difference for me - the generic did not work as well, in spite of all advice of my doctors - telling me that there are no differences - well my body sure disagreed with them! :yes:

Now, I hearing many people are having similar experiences when it comes to Generic vs Name Brand for psychiatric medications.

2) Just curious, why are you going to 50-60 mg range?  For me this was too high, I had to increase my Benzo  (valium from 10 mg to 20 mg) intake to offset the - the anxiety and agitation without any benefits over a one month period, so I switched by to 40 mg and was back in balance.

I have gone from 20mg to as high as 60 mg - finally, at 40 mg I have much better control of my OCD, and handle much more stress. 



Just another side note:  Xanax vs. Valium - I noticed that when I took Xanax it offered great relief quickly of anxiety, but with Valium I noticed it helped me for a longer period of time, and it also helped me when I hurt my back, since then, I noticed that doctor used this med. as a muscle relaxer (my wife was given valium for her lower back pain).

I hope this might be helpful...Hope your visit goes well ... please keep us informed after your visit with your dr.  - and let us know about the muscle spasms you currently having at this dosage level.


Best of luck  :action-smiley-065:

Thanks for the reply and sorry for the delay. Yesterday was very hectic for me overall.

1.) I take the generic. It says "Fluoxetine HCL 10mg" tabs. I guess my insurance tries to cut corners wherever it can. I did talk to my Psychiatrist about it and he did have an interesting explanation as to why the generics don't work as well. Apparently the pharmaceutical companies were looking to skew the ingredient count on medications for it's biological availability. So if a tablet of a medicine of 100mg had the same "biological availability" as an 80mg tablet of the same medicine, they'd put in 80mg tablets and call it 100mg to save money over time. That's the best way for me to explain it lol. But he said that it doesn't work like that, and that's why many people don't have great results from the generic forms or need to take MORE of a generic compared to the original to get the same effect(s).

2.) As for the 50mg-60mg, I was going by his advice. When I was at 40mg for a few weeks I felt a bit better. I felt OK. But I felt like there was room for improvement still, so he said I could ladder up to 60mg by 5mg every 4 days (Like I did when I started the medicine). I got up to 45mg and felt OK, and then got to 50mg and felt kinda good, so I stuck there. I started to get jittery, a side effect I've found some people get. It's like I had this energy inside of me that didn't know what to do with itself. I trudged through it and I felt pretty good overall, but around the transition time of 45mg I started getting the muscle spasms. They were minor at first and still kind of are, but they're annoying as heck.  So my Psychiatrist said that since it takes awhile for the medicine to build up in the brain, that by going to 50mg I may have "overshot" the sweet spot while my body was getting used to it. He said to stay at 45mg for now and said the muscle spasms generally go away on their own. However, if they don't, I can up the Propranolol to 15mg 3x a day. So, for now, I am taking the 45mg of Fluoxetine and taking the Propranolol the same (10mg 3x a day) for now.

I'm just hoping that these spasms go away soon. It seems to occur when I am sitting down. But I went in the gym last night and did a pretty solid workout and I felt fine.

As for the Xanax and Valium, I am used to the Xanax so I think I should stick with that as I adjust my other medication. But I appreciate the thought! I also heard that weight gain is large side effect of Valium. :/

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Offline poppadr3w

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Re: Fluoxetine Side Effects
« Reply #4 on: June 10, 2014, 08:43:23 AM »
My Psychiatrist initially started me at 5mg and told me to ladder up 5mg every 4 days until I hit 40mg. At 40mg I felt slightly better, but I felt like it was only the tip of the iceberg. After some time he said I can then ladder up in the same fashion to 60mg.

How long were you on 40mg/day?

Quote
I went to 45mg and felt alright, and then 50mg. It was at 50mg I felt a bit jittery and held off (This started a couple of weeks ago). It was like my body had this energy and didn't know what to do with it, so I'd get a bit anxious.

Prozac is the most stimulating of the SSRIs and can cause what you've experienced. 

Quote
Anyway, the SSRI initially gave me sexual side effects, so my Psychiatrist prescribed Viagra 100mg and said to break it in half. The first time I took it I felt alright. Libido was increased and I had a slight headache. Then the next time, which was 2-3 weeks ago, I took it and it was great for a few hours, but then I got an intense headache, flu-like symptoms and so on.

Intense headaches are a common Viagra side-effect, unfortunately. There are other things you can try, though the Wellbutrin suggestion may not be right for you as it is the most stimulating of all the antidepressants even at low doses.

Quote
I called the nurse practitioner and she said that neither of the medicines have such side effects, yet when I Google'd "Fluoxetine and muscle twitching" many sources come up stating that it is a potential side effect.

In this case Dr Google is right and the nurse practitioner wrong. Muscle twitching is a side-effect of many antidepressants though relatively uncommon. Magnesium supplements may help, but you should discuss this with your psychiatrist.

Quote
Over the past few weeks I did drink twice, though, with the average beer intake being around 5-7 beers over a span of I guess 2-5 hours. They were Bud Lights, so they weren't heavy beers. Could this exacerbate the symptoms?


Yes, alcohol can increase Prozac side-effects. It can work the other way too, with Prozac increasing the effects of alcohol. 

Quote
I know I've posted the story here a few times, but now I am severely scared that I'll one day break into a full on seizure (I've never had one).

The muscle spasms are not a sign that you are at increased risk of seizures. They are mediated by different pathways. The incidence of SSRI triggered seizures is very low.

Ian

Hello insights! Welcome back to my world of issues lol  As always, your input is highly appreciated. And I apologize that I am terrible when it comes to quoting posts, so I just quote one original post per my post and then dissect it and reply to it below.

1.) I was on 40mg/day for, eh... 2-3 weeks I believe? Maybe a bit longer.

2.) I've heard that Prozac is rather stimulating, which is fine by me, as long as it takes care of my anxiety as well, which it seems to be doing. It's just that the side effects are not too fun.

3.) Yeah, no more Viagra. I mean, initially I needed it, but as my body adjusted it got better in that aspect. Not 100% better, but better enough. My Psychiatrist said that I can take L-Arginine and that may help, so I've been taking about 4g per day in orange juice. I was also taking Maca Root for awhile (capsules), but I stopped since I didn't want to take too much at the same time. I just ordered more since I do want to give it another shot.

4.) Yeah, I was really upset about the nurse practitioner. When I told my Psychiatrist what happened he gave me a look like, "Uh... What?" He knew it was a side effect. At least I know that I cannot trust her when it comes to my medication now when it came to something relatively safe. I hate to Google things about medicine since everything on there leads to death. Got a cold? YOU'RE DYING! Scrape your knee? YOU'RE DYING! Headache? WRITE A WILL! YOU'RE DYING! Ugh. I remember when I first got headaches last year I was Googling around and thought I had all of these brain issues like excess water in the brain and such. I got an MRI and some other tests done and I am fine. I assume that, too, was anxiety. I'd get these weird headaches and sensations where it felt like I had a tight hat on around my head. My eyes would bother me (They sometimes still do, but not nearly as bad as they did). WebMD is NOT your friend!

5.) Yeah, I think I am done with alcohol for awhile. I seem to get carried away when I drink. Once I get that buzz and I see everyone else having fun, I want to keep going, too... Like the good ole days before this mess! I used to be a tank when it came to drinking, which isn't necessarily a good thing. But to see all of my friends drink and have fun and play games and then there's me... Sitting with a water, it kills me! I want to drink a Budweiser and eat a burger! I want a Yeungling by the fire! I want a Corona while laying in the sun! BLAH! Maybe after I settle in. I have an engagement party in a couple of weeks so maybe I'll have like one or two drinks, but that's it. I do get buzzed much easier, but I also hold onto my buzz and stay at that level for longer. Then all of a sudden I'll get really drunk. Plus, I do miss going to bars... I'm 25! I feel like my life is flying by me. :/  I'll be 26 in July.

6.) I highly appreciate the statement about the seizures. I just felt that involuntary muscle movements could be an indicator of the potential for seizures. In my mind it made sense. I've never had a seizure, but I've seen someone have one and it was scary. It's good to know that I am safe.

As for other information, I informed my Psychiatrist that I had been having trouble concentrating for awhile. Like, I can think, but I can't retain and/or recall knowledge with ease. I remember in high school being able to read a story and write a paper. Now I can't read a paragraph. I do a lot of administrative work and I feel like I am using too much brain power for something that should be relatively simple, such as completing a document for the bosses. I feel out of it, still. It's like I am on auto-pilot many times when doing things such as driving. I'll get to my destination fine, but I don't feel like I, myself, am controlling the vehicle. I'm not "there" piloting the vehicle; Rather, it's my subconscious maneuvering me through traffic. I use my blinker and obey all laws, but I'm not actively thinking about it. It's hard for me to explain, but that's the best way for me to.

Anyway, he prescribed a new medicine - Strattera (Spelling may be off). From the reviews online it seems to either be a hit (Most likely) or a miss. He said that it's less likely to cause anxiety than other drugs. Do I think I have ADD/ADHD? I don't know. Not like I've seen before, but my cognitive processes aren't working at 100%, that's for sure. I feel like I am working at... 25%. He said that Welbutrin generally causes anxiety in people like me, so that's no good. Adderall is no good. I asked about Nuvigil (Spelling may be off) since a Neurologist suggested it last year to me when I told him about the Adderall, and my Psychiatrist said that it doesn't work that great, and he suggested that I give the Strattera a shot. I am kind of nervous. I wanted to go all natural when it came to treatment not too long ago, now I am taking all of these medications. I feel as if I may be harming my body. :/  Hopefully the Strattera works. He said to take it in the morning. I've read that some people feel sick on it for at least a few days. I read on another website the same thing, so I think I'll start taking it on a weekend so I have Saturday and Sunday to help me get through it. I ALSO heard that it can cause further sexual side effects, but those too generally go away. Luckily my fiancee is very accomodating and understanding, but this is killing me! The Prozac side effects are bad enough, especially with the Propranolol! Bah. :(

Any other suggestions? Sorry if this was long winded, I've been busy and my mind is all over the place.

Thanks again, insights!

5.)
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Re: Fluoxetine Side Effects
« Reply #5 on: June 10, 2014, 05:40:37 PM »
1.) I was on 40mg/day for, eh... 2-3 weeks I believe? Maybe a bit longer.

Probably not long enough to give it a chance to work. I'd have waiting a few more weeks before increasing the dose.

Quote
Plus, I do miss going to bars

So go. I go to bars regularly to meet up with friends, but I haven't drunk alcohol for about 27 years, ever since I worked out it and antidepressants can be problematic for me. When the mood is right it's possible to get a buzz drinking nothing but fizz, in my case bitter lemon and vodka without the vodka. IME, much of the buzz from drinking doesn't actually come from the booze.

Quote
Anyway, he prescribed a new medicine - Strattera (Spelling may be off). From the reviews online it seems to either be a hit (Most likely) or a miss. He said that it's less likely to cause anxiety than other drugs. Do I think I have ADD/ADHD? I don't know. Not like I've seen before, but my cognitive processes aren't working at 100%, that's for sure. I feel like I am working at... 25%.

Both anxiety and antidepressants can cause this. In the case of antidepressants it seems to be because the non conscious emotional areas of the brain overload the circuits of the conscious producing forebrain with spurious warnings of impending disaster. I'm not sure than throwing Strattera (atomoxetine) into the mix will necessarily solve this. Small doses of Wellbutrin, <=75mg, might actually be better. Not only could it help with attention, but it should aid in neurogenesis and possible even counter the SSRI affect on the libido. But as you already have it give the Strattera a try.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline poppadr3w

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Re: Fluoxetine Side Effects
« Reply #6 on: June 11, 2014, 10:58:14 PM »
Thanks again, insights.

Yeah, I should be getting the Strattera relatively soon in the mail... It's a stupid new thing through work that'll save money apparently.

I feel a bit better today. Not completely. I feel out of it still... Like I am on auto-pilot still. The days have been flying by, though, especially at work. I am HOPING that the Strattera will help with that. He said that it is least likely to cause anxiety? I hope so. My anxiety has been relatively low, kinda. It's been weird. But a Xanax seems to help me, but I don't want to become reliant on that.

I was wondering, if I list some other stuff I am taking, can you tell me to the best of your knowledge if there are any interactions with them or anything? I know you're not a doctor, but you're well informed.

Also, I hear good and bad things about Strattera. What's your take on it?
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Re: Fluoxetine Side Effects
« Reply #7 on: June 11, 2014, 11:40:50 PM »
I was wondering, if I list some other stuff I am taking, can you tell me to the best of your knowledge if there are any interactions with them or anything? I know you're not a doctor, but you're well informed.

Sure, but your pharmacist would be able to give you a more personalized opinion. In fact s/he should be monitoring what you take as the final gatekeeper to ensure you haven't been prescribed a dangerous combination of meds.

Quote
Also, I hear good and bad things about Strattera.

Every med has good and bad points. Even simple aspirin can do much harm. If you need Strattera then it is as good as the alternatives and better than some. Whether it is the right med for you can only be determined by taking it.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline poppadr3w

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Re: Fluoxetine Side Effects
« Reply #8 on: June 12, 2014, 12:11:26 AM »
Thank you, insights. I am just nervous about taking all of this medicine and stuff. :/   I always fear the worst. But I did notice my eyes aren't bothering me when I play video games tonight! :D

Anyway, here's the medicines I am on:
*Prozac 45mg
*Propranolol 10mg 3x/day
*Alprazolam .25mg as needed (Generally one or none a day)
*Stratella (Soon)

Other supplements and such:
*Fish Oil 2g
*L-Arginine Powder 4g-5g
*Protein Powder (Vegan)
*Juice+ (Encapsulated fruits and vegetable powder)
*Maca Root (Just started taking this again today) 500mg-1g
*Branched-Chain Amino Acids w/Vitamin B Complex

The Fish Oil I know is fine. The Arginine I was told by my Psychiatrist was a good idea to help promote blood flow for SSRI-induced sexual side effects. Protein powder I assume is fine... It's just protein. Juice+ has to be fine. Maca Root I am unsure of, although the Psychiatrist says it seems to be fine. Some people says that Maca Root also helps with the sexual side effects. And the Branched-Chain Amino Acids I assume are fine (It's my intra-workout drink).

I think that's it. The problem is that most Psychiatrists don't deal with natural herbs and such, so they don't know much about the potential interactions.
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Re: Fluoxetine Side Effects
« Reply #9 on: June 12, 2014, 02:40:59 AM »
The problem is that most Psychiatrists don't deal with natural herbs and such, so they don't know much about the potential interactions

I don't see anything there that is of concern, but then I'm not convinced most are worth the money. Powdered juices aren't as good as the real thing, a good steak beats protein powder hands down, can't say I noticed Maca doing anything when I took it for a few months, nor do I think branched-chain amino acids have any more benefit that what you get from a normal diet. I don't know whether the L-Arginine will help.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline poppadr3w

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Re: Fluoxetine Side Effects
« Reply #10 on: June 12, 2014, 07:59:49 AM »
The problem is that most Psychiatrists don't deal with natural herbs and such, so they don't know much about the potential interactions

I don't see anything there that is of concern, but then I'm not convinced most are worth the money. Powdered juices aren't as good as the real thing, a good steak beats protein powder hands down, can't say I noticed Maca doing anything when I took it for a few months, nor do I think branched-chain amino acids have any more benefit that what you get from a normal diet. I don't know whether the L-Arginine will help.

Ian

I know nothing is good as the real thing when it comes to fruits and vegetables, but these capsuels are really good overall. My Father distributes them, so I don't pay for them anyway.
I drink the protein powder post workout and sometimes a quick snack. It's just more convenient, although I know steak or chicken has more nutritional value.
I heard Maca is hit or miss. Some people love it and others say that it did nothing for them. I figure it's worth a shot. I just wanted to make sure that it doesn't hurt me with the medications. The Psychiatrist looked it up in his database (Some popular program for doctors) and he said it *SEEMS* safe, but I always like to ask around regardless.
The BCAAs I love. I drink them while working out to help prevent muscle catabolism since my workouts can be rather extensive. It also has the Vitamin B Complex that helps give me energy, especially since I no longer take any of those pre-workout drinks due to bad experiences. :(
I also like the L-Arginine. I don't know if it helps with the sexual side effects, but I feel it helps with my workout and my vascularity. Plus, it's relatively cheap when bought by itself in powder form.

I'm kind of excited about the Strattera. Every morning I wake up OK, but when I get in my car and start driving I feel out of it. I get to my destination fine, but I feel like my subconscious is in control. It's the same thing when I walk around at work and such sometimes. I'll feel "out of body." Not in a sense that I am floating around the room like a ghost, but I have these higher thoughts and perceptions. It's hard to explain. My concentration/focus is scattered. I used to be able to write very well and debate and create elaborate stories, now I feel like I can barely conjur up these posts lol. I have minimal motivation and I am quite tired often. Hopefully it helps with that.

My anxiety is down. Not completely, but substantially. At my worst I couldn't even eat, I had stomach pains, and nausea would set in quitre frequently. My chest would tighten and it'd get hard to breathe. I still get some panic attacks, but I feel that most of the time I can work through them much easier. It's a work in progress, and I assume that since I just dropped down to 45mg of Prozac from 50mg that my body is still getting accustomed to THAT dosage. Since I dropped down I feel a bit more tired overall.
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Offline poppadr3w

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Re: Fluoxetine Side Effects
« Reply #11 on: June 17, 2014, 07:49:35 AM »
It has been over a week since I dropped my dose from 50mg to 45mg. I still feel kind of out of it and tired. The muscle spasms are still there, although they are sometimes less frequent. If I am active or in the gym I don't have them (Or notice them), but if I am sitting at my desk at work or something, then I feel them. They still are in my extremities, mostly my hands, ankles and knees.

My cognitive abilities are still hindered a bit. I still feel like I am on auto-pilot. I'm not enjoying myself like I thought I would by now. I feel somewhat numb. I am rarely happy, but I am also rarely sad. I get anxious, that's about it. I can't cry, even if I want to.

I am trying to keep more of an open mind, since there are positives to being on the medicine as well. I can actually go out now. Before I couldn't go to the supermarket without getting a panick attack within a few minutes, but I went there the other day and was relatively fine. Sometimes I'll get dizzy and feel slightly out of it, but I didn't get the tight chest and shortness of breath feeling. I've also since gone out to eat with my fiancee, been to social gatherings, have had people over my house, and so on. I'm hoping that things get even better. I do find myself napping more often now, though, whereas at 50mg I seemed to have that jittery feeling that seemed to be more energy.

Is there anything else I should be doing?
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Offline insights

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Re: Fluoxetine Side Effects
« Reply #12 on: June 17, 2014, 08:17:54 AM »
It has been over a week since I dropped my dose from 50mg to 45mg. I still feel kind of out of it and tired. The muscle spasms are still there, although they are sometimes less frequent.

Prozac has such a long half-life than not much will have happened in a week. It will take 12-24 days for plasma levels to stabilize at the new dose, so you need to be more patient.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline poppadr3w

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Re: Fluoxetine Side Effects
« Reply #13 on: June 17, 2014, 08:42:43 AM »
It has been over a week since I dropped my dose from 50mg to 45mg. I still feel kind of out of it and tired. The muscle spasms are still there, although they are sometimes less frequent.

Prozac has such a long half-life than not much will have happened in a week. It will take 12-24 days for plasma levels to stabilize at the new dose, so you need to be more patient.

Ian

Good morning from NY Ian!

Thanks for the response as always. I understand what you're saying with the side effects such as the muscle spasms, but can the drop in medication also cause this fatigue and increase in mental fog? I'm used to trudging through side effects, as much as I hate it... It's a necessary evil.
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Offline insights

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Re: Fluoxetine Side Effects
« Reply #14 on: June 17, 2014, 05:36:20 PM »
I understand what you're saying with the side effects such as the muscle spasms, but can the drop in medication also cause this fatigue and increase in mental fog?

I don't think it's because of the dose change. It's too early for that to have made much difference, plus 5mg isn't that big a change. It is more likely to be psychological.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

 

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