![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by Ruuudy on March 28, 2019, at 13:12:35
About to join up with the "30+ Year Fluoxetine Club"!
Besides a 6-month hiatus to participate in a Paxil study 20 years ago, I've been taking Prozac/Fluoxetine since early 1990.
It's done some good stuff, but I have always felt there was that little opportunity for a bit more improvement.
Over the years, we've tried various adjuncts - clomipramine (helped with the OCD), clonazepam, a cabinet full of vitamins, minerals, nutraceuticals, CBD oil, large stuffed cheese pizza,,, you name it.I really, really can't tell you if the fluoxetine is still doing anything at all for me. I'm in one of my shallow valleys, struggling to maintain my persona that I'm sure many of you try to portray - that we're just fine and dandy.
But I'm getting disgusted with myself and my daily pattern of stay up until 3am/sleep until noon. I definitely must change that - I'm in the retail business, and we don't stay open 24 hours a day!I've been taking Zenzedi (dextroamphetamine) for just over a year now. I chose to request that stimulant because it showed favorable on my Genomind DNA Assay. I think it's given some good benefit. I also think it's what's put me in this "stay up all night/sleep real late" pattern. I'm also wondering if it's pooped-out. Might be time for a change. Ritalin shows favorable as for an alternative.
Just not sure where to go with this. Should I suggest I start very slowely tapering down on the fluoxetine to either a very minimal daily dose (5mg or even lower), or completely discontinue it and start something else?
Both Desvenlafaxine & Vilazodone show favorable green checkmarks on my chart.
Then there's ketamine.
Rudy
Posted by bleauberry on March 30, 2019, at 10:55:13
In reply to Prozac/Fluoxetine 25+ Year Club, posted by Ruuudy on March 28, 2019, at 13:12:35
After being on prozac that long, I would probably not rock the boat. Your body is so accustomed the prozac molecule it will probably freak out not having it. Even just lowering your dose can be like opening a can of worms or banging away at a hornet's nest.
Personally I would keep the prozac where it is and add whatever other new thing to it, including Effexor if that is what you want to try. I think if you upset the apple cart named prozac, you may never get back to where you are now. Seen it happen too many times.
Ritalin is a great choice. Sometimes Zypexa is. Both go very well with prozac. From my own personal experience with 8 years of prozac, I would also add that Adrafinil, Modafinil, and Savella are good add-ons that can make a real difference.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.