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Reasons for not responding to the anxiety medications - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   Questions about prozac
Doctor :   Hi
User :   hello
Doctor :   Please proceed with your queries.
User :   Basically I need an opinion on weather i should continue taking prozac or not
User :   after week one i felt the drug was amazing and it was working lik ea charm
Doctor :   Ok
User :   my girlfriend noticed major changes and I felt like a new person, decision making was easy
User :   now its like 3rd week in its not doing anything
User :   i feel like complete shit and don't even want to get out of bed
Doctor :   Ok
User :   ive read that it takes 4-6 weeks to take full affect so should I stick it out or what?
User :   i just don't understand why it would work at first and then stop
Doctor :   May I know your age?
User :   25
Doctor :   Ok.
User :   And when I take more
User :   like 60 mg still I have no response
User :   same thing happened to me when I was taking ritalin a while back
User :   i just don't get it
Doctor :   The causes for these may be due to
Doctor :   1. Your symptoms getting aggravated.
User :   ok continue on
Doctor :   Since depression and other psychological problems are affected by many psychological factors, these symptoms can get worsened and the dose of the medications may not be sufficient.
Doctor :   That is the exact reason why doctors recommend home measures that include good stress and anxiety management, good sleep, and other behavioural modifications.
Doctor :   2. The drug itself has been ineffective. You may be needing modifications of the dosage and the frequency.
User :   does prozac help with anxiety?
User :   yea but the drug was effective at first
User :   and no matter how much i take i still dont respond
Doctor :   Yes, it is useful for treating.
Doctor :   More for the panic disorders and depression,.
Doctor :   But can be effective for anxiety too.
Doctor :   3. The third reason is
Doctor :   the drug fluoxetine which is present in prozac in some people can itself cause anxiety, one of the sideeffects.
Doctor :   This can occur in a few.
User :   hmmm so would you recommend me taking a new drug?
Doctor :   Hence I would suggest you to consult your primary doctor who has started this medication.
Doctor :   He would be able to assess the exact reason among these which may be responsible.
User :   hmmmm
Doctor :   And would be able to take a decision to whether to continue with the drug or to discontinue.
Doctor :   Have you followed what I have suggested?
User :   yea pretty much talk to my doctor about it, i have an apointment the 5th
User :   should i continue to take them until then or not?
Doctor :   Do you have any other query that I can assist you with?
User :   cuz right now I can't even function
User :   part of me wants to take more and see if it work and other part wants me to try and not take any
Doctor :   I would suggest you to include home therapy in the form of adequate sleep, regular food, breathing exercises,
Doctor :   meditation and other behavioural modifications.
User :   thats another thing
User :   ive been sleeping for like 3 days straight
Doctor :   Continue with the drug till you see the doctor.
User :   ok hopefully i can manage for 3 days
Doctor :   You can avoid the drug if your symptoms has increased more than what it had been before the drug was initiated.
User :   well at this point they are worse
User :   but at first they wernt
Doctor :   And let your doctor decide what next has to be done.
User :   ok ty for your help
Doctor :   Please fill the feed back form too.
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