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Dear Dr. I Have IBS , Anxiety , Gilbert's Syndrome.

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Posted on Sun, 3 Sep 2023
Question: Dear Dr.

I have IBS, anxiety, Gilbert's syndrome.

I am taking following medication for the last 20 years.
1. Prozac once daily
2. Alparozalm 0.5 mg 1+1+1
3. Levopraid 25mg 1+1
4. Inhibitol one daily
5. Antihistamine SOS

The following symptoms had increased in the last 3 months:

1. Dizziness / Brain fog with slight pressure on temples
2. Anxiety
3. Weakness in legs
4. Bloating
5. Gas (if I sneeze, I feel better)
6. Face flushed

It became difficult for me to work. About a month back, Doctor increased Prozac from one to 02 tablets a day. Surely the symptoms are better now however I still have an anxious feeling, pain in legs.

How long will it take for the extra dose of tablet will completely remove the symptoms?
Also I think it's a relapse. Are there chances of more relapses in the future?
Lastly is Prozac the most suitable SSRI?


Please advise.

Regards
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Follow up: Dr. Dr. Ashok Kumar Choudhary (2 days later)
2 days have passed. Grateful if you can expedite
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (11 hours later)
Brief Answer:
Prozac is just one option among multiple ones

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

In regard to your first question "How long will it take for the extra dose of tablet will completely remove the symptoms?" my answer is that it can take at least 6 weeks to 12 weeks. Mostly any dose change or new dose of medications starts showing effects in a period of two weeks and continue to improve symptoms over the next three months.

In regard to your second question my answer is Prozac is just an option among multiple ones. It is neither most suitable nor least suitable. There are 7-8 SSRI available in different countries and generally side effect remains deciding factor as well as efficacy. In my personal opinion I generally prefer zoloft or Paroxetine with similar profile of patients and get better results in compare to prozac.

Regarding relapse do data exists. The relapse may or may not be there in future but the chances are high considering the duration of illness.

I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Dear Dr. I Have IBS , Anxiety , Gilbert's Syndrome.

2 days have passed. Grateful if you can expedite