Does Prozac cause sleeplessness, tiredness, low testosterone levels and cough, vomiting and excessive mucus production?

Posted on Wed, 20 Nov 2019 in Ear, Nose and Throat Problems
My husband XXXXXXX is 49 years old. He is 5 ft 10 and he weighs 250. He has the full body large muscle structure that you would not believe he weighed what he does. He has lifted weights for years and is very active. He has attended cross fit classes 3 to 5 times a week all winter, which are around an hour and a half sessions. XXXXXXX eats very well, eating the best brands of bison and hamburger, eggs, many veggies, salads, almond milk and works hard to consume the best foods available. He does consume sweet food but not a huge amount. XXXXXXX is a general contractor and normally is very concrete and to the point. He normally has had a fast temper and rarely would allow him self to relax. He always has had work projects to do after work and on weekends. His only real extra enjoyment has been hunting, hiking and riding his pedal bike. He pedals ten plus miles at a time and (has many times gone for 30 or more miles in high heat). Until this winter, I have not seen XXXXXXX be sick. Yes he has had colds, but never thrown up not one time, nor had anything wrong with him. We have been together for over 23 years and what I am describing is very different. For the whole time I have known him he has struggled with sleep problems, which was thought to be sleep paralysis, but there was nothing that was done about it. 15 years ago he did try trazadone for sleep but he did not like to wake up feeling like he did with it and quit. This winter he became very depressed and went to the doctor which is amazing because he does not do doctors. Normally he does not take medications or have medical problems. He began taking the generic Prozac 20 mg several months ago, the doctor built him up to 60mg and mentally this has been great for his mood. Our 15 yo and I have very much enjoyed being with him and engaging in away that we never could. Then 4 months ago XXXXXXX began to get sick; he threw up and stayed home from work. Previously if he took a sick day it was to work on a side job. So he got better and worse several times. Then he began having problems with his breathing, getting swollen tonsils and was not well. The PCP did not think it was an issue. XXXXXXX felt that his sleeping was worse and they added 50 mg of trazadone. This time the medication did not affect him like it had before and he left it. Although he did go to sleep better he did not feel like he had rested still. He had a sleep study done with normal readings. George’s older brother told him he started to take testosterone and was sleeping better. XXXXXXX had it tested and he was a low normal. He then started taking it two weeks ago. XXXXXXX is resting and not feeling tired for the first time since I have met him. Normally XXXXXXX could put his head back on the truck seat and be asleep before a minute and was tired all the time. Now he can not take naps when he lays back and he does not feel tired, which he loves XXXXXXX does not feel sick, but he has things happening and he wonders if it is a reaction to Prozac, as he has read the side affects. He has to Clear his throat several times an hour, he Feels like his saliva / mucous does not go down his throat when he swallows, he has strange pains in his neck that are occurring randomly without swallowing. They are dull and are there and then gone. He reports that it feels like his bronchial tubes are swollen, like when you have a chest cold, but he does not have a cold. He coughs all through the night and he does not suffer from a cold. He feels like his breath is restricted and he can not take a deep breath. He reports that he has a queasy stomach a lot for no reason. His pcp does not think he has anything big happening, but XXXXXXX is very concerned about it. After many times we did get a referral to an ENT specialist, but this is not until XXXXXXX XXXXXXX wonders if he should just stop medications to see if things get better. George’s parents both have had many forms of cancer. His father had throat and voice box cancer and he had to have an operation. His father’s voice was never the same. George’s voice is different but this may be from excess mucous and saliva in his mouth and throat. XXXXXXX has a history of smoking for twenty years two packs a day. He quit a few years back. He does not drink or do drugs of any kind. He continues to be active even with his ongoing symptoms.
Answered by Dr. Kaushal Bhavsar 8 hours later
Brief Answer:
Get done PFT.

Detailed Answer:


I have gone through the detailed history you have given. Constant coughing, mucus obstruction in throat are more suggestive of bronchitis. He was a smoker and had bad cold. Both these can lead to bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).

PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. He might need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral N acetyl cystine (NAC) is also beneficial.
Please let me know if he already had PFT.

I will be happy to help you further. Wishing good health to your husband. Thanks.
Above answer was peer-reviewed by : Dr. Remy Koshy
Follow up: Dr. Kaushal Bhavsar 30 hours later
Thank you, could your continue with us for a bit longer?

My husband would like to know if this bronchial issue could be causing the mucous issues in his throat and his head. He has pulsing in his ears which is relatively new to the other symptoms. He continues to have his cough at random times and at night some, has a minor sore throat, slight hoarseness and the restricted air flow and he feels like it is when he has a cold in his bronchial tubes and they are irritated and restricted. If this was the bronchial issue you previously mentioned would this just require some sort of antibiotic to clear it up. He has had the symptoms for 8 weeks.

So in your professional opinion, you do not believe that this could be caused by taking his generic prozac? He did begin this medication in November, but went up from 20 to, 40 to 60 mg. He did always believe that this made him more tired but he was not feeling the additional symptoms until 8 weeks ago.
Obviously I do not want him to suffer with physical symptoms to make us happy, but like I said he certainly is in a better mood overall. ,

He is doing a Testosterone pump two pumps daily. He finally does not feel tired, which is the only real problem he has struggled with his whole life. He tested his testosterone and it was a low normal, but this has pump has made a huge difference.

This in addition to the prozac has made a new man with a better outlook on life. The same who can get upset, just not hold the upset for days and weeks. Now he is rested and able to joke and relax which could not do before.

1. If this was the bronchial issue you previously mentioned would this just require some sort of antibiotic to clear it up. He has had the symptoms for 8 weeks?

2. If it is this physical issue, wont a Ear Nose and Throat doc be able to identify what is going on? His specialist ENT apt is in two months.

3. Does it relate at all if his dad had cancer in his throat and voice box leading to surgery? Some things are genetic and others have no bearing on the current situation.

4. In your professional opinion, you do not believe that this could be caused by taking his generic prozac?

5. Is there a possible connection to testosterone or is there a huge concern that he is taking this as a 50 year old?

Thank you for your time!

Answered by Dr. Kaushal Bhavsar 12 hours later
Brief Answer:
I don't think it is related to throat cancer.

Detailed Answer:


I don't think it is due to throat cancer.
ENT consultation can be done to rule out sinusitis and throat cancer. But I insist that he should definitely get done PFT (Pulmonary Function Test).

If PFT is showing obstructive defect then its mucus will improve with bronchitis treatment. I don't think it is due Prozac.
And testosterone is helping him in Tiredness and all.
So no need to worry for this also.

Hope I have solved your query. Wishing good health to your husband. Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
Answered by
Dr. Kaushal Bhavsar


Practicing since :2008

Answered : 14628 Questions


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