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Suggest Dosage For Prodep

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Posted on Fri, 22 Jan 2016
Question: Dear Doctor -. The history of my medication is given below:
- My doctor started with 10mg prozac, gradually stepped up to 30 (20 in the morning and 10 in the night) as i was feeling drowsy with 30 in the morning.
- met her yesterday, she asked me to take prodep 30/40 alternate days, yesterday i took 20 in the morning and 10 in the night and am supposed to take 40 today
-mirtaz 15 in the night
-olimelt 1/2 of 2.5 (i was on 3.75 of olimelt for a long time), my doctor reduced it 2.5 for a week and added buspin 5mg, next week she reduced olimlet to 1/2 of 2.5 and made buspin 10
-with 5 buspin, i was ok. but with 10 buspin, i started getting major stomach cramps, heavy sedation, drowsiness, blurred vision and sleeplessness, dry lips. spoke to my doctor she made 5 mg for one day and then 1/2 of 5 mg from yesterday
-Along with that i am taking etizolam 0.25 in the morning, and 0.5 in the night, betacap tr 25 and inderal 10 sos
-my symptoms are : anxiety/anxiety attacks/anticipatory anxiety/racing thoughts....though the intensity some days is more, other days is less but symptoms still exist
i have the following questions:
After the change of medication yesterday, i did not sleep a wink, with stomach cramps and acidity - is it due to the sudden reduction in buspin, have read on the net that buspin does not cause withdrawal symptoms, was wondering why is this happening to me? and what would your advice be?
since i have been on prodep 30 mg (20/10, mor/eve)for a long time without any major issues, can making it 40 now cause stomach and sleep problems as i have read on the net that it can gives stomach and stomach problems? and should i make it 40 everyday take 20 in the morning and 20 in the night or 30/40 alternate days
Need your urgent advice. Regards, XXXXXXX
doctor
Answered by Dr. Chintan Solanki (32 minutes later)
Brief Answer:
I do not recommend prodep 40 mg

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern.

As such recommended dose of prodep is 20 mg except in OCD in which it can be given up to 80 mg. Prodep causes significant stomach upset and you are prone to same so I do not recommend the same in 40 mg dose.

I do not think reduction in dose of buspin can cause stomach cramps and acidity.

Among medicines you are taking prodep is the only drug which can cause stomach upset. If at all it is not the cause your problem may be related to food. For a while you should take pantoprazole domeprdione combination for relief.

If I were your treating doctor I prefer sertraline or paroxetine instead of fluoxetine (prodep).

Feel free to discuss further.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.




Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Dosage For Prodep

Brief Answer: I do not recommend prodep 40 mg Detailed Answer: Hello XXXXXXX Thanks for writing to us. I can understand your concern. As such recommended dose of prodep is 20 mg except in OCD in which it can be given up to 80 mg. Prodep causes significant stomach upset and you are prone to same so I do not recommend the same in 40 mg dose. I do not think reduction in dose of buspin can cause stomach cramps and acidity. Among medicines you are taking prodep is the only drug which can cause stomach upset. If at all it is not the cause your problem may be related to food. For a while you should take pantoprazole domeprdione combination for relief. If I were your treating doctor I prefer sertraline or paroxetine instead of fluoxetine (prodep). Feel free to discuss further. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.