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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Tired And Lethargic Behavior After Taking Prozac

My daughter is 22 and was prescribed 20 mg. of Prozac and 5 mg. of Zyprexa for depression. She took that for about 6 weeks. Felt great the first 2 weeks. Then began to feel lethargic and sad. By the 4th week the doctor doubled her Prozac to 40 mg. and increased the Zyprexa to 7.5 mg. After 5 days of this a different psychiatrist took her off the Zyprexa and kept her on the 40 mg. of Prozac. The first week she felt much more energetic but had some difficulty sleeping. Now she has been on the 40 mg. of Prozac for 2 weeks and once again tired/lethargic/no energy or motivation. Should she reduce her dosage of Prozac?
Mon, 7 Jul 2014
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Psychiatrist,  's  Response
Hi

I admire your positive outlook and congratulate you for the attitude.

Now I guess she has depression and it could be due to some stress in her personal life. In that case, you need some help.

However let me give my opinion here.

I think a combination therapy of antidepressant and low benzodiazepine would help her. In antidepressant, she is already on prozac (fluoxetine). Better to keep her on same medication and gradually she would improve. She can try some relaxation exercise like JPMR or deep breathing exercise. That would keep her calm and relax.

In case, you need further help, you can ask.

Hope this helps.
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Suggest Remedy For Tired And Lethargic Behavior After Taking Prozac

Hi I admire your positive outlook and congratulate you for the attitude. Now I guess she has depression and it could be due to some stress in her personal life. In that case, you need some help. However let me give my opinion here. I think a combination therapy of antidepressant and low benzodiazepine would help her. In antidepressant, she is already on prozac (fluoxetine). Better to keep her on same medication and gradually she would improve. She can try some relaxation exercise like JPMR or deep breathing exercise. That would keep her calm and relax. In case, you need further help, you can ask. Hope this helps.