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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue And Insomnia While On Prozac?

I am a 58yo female s/p TBI from a MVA last year...recovery has "plateau" where my process is slower, executive function skills not baseline and dx with clinical depression struggling to establish a routine and return to work as a nurse case manager. Would love assist. to rebuild my life. Currently on 20mg prozac daily since June 2017, but I feel numb, fatigued, insomnia, and cont. to have no interest and no motivation still. Open to suggestions.
Sat, 30 Sep 2017
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

A lot of individuals after traumatic brain injury develop depressive symptoms. Insomnia, fatigue are commonly seen in depression. You are 58 and are on 20 mg of Prozac or Fluoxetine. The drug is a good antidepressant drug and can help to treat the symptoms. But if even on this drug your symptoms are persisting then the dose of drug can be increased to 40-60 mg per day. This will help in better symptoms control and you will definitely see improvement in your symptoms.

Please talk with your doctor for that.

Thanks and Take care
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What Causes Fatigue And Insomnia While On Prozac?

Hello thanks for asking from HCM A lot of individuals after traumatic brain injury develop depressive symptoms. Insomnia, fatigue are commonly seen in depression. You are 58 and are on 20 mg of Prozac or Fluoxetine. The drug is a good antidepressant drug and can help to treat the symptoms. But if even on this drug your symptoms are persisting then the dose of drug can be increased to 40-60 mg per day. This will help in better symptoms control and you will definitely see improvement in your symptoms. Please talk with your doctor for that. Thanks and Take care