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This article was co-written by Padam Bhatia, MD. Padam Bhatia is a psychiatrist who runs the Elevate Psychiatry clinic in Miami, Florida. He specializes in treating diseases by combining traditional medicine with certified holistic medicine therapies. He can also use electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), new drug use, and complementary and alternative medicine (CAM). Bhatia is certified by the American Board of Psychiatry and Neurology and is a member of the American Psychiatric Association (FAPA). He received his medical degree from Sidney Kimmel College of Medicine and is a resident in adult psychiatry at Zucker Hillside Hospital in New York.
There are 47 references cited in this article that you can view at the bottom of the page.
This article has been viewed 3,971 times.
Prozac, or fluoxetine, is an antidepressant that belongs to the group of selective serotonin reuptake inhibitors (SSRIs). This is the most commonly prescribed antidepressant. [1] X Trusted Source Mayo Clinic Go to Source Prozac is used to treat a number of conditions such as depression, panic attacks, obsessive-compulsive disorder, eating disorders, and premenstrual syndrome. moon. [2] X Source of Study This is a commonly prescribed medication for depression. Because Prozac affects chemicals in the brain, you should not stop taking it without talking to your doctor. Only under the supervision of a doctor can you stop taking the drug. If your doctor recommends that you stop taking Prozac, you can follow the steps below. How long it takes to stop Prozac completely depends on the length of time you take it, the dose prescribed, the condition you’re being treated for, and certain other medications you’re taking.
Steps
Learn about medicine
- Prozacs are SSRIs because they are “selective.” They mainly work on serotonin instead of another neurotransmitter that plays a role in maintaining emotions. [5] X Trusted Source Mayo Clinic Go to Source
- Stress
- Nausea
- Dry mouth
- Sore throat
- Asleep
- Weak
- Trembling uncontrollably
- Anorexia
- Weight loss
- Changes in sexual desire or function
- Constantly sweating
- New or worsening depression
- Feelings of extreme anxiety, nervousness, or panic
- Aggressive or angry behavior
- Act without thinking
- Restless restlessness
- Feelings of hysteria, unusual excitement
- Severe or ongoing side effects (as mentioned above)
- Loss of interest in recreational activities or hobbies
- Fatigue does not improve
- Disrupted sleep (insomnia, heavy sleep)
- Difficulty concentrating
- Change your eating habits
- Soreness and physical pain
- Some long-acting drugs like Prozac usually cause fewer symptoms if they stop taking them. However, you will still experience some side effects such as:
- Nausea, vomiting, diarrhea, or cramps
- Sleep disturbances, such as insomnia or nightmares
- Balance disturbance, such as dizziness or lightheadedness
- Sensory or movement disturbances, such as numbness, tingling, shivering, and lack of physical coordination
- Feeling upset, anxious, or distracted
- You need to stop taking your antidepressant slowly over a period of time by gradually reducing the dose. This approach is called “tapering,” and it can last for weeks or months, depending on the type of medication, length of use, dose, and your symptoms. Your doctor will recommend an effective method in reducing the use of Prozac. [12] X Research Resources www.health.harvard.edu/diseases-and-conditions/how-to-taper-off-your-antidepressent
- You may experience recurrent symptoms of depression after you stop taking Prozac. To differentiate between discontinuation symptoms and relapses, you need to note when the symptoms started, how long they lasted, and what type.
- Symptoms of drug discontinuation usually appear fairly quickly. These usually improve after a week or two, and include some physical complications, such as nausea, soreness, and pain.
- Recurrence of symptoms usually develops slowly over two to three weeks. They usually become more severe in two to four weeks. If symptoms persist for more than a month, you should see your doctor.
Coordinate with doctors
- In some cases, your doctor may recommend stopping Prozac if you feel that you are no longer at risk for (or no longer have) chronic or recurrent depression. Your doctor will make this recommendation after you have taken the medicine for at least 6 to 12 months. [14] X Research Source
- Prozac is less likely to cause symptoms on discontinuation because they work “for half a life”. This is the amount of time it takes the body to reduce its focus on the drug by half. [15] X Research Source This means that Prozac can stay in the body for a long time, without the sudden drop in effects that cause few symptoms due to discontinuation of the drug.
- If you’re taking Prozac for a short time, 6 to 12 weeks, or at a low dose (eg, 20 mg a day), your doctor may not recommend tapering your dose gradually.
- Monitor drug dose reduction schedule. Write down the date and dose used each day. This helps you to follow your doctor’s instructions exactly.
- Note that depression can recur when the medication is stopped. You need to let your doctor know about your emotional state. If you are concerned about a relapse, you should consult your doctor for advice.
- Tell your doctor if you have any symptoms. Your doctor will monitor you for at least a few months after you stop taking the medicine.
- Your doctor will make recommendations based on personal preference, previous drug reactions, effectiveness, safety, and tolerability, cost, side effects, and interactions with other medications.
- If Prozac isn’t enough to control your depression, your doctor may prescribe another medication in the same SSRI class, such as Zpoft (sertraline), Paxil (paroxetine), Celexa (citalopram), or Lexapro (escitalopram).
- Other classes of medications that your doctor may recommend if you are experiencing side effects or your depression is not well controlled include:
- Norepinephrine Serotonin Reuptake Inhibitors (SNRIs) such as Effexor (venlafaxine)
- Tricyclic antidepressants (TCAs) such as Elavil (amitriptyline)
- Aminoketone antidepressants such as Wellbutrin (bupropion)
- Cognitive behavioral therapy (CBT) is remarkably effective in overcoming depression. The goal of this therapy is to help you think more positively and eliminate negative thinking and behavior. A cognitive behavioral therapist will help you identify bad thinking habits and change incorrect beliefs. These measures can help you overcome symptoms of depression.
- Other therapies include individual therapy, which focuses on improving communication; family therapy with the aim of resolving conflicts and improving family communication; or psychotherapy to help patients become self-aware.
- You’ll need to try a variety of treatments (or see several specialists) to find the right treatment or therapist for you.
- A study has shown that electroacupuncture that runs a gentle electric current through an acupuncture needle is as effective as Prozac in reducing symptoms of depression, and even more quickly. [21] X Research Source
- In the United States, acupuncturists are accredited by the National Board of Accreditation for Acupuncture and Oriental Medicine. You can use the “Find a Specialist” feature on the Board’s website to find a local licensed acupuncturist. [22] X Research Source
- Inform your doctor about any acupuncture or alternative treatments you have undergone. This information will be saved in the patient record. All health care professionals need to work together to give you the best health care. [23] X Research Sources
Lifestyle change
- Avoid processed foods, refined sugars, and “empty” calories. This food group contains very few nutrients in the total calories that you absorb, making the body hungry faster. In addition, they can affect blood sugar which has an emotional impact. [27] X Research Source
- Eating foods rich in B12 and fpate helps regulate your emotions. Liver, chicken, and fish are rich in B12. Beets, lentils, almonds, spinach, and liver contain fpate. [28] X Research Sources
- Foods rich in selenium can help improve symptoms of depression. Some food sources of selenium include Brazil beans, cod, pecans, and poultry.
- Foods rich in tryptophan when absorbed into the body will convert to serotonin when combined with vitamin B6. [29] X Sources of study Tryptophan-rich foods include soybeans, peanuts, chicken breast, salmon, and oats. [30] X Research Source
- Studies have shown that regular consumption of omega-3 fatty acids helps regulate emotions effectively. Flaxseed or canola oils, pecans, kale, spinach, and fatty fish such as salmon are good sources of moega-3. Corn, soybean, and sunflower oils do not contain many omega-3s. [31] X Research Source
- You should consult your doctor before taking omega-3 supplements, as they can make certain chronic conditions worse. You can take doses from 1 to 9 grams per day to improve your mood. [32] X Research Source
- Heavy drinking also causes anxiety and panic attacks.
- One glass of alcoholic beverage consists of 360 ml of beer, 150 ml of wine, or 45 ml of heavy liquor. The Centers for Disease Control and Prevention recommends no more than one alcoholic beverage per day, and no more than two for men. This is considered the “moderate” drinking standard. [34] X Trusted Source Centers for Disease Contrp and Prevention Go to source
- Regular exercise improves mood in people with mild or moderate depression. In addition, this is also a measure to support the treatment of severe depression. However, if you continue to experience symptoms of depression even with regular exercise, you should see your doctor. [38] X Trusted Source Harvard Medical Schop Go to Source
- Go to bed and wake up at the same time every day (including weekends).
- Avoid stimulants before bed. Activities such as exercising and using electronic devices such as televisions or computers can affect your sleep.
- Avoid drinking alcohol and caffeine before going to bed. Even though alcohol can help you feel drowsy, it actually disrupts the REM sleep cycle. [40] X Research Source
- The bedroom should only be used for sleeping, not for working.
- If you do not have access to the sun, you can buy an artificial solar light box. Consult with your doctor about the right type of lamp for your needs. In general, you should use an artificial solar light box for at least 30 minutes every morning. [43] X Trusted Source Mayo Clinic Go to Source
- If you plan to be in the sun, you should wear a sunscreen with an SPF of at least 15 and “common.” [44] X Research Source
- During the time you stop taking the medicine, you will need to see your doctor regularly. Tell your doctor about your condition, feelings, or symptoms.
- Mindfulness meditation is scientifically tested and proven to be effective in treating depression and anxiety. [48]X Research Source “Mindfulness-Based Stress Reduction” (MBSR) is a very effective form of meditation. [49] X Research Source
- Meditation includes the following elements: [50] X Trusted Source HelpGuide Go to Source[51] X Trusted Source Mayo Clinic Go to Source
- Concentration: Focusing on objects, images, chanting, or focusing on specific breathing
- Relaxed breathing: Slow, deep, and even breathing exercises help increase oxygen and reduce stress hormones
- Quiet space: Eliminate distractions
- You can download meditation guides online. MIT provides relaxation and mindfulness meditation MP3 files. [52] X Research Resources The UCLA Mindful Cognition Research Center has a downloadable or live stream of guided meditations. [53] X Research Sources
Advice
- Make sure to eat a healthy diet, exercise regularly, and get enough sleep while reducing Prozac use. These healthy habits help you feel good while gradually reducing your medication dose.
- If withdrawal symptoms appear, you should see your doctor.
Warning
- During the gradual discontinuation of Prozac, you should see your doctor immediately if you notice that your symptoms of depression get worse.
- Do not change your dose reduction schedule without first talking to your doctor.
- Never stop taking Prozac without consulting your doctor.
This article was co-written by Padam Bhatia, MD. Padam Bhatia is a psychiatrist who runs the Elevate Psychiatry clinic in Miami, Florida. He specializes in treating diseases by combining traditional medicine with certified holistic medicine therapies. He can also use electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), new drug use, and complementary and alternative medicine (CAM). Bhatia is certified by the American Board of Psychiatry and Neurology and is a member of the American Psychiatric Association (FAPA). He received his medical degree from Sidney Kimmel College of Medicine and is a resident in adult psychiatry at Zucker Hillside Hospital in New York.
There are 47 references cited in this article that you can view at the bottom of the page.
This article has been viewed 3,971 times.
Prozac, or fluoxetine, is an antidepressant that belongs to the group of selective serotonin reuptake inhibitors (SSRIs). This is the most commonly prescribed antidepressant. [1] X Trusted Source Mayo Clinic Go to Source Prozac is used to treat a number of conditions such as depression, panic attacks, obsessive-compulsive disorder, eating disorders, and premenstrual syndrome. moon. [2] X Source of Study This is a commonly prescribed medication for depression. Because Prozac affects chemicals in the brain, you should not stop taking it without talking to your doctor. Only under the supervision of a doctor can you stop taking the drug. If your doctor recommends that you stop taking Prozac, you can follow the steps below. How long it takes to stop Prozac completely depends on the length of time you take it, the dose prescribed, the condition you’re being treated for, and certain other medications you’re taking.
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