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Suggest Dosage For Prozac

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Posted on Tue, 12 Sep 2017
Question: 20 plus years on prozac for panic disorder. Major relapse 4 months ago. Reluctantly switched to Celexa and taken ro 40 mg. 6 weeks at 29 5 weeks at 40. Two weeks ago I was switched back to 20,mg of prozac and given the genesight genetic test which showed prozac much better drug for me than the celexa. Dr. wants me to immediately go to 40 mg. of prozac. Is this too quick and increase having only been on 20 two weeks and coming off of 11 weeks of celexa.. Have been taking 1 to 2 mg of klonopin and ambien for sleep as well. Sometimes 10 mg. of prpranolol when heart races.
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Answered by Dr. Dr. Ashok Kumar Choudhary (53 minutes later)
Brief Answer:
two weeks is reasonable time

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I think your doctor is taking right approach to increase the dose of prozac to 40 mg after trial of two weeks with prozac 20 mg.

It is common observation that after discontinuation you often need higher dose of prozac and I think 40 mg is well within reasonable limits without risk of any serious side effects.

In addition considering the use of other medications including klonopin, propranolol and poor response with 40 mg of celexa makes me to think in favour of higher dose of prozac and not for lowest possible dose.

I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regard.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3350 Questions

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Suggest Dosage For Prozac

Brief Answer: two weeks is reasonable time Detailed Answer: Hello, Thanks for using Healthcaremagic. I think your doctor is taking right approach to increase the dose of prozac to 40 mg after trial of two weeks with prozac 20 mg. It is common observation that after discontinuation you often need higher dose of prozac and I think 40 mg is well within reasonable limits without risk of any serious side effects. In addition considering the use of other medications including klonopin, propranolol and poor response with 40 mg of celexa makes me to think in favour of higher dose of prozac and not for lowest possible dose. I hope this answers you. Feel free to write back to me if you have more questions. Thanks and regard.