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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Aggression After Taking Prodep

My daughter 17 yrs old is taking prodep20mg and betacapTR 40 for the past 5 days. she is shouting uneasily daily after taking the medicine when asked the doctor says that after 2 weeks only it will give effect. shouting is more and sweats more. what to do?
Tue, 12 Aug 2014
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Psychiatrist,  's  Response
Hi, thanks for the query. For what indications does your daughter has been prescribed Fluoxetine (Prodep) plus propranolol (Betacap). In general fluoxetine is a very safe drug to use in children & shows good symptomatic improvement over 2-4 weeks. But a few children may develop increased impulsivity, agitation, or irritability. These symptoms appear to be more likely to appear in children who are predisposed to develop, bipolar disorder. Hence, be sure to let your child's provider know if she has ever experienced similar symptoms before without drugs also before or if there is a family history of bipolar disorder. Also, is there any benzodizepine drug like clonazepam or etizolam prescribed by your doctor? Since fluoxetine & other similar drugs of SSRI group tend to cause anxiety, irritability in first week due to so called activating side effects of SSRI. These activating side effects are most troublesome with fluoxetine but they can be easily controlled by adding clonazepam, etizolam (Benzodizepines) etc. for first 1-2 weeks. In either case, consult your doctor immediately or revert back to me for further help. Good Luck
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Suggest Treatment For Aggression After Taking Prodep

Hi, thanks for the query. For what indications does your daughter has been prescribed Fluoxetine (Prodep) plus propranolol (Betacap). In general fluoxetine is a very safe drug to use in children & shows good symptomatic improvement over 2-4 weeks. But a few children may develop increased impulsivity, agitation, or irritability. These symptoms appear to be more likely to appear in children who are predisposed to develop, bipolar disorder. Hence, be sure to let your child s provider know if she has ever experienced similar symptoms before without drugs also before or if there is a family history of bipolar disorder. Also, is there any benzodizepine drug like clonazepam or etizolam prescribed by your doctor? Since fluoxetine & other similar drugs of SSRI group tend to cause anxiety, irritability in first week due to so called activating side effects of SSRI. These activating side effects are most troublesome with fluoxetine but they can be easily controlled by adding clonazepam, etizolam (Benzodizepines) etc. for first 1-2 weeks. In either case, consult your doctor immediately or revert back to me for further help. Good Luck