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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Depression?

My name is Sara Romweber and I am needing information for my daughter. She took Elavil for years and decided to stop using that medication. Years ago she did not respond well to any of the newer drugs .... and decided to restart the amytriptyline. She took it for years and her doctor added the generic for Prozac. [Prozac is one of the drugs that she didn t respond well to years ago]. And she has been taking only fluoxetine for, she says, a long time .... and a very small dose at that. She has recently slipped into a strange set of symptoms. It s like she s fading ... her memory is shot. She has been a productive musician for years and now she can t even practice. She went to the doctor and they found that she had had Epstein Barr at one time, but not any longer, and that was the only abnormal finding. I m a psychotherapist and I was an RN for years. In a way she seems depressed, but I don t know if the depression is causing her symptoms or if her symptoms are causing the depression. I have worried about her calorie intake. She is tall and thin and only eats one meal a day. And I know that Prozac can also cause weight loss. Yikes!! Any ideas?
Wed, 25 Jul 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Yes, All these can be symptoms of depression. In depression there can be loss of appetite as well. Once her symptoms will improve her appetite will be back. Prozac can be given up to dosage. If she is on a low dose then her dosage need to be increased gradually. Prozac can cause weight loss but its only for short term. Consult your psychiatrist.

Hope I have answered your query.
Let me know if I can assist you further.
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What Causes Depression?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, All these can be symptoms of depression. In depression there can be loss of appetite as well. Once her symptoms will improve her appetite will be back. Prozac can be given up to dosage. If she is on a low dose then her dosage need to be increased gradually. Prozac can cause weight loss but its only for short term. Consult your psychiatrist. Hope I have answered your query. Let me know if I can assist you further.