It is important not to give up on a medication until you have been taking it as prescribed for 10 to 12 weeks. Many patients feel no positive effects for the first few weeks of treatment but then improve greatly. No one knows how long patients should take these medications once they have been effective. Some patients are able to stop their medications after a 6 to month treatment period.
It does appear that over half of OCD patients and maybe many more will need to be on at least a low dose of medication for years, perhaps even for life. It seems likely that the risk of relapse is lower if patients learn to use behavior therapy techniques while they are doing well on medications.
And if medication is tapered slowly even over several months , the ERP treatment may enable patients to control any symptoms that return when they stop taking the medication. After medications are stopped, symptoms do not return immediately; they may start to return within a few weeks to a few months.
If OCD symptoms return after a medication is stopped, most patients will have a good response if the medication is restarted. Many patients drink alcohol while on these medications and handle it well, but be sure to ask your doctor or pharmacist if it is safe. It is important to keep in mind that alcohol may have a greater effect on individuals who are taking these medications; one drink could affect an individual as if it were two drinks.
Drug companies give doctors free samples of some medications. Doctors give these samples to patients who cannot afford the cost of the medications. Most drug companies also have programs that help patients get these and other medications free or at a reduced cost. For more information, visit: Please check with your physician. When should the medicine start working? It usually takes about 2 weeks for fluoxetine to start working but may take longer.
Continue to give the medicine to your child during this time. Your doctor will decide whether it is helping once your child has been taking it for a few weeks. What if my child is sick vomits? If your child is sick less than 30 minutes after having a dose of fluoxetine, give them the same dose again. If your child is sick more than 30 minutes after having a dose of fluoxetine, you do not need to give them another dose.
Wait until the next normal dose. What if I forget to give it? Give the missed dose as soon as you remember during the day. If you do not remember by bedtime, miss out the forgotten dose and give the next dose as usual in the morning.
Never give a double dose of fluoxetine. What if I give too much? If you think you may have given your child too much fluoxetine, contact your doctor or local NHS services in England and Scotland; in Wales. Have the medicine packet with you if you telephone for advice. Are there any possible side-effects?
They may have a rare but serious reaction called serotonin syndrome. If your child gets swelling of the eyes, face or lips, a rash, redness, itchiness, blistering or peeling of the skin, or has difficulty breathing, take them to your doctor or hospital straight away.
They may be allergic to fluoxetine. Very rarely, fluoxetine can cause seizures convulsions or fits. If your child has a seizure, telephone for an ambulance. Do not restrain your child, but try to make sure that they cannot hurt themselves e. If your child has trouble focusing, seems confused, unsteady or disorientated, or has hallucinations seeing things that are not there , contact your doctor straight away.
If your child feels very low or suicidal, tense, nervous, worried or on edge, please contact your doctor. I know the meds work because it worked for 9 years. I also know I can feel better because I did feel great. This Disclaimer applies to the Answer Below Dr. Schwartz responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology. Schwartz intends his responses to provide general educational information to the readership of this website; answers should not be understood to be specific advice intended for any particular individual s.
Questions submitted to this column are not guaranteed to receive responses. No correspondence takes place. No ongoing relationship of any sort including but not limited to any form of professional relationship is implied or offered by Dr. Schwartz to people submitting questions. Schwartz and Mental Help Net disclaim any and all merchantability or warranty of fitness for a particular purpose or liability in connection with the use or misuse of this service.
Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician. Then, the agency found more studies with conflicting findings and released another warning in So far, the FDA has yet to make a final ruling. A study published in the British Medical Journal BMJ in July by Jennita Reefhuis and colleagues linked Prozac to increased risk of heart wall defects, craniosynoctosis and heart defects.
Of the 9, mothers of babies with birth defects, reported taking an SSRI during pregnancy. Drug Interactions Prozac may interact with a variety of drugs and some complications may be severe.
Side effects of drugs interaction include internal bleeding, seizures and abnormal heartbeats.
What happens if I overdose? As a result of the long elimination half-lives of Prozac and its active metabolite, norfluoxetine, concentrations in the blood gradually decrease upon appropriate discontinuation of treatment which minimizes the risk for developing the possible Prozac withdrawal symptoms. Studies of peripheral markers of serotonin, as well as challenges with proserotonergic compounds have yielded inconsistent results, including evidence pointing towards basal hyperactivity of serotonergic systems. Lori Poulin, PharmD Q: The therapy should be monitored by your physician. Your child may get indigestion, stomach ache, feel obsessive-compulsive or be sick vomit. Anorexia poor appetite has been reported in 4 percent to 17 percent of patients studied during clinical trials. Symptoms of serotonin syndrome or Prozac reactions include agitation, confusion, increased heart rate and blood pressure, sweating, headache, diarrhea, loss of muscle coordination, and possibly fever and seizures. For example, obsessive fears about sexual orientation can appear to the person with OCD, and disorder to those around them, prozac in obsessive-compulsive disorder, as a crisis of sexual identity. Pick a time that is easy to remember and works well with your schedule and other medications you might be taking. She had a terrible fall and I watched ambien 15mg safe die in ICU in the hospital. Developmental Considerations in the Rationale, Design, and Methods. Weight gain can be a common side effect of both of these classes of drugs. Doctors give these samples to patients who cannot afford the cost of the medications. Prozac may be taken with or without food and at anytime of the day.
Excessive skin pickinghair-pullingnail biting and other body-focused repetitive behavior disorders are all on the obsessive—compulsive spectrum. Given your level of anxiety at this time, I would recommend Zoloft because you now know that it is approved by the FDA. I stopped taking Prozac but continued with Wellbutrin. Can it interfere with Prozac taking effect? If you would like to obtain more disorder about these advertising practices prozac to make choices about online behavioral advertising, please click here. I would contact a provider and have them suggest something that can take effect in shorter time span if they seem fit. The most important thing is to talk to your physician regarding your current treatment and dissatisfaction. I'm back to 10 mg per day now, 2, miles from my girlfriend. Jen Marsico, RPh Q: This is rare, prozac in obsessive-compulsive disorder, but it is more likely when these medications are used together. Do not start or stop any new treatments without first consulting with your doctor. In order for an electrical signal to pass from one neuron to the obsessive-compulsive, a neurotransmitter is released into the synapse where it floats freely across to the adjoining neuron. Sleep issues can be associated with some of the medical conditions that Prozac is used to treat. It is important not to give up after failing one or two drugs. Another excellent medication is Paxil and you can be assured that it too will help OCD.
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