Should I increase my dose of prozac (fluoxetine) for anxiety?

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Should I increase my dose of prozac (fluoxetine) for anxiety?
About a month ago I began taking 20 mg daily of fluoxetine to help manage my anxiety. For the past 3 weeks or so I have been on holiday break from university, allowing me to relax and wind down. Today was my first day back to school and I have been feeling increasingly anxious about school oriented things. Should I increase my dose to 40mg, or will I eventually become accustomed to school again and feel fine with 20mg? Does anybody have any personal experience increasing the dose? I should also mention that I have been prescribed .5mg of ativan for emergencies, but I never take it because I don't feel like I ever need it enough. Will therapy help?
take the ativan
Maybe wait a day or two before changing anything. Try and get back into the school rhythm. You may find that after the first day (which is anxious for anybody) you do feel better about things. Don't jump straight to 40, try 30 first even if that means breaking a pill in half. See how you feel with 30 and stay there for at least a week. If you still feel you need it, you can go higher, but you might not. You're likely to get more side effects if you go up to 40 in one step. Therapy may help, or there are exercises online to try. Search for CBT for anxiety (cognitive behavior therapy) and learn coping mechanisms. These will help as much, if not more than, medication. Save the ativan for now. It'll help calm you down if you are having a full blown anxiety attack, rather than anxiety in general.
yes up the dose, learn relaxation, deep slow breathing, etc dont be too proud to take the ativan, works fastest if disolved under the tongue therapy is distracting and seductive but but seldom helps
Speak to your doctor and ONLY increase it if your doctor thinks it right to do so.
Increasing your fluoxetine is something you and your doctor have to discuss. It's not something that you should do on your own. Until then, give the ativan a try for those time that you are feeling anxious. You can take a 1/2 an ativan to see if this helps. Once you get to the point that things are making you very anxious then, is the time to take your emergency ativan. I've had anxiety for many years and if I were you, I would give the ativan a try.
Iv recently increased my Fluoxetine to 60mg which is the maximum dose but this is best done under your doctors supervision as they can monitor any side effects,my advice would be to stay on 20mg but take your ativan to school with you and if the anxiety becomes too much you have it with you to take,but make an appointment to see your doctor about maybe increasing your dose, when you see your doctor it might be a good idea to ask about cognitive behavoural therapy(CBT) which can really help with anxiety :)
Therapy can very much help. It can be a slower process than the drugs but combined with them and you can come off the drugs sooner or later and be much better for it. Staying on the drugs and not taking therapy will lead to problems. The drug you are taking is an SSRI which is notorious for pooping out. Sooner or later it will become infective leaving you in need of looking for another drug to deal with your anxiety. Upping your dose on the advice of people on the web is ill advised. It can also be dangerous. Over the past five years I have been able to play doctor on myself as were I am when you get a prescription the pharmacist hands it right back to you after you get your medicine without marking it in any way. You can go to any pharmacist and refill it as much as you want. I now have tinnitus along with some major generalized anxiety disorder which wasn't anyway near as bad as this before. I have panic attacks and so on. Doing what your talking about will probably not be that bad but it will most likely make coming off of them much more difficult and make any side effects worse. Give your doctor a ring and ask him, tell him how you feel and see what he says.
You shouldn't increase the dose without your Dr's guidance and besides by the time the increase in fluoxetine has taken effect you will probably be used to school again. If your finding it difficult take the ativan, that's why you were given it.


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