I am 62 yo. Have been on Prozac for six weeks for severe anxiety and depression. At first, it made anxiety worse. I started on 5 mgs for a week, 10 mgs for two weeks, and now 20 mgs for two weeks. I finally began to feel better at 3 weeks. That lasted about a week, then my awful anxiety returned, lasted about 3 days, then much better again. I was getting out more, talking more, etc., then 3 days ago, the anxiety has returned. I worry about everything that’s out of my control and have a hard time functioning. BTW, I’ve suffered severe anxiety since I was 23. My question: Is it expected for your a/d to come and go as you get on Prozac because it’s getting in your system good? I want this to work so badly. Am I wanting too much too soon?? Thank you.
Anxiety gets better for a few days then returns?
Question posted by B Newman59 on 23 Dec 2021
Last updated on 24 December 2021
Answers
Hi, B!
Three things may be going on.
There's something called the "roller coaster effect" when you're feeling good and then the symptoms return as your metabolism adjusts to the drug.
Usually it takes several weeks after an increase to feel the full benefits of the medication so it may be a matter of giving it more time.
20mg is the usual initial dose and you may need another increase as everyone responds differently. Some folks may do well on a lower dose and others may need up to 60mg/day.
This initial period can be rough and involve a lot of trial and error to get you stabilized on a particular dose. The fact that you've seen some improvement is an indication that the Prozac is working.
Talk to your doctor and let them know where you're at and get their professional opinion but it may very well be that it's a matter of time or adjusting your dosage.
Best regards and hopefully you'll be feeling good all the time soon.
Thank you for responding, Wildcat. I have only been on the 20 mgs for about two weeks so maybe that just hasn’t kicked in. I was on Prozac years ago, and it worked for me for 12 years then it pooped out. I’ve read where people stop it then start back, and it works for them again so I’m praying to feel better again soon. This has been going on for about a year and I am worn out from being anxious. Thank you again.
Your welcome! I do understand where you're at so my best wishes it works out for you.
Happy Holidays!
Related topics
prozac, depression, anxiety, anxiety and stress
Further information
- Prozac uses and safety info
- Prozac prescribing info & package insert (for Health Professionals)
- Side effects of Prozac (detailed)
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