I have been on Prozac for about a month, and I started at 10 mg on December 2, 2015, then I went to 20 mg a week later, where I remained on that dosage. I was on celexa 10 mg for a month, right before I went to Prozac. The reason I went to Prozac was because I felt that celexa wasn't doing as good of a job as I would've liked for it to have done. Basically, I felt that I could do better. So now, I've been on Prozac for a month, and I have an appointment with my doctor in about a week. But the reason I'm considering going to celexa is because right now I feel kind of depressed and down troddened. I feel that that is due to Prozac. I know that antidepressants take time to work, and I've given it a little over a month, yet as of last week I feel kind of worried about life and depressed. At this point in celexa, I feel that I wouldn't be mildly down. Before I went on Prozac, which was my idea to do, my doctor wanted to up my celexa to 15 mg. I don't know whether I should increase my dosage of Prozac or go back on celexa. I'm considering both, but personally I don't know if increasing Prozac would continue to make me feel down, just as I feel now, in a month. I also think celexa was better for me than Prozac. Please help.
Hi, Andrew! This is going to be a difficult and very personal decision between you and your doctor, but ultimately it will be your decision.
Some things to remember ~ and I'm sure you know these things ~ so bear with me.
For most people four weeks is about the minimum length of time to start feeling positive effects. For most people it takes six to eight weeks for the drug to reach therapeutic levels in the bloodstream and achieve maximum effectiveness.
Since most doctors start patients on a low dose to assure that the drug is tolerated well four weeks is traditionally about the time the patient is raised to a higher maintenance dose.
Some people starting most, if not all, antidepressants initially feel more depressed, more anxious, and experience more transient side effects. This usually subsides about the time you're raised to a maintenance dose of the drug.
Every drug affects every individual differently.
That all being said, the tone of your post seems to indicate that you feel more positive about Celexa. So why not go back and give it a second chance and follow through when it comes time to up your dosage. What harm will it do? If it doesn't end up working out you can go back to Prozac or any of several dozen alternatives.
Don't feel as if you, your doctor, or the drug has failed. As I said, every person reacts differently and lots and lots of the folks here have been on several (or more!) different drugs before they found the one that works best for them.
I wish a doctor could prescribe the *perfect* pill but it just doesn't work that way. It's a game of trial and error, patience, and hope.
Best wishes for a happy New Year! WCV
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