How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Steven Olsen Your Own Question

Steven Olsen
Steven Olsen, Therapist
Category: Mental Health
Satisfied Customers: 1764
Experience:  More than twenty years of expertise in counseling, psychological diagnosis and education
45885103
Type Your Mental Health Question Here...
Steven Olsen is online now
A new question is answered every 9 seconds

had a severe reaction to wellbutrin plus and ER visit - now

Resolved Question:

had a severe reaction to wellbutrin plus and ER visit - now am on ativan and prozak 20mg... i feel like the ativan isn't working any more how long will it take for the prozac to kick in?
Submitted: 2 years ago.
Category: Mental Health
Expert:  Steven Olsen replied 2 years ago.

The simple answer is that the Prozac will take about 2 weeks at minimum to show some benefit, and most people experience more significant symptom reduction in 4-6 weeks with 8 weeks being full effect. It is, rather a slow process.

 

Prozac works by increasing the availability of serotonin which reduces anxiety and worry (as well as depression). Ativan is a benzodiazapine, which increases a chemical called GABA, which tells your nervous system to stop sending messages, particularly fear based messages. The Ativan is very dosage dependent, very fast acting, and if you are not getting any relief you may wish to talk about dosage with your doctor as usually this medication is highly effective. You may just not be taking enough.

 

I would recommend a revisit to your prescribing doctor as at least one of these should be giving you relief. And, in all likelihood, the dosage is simply not adjusted to your metabolism. Steven

 

 

Customer: replied 2 years ago.
Do you think its a bad thing to increase the ativan? I have now been taking these meds for a week, so it seems I have another week to go for prozac relief. I'm taking 1mg of ativan every 8 hrs. This all began from the wellbutrin reaction, I was never this fearful, I can barely eat, and get unbelieveable anxious attacks.
Expert:  Steven Olsen replied 2 years ago.
The typical start dose for Ativan is 1mg per day, but if no response occurs it is common to raise that to 2-3 in some cases. You are suffering, clearly, and I see no reason to hesitate to ask for a reevaluation of the dose. The medication will be removed (tapered) in most cases as soon as the prozac begins to work, so this will not be a long term dose. I would not be reluctant at all to see your doctor. Clearly this is not working as it should and it is common to go a bit higher in dosage. Steven
Customer: replied 2 years ago.
I'm actually taking it 3 times a day, 1MG dose. Would they increase the dose or increase the times taking it?
Expert:  Steven Olsen replied 2 years ago.

As you are already at the upper limits of the usual dosage they most likely, instead of increasing the dose further, will change to another chemically similar medication. These include Valium, Xanax and others. There are many, many others in this class of medication, and I know you are in distress, but please try not be too discouraged.

 

Even with all the neuroscience at our disposal, dosing and choosing the right medication is still very hit or miss. But, in retrospect, I doubt they will increase the dosage. They may increase the initial dosage and taper it later in the day, but more typically at this point they will try another medication as you seem resistant to this particular brand. Steven

Customer: replied 2 years ago.
It was helping at first and then it started to taper of effectively. When they gave it introvenously at the hospital it obviously worked very well. I was originally prescribed xanax with the wellbutrin but it wouldn't last long and it would completely knock me out. I've been on medical leave from work and am hoping to return next week so I don't know what will allow me to be functional.
Expert:  Steven Olsen replied 2 years ago.
You appear to build up tolerance very quickly. That does happen. However, there are many, many choices in this category and you probably only need the medication for a few weeks until the Prozac kicks in. But you do need to see your doctor face to face at this point as the medication you are taking is not working; it is at an upper dose threshold and there are other choices. Not all work the same and not all cause the extreme "knock out" that the Xanax did. But there is no other way, sadly, to find out except to try them. But often in the process, by knowing what does not work, a good alternative can be found. Steven
Steven Olsen, Therapist
Category: Mental Health
Satisfied Customers: 1764
Experience: More than twenty years of expertise in counseling, psychological diagnosis and education
Steven Olsen and 4 other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education