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Hello and thank you for your question. I am sorry that you are experiencing these symptoms, I can understand how distressing this can be for you. Unfortunately if you increase the dose of the Prozac, this could very well make you Bipolar Disorder worse as antidepressants often make symptoms of Bipolar Disorder worse if there is no mood stabilizer or atypical antipsychotic present. While you are taking Seroquel with the Prozac, your Seroquel is at a low dose, so that dose most likely is currently not sufficient for you (an efficient dose would be at 300mg or higher for most people) or would not be sufficient if you increased the Prozac. The best option for you would be to talk to your doctor about a medication change when you can as clearly the side effects of Seroquel are too bothersome, so it would be better for you to remove that medication and possibly try another atypical antipsychotic such as Ziprasidone, Lurasidone, or Olanzapine. Or you can try a mood stabilizer like Lamotrigine, Lithium, or Depakote. If you respond well to one of these medications than the dose can be increased to an effective level which can stabilize your symptoms. So as for right now, I would not recommend increasing the Prozac as that could cause you to go into a Manic episode.
Paranoia and anxiety are two different things, so you may be using the terms interchangeably by mistake. Anxiety is when you feel stressed and worried/fearful in situations that you know you shouldn't, but yet you still do. Paranoia is a delusion, false belief, when you feel worried/fearful and stressed in situations that believe are true no matter what any one else tells you...as an example you truly believe people are following you or spying on you. So if you are just talking about anxiety, then your doctor can prescribe you a benzodiazepine (e.g. Alprazolam, Clonazepam, or Lorazepam) as these are very effective in lessening anxiety symptoms and will not interfere with your other medications or your Bipolar Disorder. But if you are talking about true Paranoia than the only medication for that would be the atypical antipsychotics like Seroquel
I know it is difficult to see your doctor, but it is important to find the right regimen that significantly lessens your symptoms with minimal side effects, and that will take some trial and error with your doctor. Hopefully you will be able to see her soon in regards ***** ***** medication adjustment.
I hope this answers your questions and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
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