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DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65307
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
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I need to taper off of Prozac. My doctor says I need to ween

Customer Question

Customer: I need to taper off of Prozac. My doctor says I need to ween down and then be off of it completely for a month before I can try another anti-depressant. Is that true?
JA: Thanks. Can you give me any more details about your issue?
Customer: I have been taking the Prozac for about four months and I feel like it is making me fell more depressed. I am on a 60mg dose now.
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Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Prozac is fluoxetine --it acts by modulating the serotonin receptors in the brain by increasing serotonin level.

It may not work for everyone like in your case.

In that case, you need to try another antidepressant.

Wellbutrin is one such medication which acts differently to treat depression.

You can wean off prozac over time but you do not need to wait to start another medication.

Wellbutrin can be started while weaning off prozac without problem.

A psychiatrist should be consulted with for better care.

Please also get your thyroid function checked as hypothyroidism can cause depression.

Best wishes,
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Expert:  DrRussMD replied 1 year ago.


Thanks for requesting me.

I would not go straight to wellbutrin.

There are dozens of choices, and it is a more atypical choice.

In addition, you should be involved in therapy.

Therapy can work as well, or, the combination can work better.

I am here daily.

In medical, Dr. Thomas.

Use a long request lock so I can get to your.

Generally it will be promptly.

Please click a positive rating.

Find me as needed.

Expert:  DrRussMD replied 1 year ago.

Zoloft and celexa both are newer than prozac and have excellent side effect profiles.

There are newer SNRIs that would be preferred over wellbutrin in my view.

You do not have to wait a month before starting any of them, as long as you are monitored.

I usually give it a week, but each doctor will do this differently.

See my additional services offer, so we can discuss more integrative care. I am board certified in both medicine and integrative medicine.

Please click a positive or accept the add services offer.

Let me know if you have more questions.

Expert:  DrRussMD replied 1 year ago.


I have you in my in box but no post from you.