Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

What is the difference from Fluxotene (Prozac) and Cymbalta?

Customer Question
I was on Cymbalta for...
What is the difference from Fluxotene (Prozac) and Cymbalta? I was on Cymbalta for 6 months and then I stopped taking them about 1 month ago. I'm still have anxiety so my dr. put me on Fluxontene (Prozac). I've ready some negative things about Fluxontene... question will this cause seizures or cardiac arrest or anything like that??
Submitted: 8 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 28 minutes by:
1/2/2010
Mental Health Professional: Dr. Steve, Psychologist replied 8 years ago
Dr. Steve
Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
Experience: 19 years conducting therapy; book author; newspaper columnist; former co-host of radio show
Verified
Hi Shellken:

The main difference between Cymbalta and Prozac lies in the neurotransmitters they affect in the brain. Prozac affects Serotonin almost exclusively, while Cymbalta, one of the newer formulations, affects Norepinepherine in addition to Serotonin. I am guessing your physician switched you because Cymbalta has been known to create energy, and may have amped your anxiety slightly. Prozac may be a better alternative for tending to the anxious symptoms.

As for your concerns regarding side-effects, Prozac's will be pretty similar to Cymbalta's. You will probably have an upset stomach for the first week or two, and may have trouble falling to sleep. Too, Prozac has been known to interfere with orgasm and sex drive. But the most serious side-effects don't typically have anyhting to do with seizures of heart attack - in fact, Prozac is one of the most mild SSRIs in the event that you skip a dose or two ("discontinuation syndrome"). The only really obnoxious side-effect that your doctor should know about right away is if you develop a bad rash after taking the medicine. Otherwise, Prozac is relatively safe.

Heck, it has been around since the mid-1970s, so it has the most proven track record of any anti-depressant. Seriously though, I understand that with anxiety, you tend to focus on the potential negatives. I hope I put some of your fears to rest. The Prozac may or may not help the anxiety (everyone has a different chemistry set between their ears), but it should be safe for you. And as always, make sure to talk this over with the prescribing physician as well.

Thanks!

Dr. Steve

Ask Your Own Mental Health Question
Customer reply replied 8 years ago
I was on Cymbalta for 6 months at 60mg and it seems like it became to much so I stopped cold turkey. My anxiety never went away so that when my doctor prescribed me with Fluxontene (Prozac) because he said I should be able to handle better. So my next questions are, how long does it stay in your system and if I wanted to take it for just a month will that be ok or will I have a hard time getting off of this drug? I'm not into taking medication but the older I've gotten my anxiety has surfaced full force.
Mental Health Professional: Dr. Steve, Psychologist replied 8 years ago
Hello again:

Thanks for the additional info. Well, look... I am going to answer, but would be remiss if I did not adivse you to: (1) NOT ever just stop an anti-depressant cold turkey, and (2) don't make a medical move without the advice and assent of your physician.

Okay?

But to your question... As with the Cymbalta, you will need to take the Prozac for a couple/few weeks to build to a therapeutic level in the bloodstream. The exact level will vary depending upon variables unique to you, but your doc can figure those out. Once you are at that level, the taper should take two weeks to fully come off. There is (again) a little bit of wiggle room with the two week rule-of-thumb to account for your unique chemistry and the strength of the dose you were on, but that it a good rough estimate.

Thanks!

Dr. Steve

Ask Your Own Mental Health Question
Customer reply replied 8 years ago
Oh I stopped the cymbalta because 60mg became to much and I went back to my doctor who then gave me samples of 30 mg. I told him that I wanted to come off of it because by that time I hadn't been on it for 2 weeks and everything was fine. He told me that since I haven't taken it for 2 weeks then that was ok, I started to have withdrawl symptons and told myself I would never get on cymbalta again, I really got on it for pain not for anxiety. I just want to make sure Prozac is safe to take, I guess I'm just paranoid because I see alot of celebrites that have pass away due to Cardiac Arrest and one of the drugs that they were taking was Fluxotene, so I'm just nervous, but this is day 2 of me being on Fluxontene (Prozac). And you're sure it doesn't cause damage to the brain or heart?
Mental Health Professional: Dr. Steve, Psychologist replied 8 years ago
Yup... I am sure. Frankly (I am going to offer a personal opinion here), heart attacks at a young age, in the absence of a significant family history of cardiac issues, is alm ost invariably the result of stimulant use (cocaine, meth, ecstasy). The celebs lie dead, the media reports the prescription medicines they were taking - but neglect to lay out the plethora of illegal substances they may or may not have ingested. Then people are left to wonder if they will meet the same fate because they are taking the same medications.

When the hyper stimulants are introduced, they push the heart beyond its ability to keep up, and cardiac arrest ensues. Anyway, Prozac doesn't push the body in that way.

In fact (speaking of the brain now), there have been studies which suggest Prozac actually helps the brain correct its neurochemical issues permanently, such that after while, folks may not need to take it anymore.
Best of luck-

Thanks!

Dr. Steve

Ask Your Own Mental Health Question
Customer reply replied 8 years ago
WOW!!! You have seriously put me at ease. I will keep you posted. Oh yeah I forgot to tell you that the Fluxotene (Prozac) is 10mg which is the lowest dosage I believe. So that should be ok...right??? And as far as my age I'm 37.
Mental Health Professional: Dr. Steve, Psychologist replied 8 years ago
LOL! Yes, you will be fine. I wish you the best, ***** ***** has been a pleasure talking with you today!

Thanks!

Dr. Steve

Dr. Steve
Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
Experience: 19 years conducting therapy; book author; newspaper columnist; former co-host of radio show
Verified
Dr. Steve and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Customer reply replied 8 years ago
It was a pleasure speaking to you as well!! Thank you so very much!!!
Mental Health Professional: Dr. Steve, Psychologist replied 8 years ago
You're welcome. Be well-
Dr. Steve
Ask Your Own Mental Health Question
Ask Dr. Steve Your Own Question
Dr. Steve
Dr. Steve
Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
370 Satisfied Customers
Experience: 19 years conducting therapy; book author; newspaper columnist; former co-host of radio show

Dr. Steve is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, 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 VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

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

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I suffer from anxiety, and have been taking Ativan 0.5mg,
I suffer from anxiety, and have been taking Ativan 0.5mg, one a day for 23 years. Recently my doctor told me, (because of some anxiety issues) I could take up to three of my 0.5mg Ativan. Is there a p… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
764 satisfied customers
I'm a Bipolar 36 year-old male with severe anxiety and
I'm a Bipolar 36 year-old male with severe anxiety and depression. What is the best anxiety medicine I should be taken? I've taken Clonazepam for 8 years and it no longer helps. Would another drug lik… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
I was diagnosed with social anxiety by my psychiatrist at 16
Hi Dr. Wilson, I was diagnosed with social anxiety by my psychiatrist at 16 years old. Fast forward 6 years, and I feel like I am still struggling. I am always nervous when it comes to social engageme… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I have anxiety and recently think it is playing tricks with
Second opinion] Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
My adult daughter is struggling tremendously with anxiety
My adult daughter is struggling tremendously with anxiety and depression. She is on prozac but it's not helping that much. What is the best way to treat depression and anxiety in your opinion. She doe… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
764 satisfied customers
I have anxiety and recently think it is playing tricks with
Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
I've been taking Prozac and Buspar for some anxiety and
I've been taking Prozac and Buspar for some anxiety and depression. My therapist just added Abilify to help with some lingering depression. At first she was going to add Wellbutrin but decided on Abil… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
764 satisfied customers
I have issues with anxiety. I meet with a behavioral
I have issues with anxiety. I meet with a behavioral therapist and have practices to help with my anxiety, but I'm feeling super anxious with some current ongoing stress that may continue for the next… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
764 satisfied customers
Im struggling with anxiety and depression and i have taken
im struggling with anxiety and depression and i have taken several medications cymbalta cipralax and now i am on a new one i forget what it is called … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
764 satisfied customers
Various diagnosis since 2010; generalized anxiety was the
Various diagnosis since 2010; generalized anxiety was the most popular. PTSD diagnosis in 2016 because of a loss of a child in 2009 as well as the end of my 10 year relationship in 2013. Possible re t… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
764 satisfied customers
Is this a paid service? History of depression and anxiety.
Past 8 months. Relationship problems make it worse.… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
OKMH124211 What is the vest way to prevent anxiety, gain
OKMH124211 What is the vest way to prevent anxiety, gain more self confidence and get rid of tmj syndrome-sometimes teeth grinding affects night into daytime as a bad habit?… read more
Linda D.
Linda D.
Master\u0027s Degree
793 satisfied customers
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
793 satisfied customers
I would like to know if it is possible for anxiety to cause
Hello,I would like to know if it is possible for anxiety to cause bladderproblems like urinary retention and bladder overactivity. Like if you fear it and you are constantly conscious regarding it, it… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I've had anxiety due to trauma... I've had anxiety due to
Hello, I've had anxiety due to trauma... Hello, I've had anxiety due to trauma in the city I lived in, I moved out to a different city, I accidentally spoke to somebody associated with the trauma , in… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,981 satisfied customers
I I have extreme anxiety especially social anxiety I over
I I have extreme anxiety especially social anxiety I over worry about everything and I have PTSD from being stabbed and assaulted I've been prescribed Xanax for years and I got up to 2 mg which was wo… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,981 satisfied customers
The girl I care for is holding a grudge feels neglected a
The girl I care for is holding a grudge feels neglected a has started to flirt with her ex who's cheated lies and maniplated her I don't want her to go through the same cycle again how do I get her le… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
764 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x