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Hello, Fabio is no longer an active expert on this website, so I will be happy to help you with your questions. I am very sorry that you are struggling with these symptoms of intrusive thoughts and anxiety
related to your OCD and Anxiety. Right now you are at a moderate dose of the Prozac (maximum daily dose is 80mg), so I understand that you want to feel the full effectiveness of this medication, but currently you may not even be at a dose where you are able to notice those benefits. Typically it takes around 6-8 weeks for the full effectiveness of the Prozac to be present, so you still have at most a month to feel the full benefits of the Prozac. The good news is that because you are starting to have good days and bad days, means that the medication is starting to circulate and provide you with some noticeable initial benefits. This is very normal and is a good sign that the medication will be effective for you once you reach the optimal dose, which like I said may be higher than 40mg/day, and once you reach that 6-8 week threshold. Everything you are experiencing is normal with the Prozac and is a good sign that this medication will be effective for you since you are starting to notice some positive benefits already. Over time, you should start to have more good days than bad days and once you reach the optimal dose and timeframe, the bad days should be very few and far between.
I hope this answers your questions and gives you some guidance on this issue. I wish you all the best with your treatment and I hope your symptoms of GAD and OCD lessen very soon for you. 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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