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Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4672
Experience:  MD Psychiatry
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I have dreams of getting hit by a car or getting shot,

Customer Question

I have dreams of getting hit by a car or getting shot, stabbed murdered or by natural death constantly and have these thought throughout the day as well.. I feel like i have no intention of dying but cnt help all these thoughts in my head... I have been
taking fluoxetine for 5years now... Should i be taking more? Or something else? I dunno if its working.. I dont know anything..
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 1 year ago.


Welcome to the site.

I am a psychiatrist and i believe i can help you with your query.

Well, you see these dreams that you get where one way or other you are getting hurt in different situations, suggest that you have developed negative thoughts or ideas which in turn is suggestive of the fact that fluoxetine either at its present dose or as a drug has become ineffective owing to your body's increased tolerance / resistance against it over a period of time. So, i suggest that you first ask your prescribing doctor to up the dose of fluoxetine to as much as 80 mg / day if that has not been already done in your case. But if this dose increment too does not control or banish such negative thoughts or ideas from your mind then the next sensible and plausible approach would be to replace fluoxetine by another anti depressant and some good alternatives would be the likes of Lexapro ( escitalopram) at dose of 10-20 mg/ day or zoloft ( sertraline) at dose of 25-100 mg / day.

So do not worry as these thoughts and dreams are occurring as a result of waning effects or fluoxetine which until now has been able to ward them off but now that your body has developed resistance against this drug at the present dose, so first try raising the dose of fluoxetine to the maximum therapeutic dose as mentioned above and if that too does not help then replace fluoxetine with any one of the two options mentioned above after discussing and seeking approval from your doctor.

I hope this helps. Wish you a speedy recovery.

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