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After taking 30 mg Prozac for many years to treat OCD and…

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After taking 30 mg Prozac...
After taking 30 mg Prozac for many years to treat OCD and depression, I switched to Lexapro due to Prozac pooping out. Unfortunately, I developed palpitations on Lexapro and had to return to Prozac at a higher dose (40 mg). Three weeks later I developed severe insomnia, hypnic jerks and agitation that gradually subsided over several months. Now I'm back on Prozac at a reduced dose (20 mg) and need to take an occasional low dose of Clonazepam to treat legacy effects of the adverse reaction. I feel trapped because I don't want to take Clonazepam long term. On the other hand, I'm afraid increasing my Prozac dose or switching to another antidepressant will only make matters worse. In this case, what would you suggest moving forward? I have started a course of CBT but feel this will not be enough on its own.
Submitted: 9 months ago.Category: Mental Health
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Answered in 6 hours by:
9/17/2017
Mental Health Professional: DocPhilMD, Doctor replied 9 months ago
DocPhilMD
DocPhilMD, Doctor
Category: Mental Health
Satisfied Customers: 59,345
Experience: Mental Health Expert
Verified

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Mental Health Professional: DocPhilMD, Doctor replied 9 months ago

still need help?

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Customer reply replied 9 months ago
it's now one week since I last took Clonazepam and I feel pretty rough. I was only taking 0.5 mg once or twice a week but that was enough to calm me down and suppress the agitation and hypnic jerks I've suffered since my adverse reaction. Now those symptoms are coming back and are very unpleasant. Any advice would be greatly appreciated.
Customer reply replied 9 months ago
If possible, I'd prefer to communicate via text...
Mental Health Professional: DocPhilMD, Doctor replied 9 months ago
Actually Benadryl should help with the symptoms
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Customer reply replied 9 months ago
I tried the active ingredient in Benadryl (diphenhydramine) before but I had a paradoxical reaction and it made me a lot worse.
Mental Health Professional: DocPhilMD, Doctor replied 9 months ago

ask your doctor for vistaril

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Mental Health Professional: DocPhilMD, Doctor replied 9 months ago

let me know if you have other questions.

if done for now, please leave a 5 star rating above the chat box so I can get credit for helping you today

we only get credit for helping clients after positive feedback

you can always reach me with "a question for Dr. Phil" in the medicine, cardiology or pharmacy categories if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-irondoc/

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Customer reply replied 9 months ago
Vistaril is another medication I considered but didn't want to risk taking due to possible heart complications. It is also only a short term solution. No longer than 4 months.
Mental Health Professional: DocPhilMD, Doctor replied 9 months ago
There are no heart concerns with vistaril
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Customer reply replied 9 months ago
Quote from Drugs.com: "Cases of QT prolongation and Torsade de Pointes have been reported during post-marketing use of hydroxyzine". Also, many of the patient reviews described heart pounding as a side effect. My problems started with Lexapro induced palpitations so I'm very wary of taking another drug that could potentially affect my heart.
Mental Health Professional: DocPhilMD, Doctor replied 9 months ago

hydroxyzine is like a cousin of benadryl

I have never seen anything even remotely close to this

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