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Friday, August 01, 2008 rizwan70 asks

Q: i am in depression for last 6 month

i am suffering from depression and am on prosac 20 mg daily.now i realized that this medicine is not working on me any more as after taking this medicine i go in sweating and tingling sensation from head to toe.today i consulted a psychiaterist and told him all my marital problems which have resulted in this situation.he advised me to tapper off prozac and consult psychologist not a psychiaterist.my sleep is effected,appetite is affected,libido is effected,i dont feel like doing anything,i stay isolated and fear of unknown.i dont have suicidal thoughts.please advise me that which anti depressants is best for me ,should i go for ECT.i want to come out of this dirty feeling of depression.i want to live long for my wife and my 2 sweet daughter,

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8/ 1/08 4:16pm

Hi Rizwan70:

Several things come to mind. First, after six months, you should no longer have these side effects from Prozac. They usually only last a month or two. You're not on a terribly high dose of Prozac, either.  Second, there are many antidepressants that a doctor can try for you, just because Prozac doesn't work, doesn't mean that there isn't one out there for you. I am not a psychiatrist, but have found that Prozac, and other SSRI's have similar side effect profiles but sometimes people can tolerate other ones that are combinations of SSRI's (selective serotonin reuptake inhibitors) and norepinephrine reuptake inhibitors such as Effexor, (venlafaxine) or Cymbalta (duloxetine).

Many people like Wellbutrin which works very differently from the drugs I named above, but I wouldn't try any of them without consulting with your physician.

If you don't like or trust your psychiatrist, find a new one! There are many wonderful practitioners out there with whom you could work.

Also, seeing a psychologist isn't a bad idea, either. Medications are useful, but usually don't address underlying problems that may have caused the depression in the first place. To find a psychologist near you, go to Psychology Today.

 

I hope this helps,

Dr. Diana Walcutt

The Stress Masters

 

*Dr. Walcutt is a Psychologist, not a Psychiatrist. Psychiatrists prescribe medications. Psychologists study them, but the majority of Psychologists are not authorized to prescribe meds or give you specific advice about them. Dr. Walcutt's answers are not intended to diagnose or treat any medical or mental disorder. Any information given in a post about medication is for educational purposes only, and primarily to aid you in having an informed discussion with your own Psychiatrist/Physician.

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