The Student Room Group

Prozac = tired & shaky - is it worth it?

Anon or delete please.

Hey,

I've been taking fluoxetine for 5 weeks now, but I can't decide whether the benefits outweigh the negatives. I've often suffered from debilitating panic attacks and depression, but I think they are always caused by something (irrational levels of work stress that I can't switch off from, feeling fat, depressing winter months, etc). I think the prozac has helped me to manage and reduce the panic and negative thoughts. There are points in the day when I feel truly alive, full of energy, and capable - but I get severe mood swings and there are other points where things feel difficult again, especially because since going on the medication I seem to be fighting a fog of tiredness, yawning and hand shakiness a lot of the time. Like many others, I find it affects the quality of my sleep - waking up at 5am, etc. However, I have always been an insomniac because of my anxiety, etc, and it's possible I'm not getting any less sleep than before - in fact more than in my times of epic panic. Any advice would be much appreciated, thanks
Reply 1
This isn't really something we can advise you on, you should speak to the doctor (GP/Psychiatrist/who ever) who put you on them in order to evaluate the pro's and con's of taking medication.

If you're getting side effects that are unpleasant it may simply be that you haven't settled on it yet, or that the dose/medication isn't right for you. Speak to the doctor and find out whether the dosage needs reducing or whether you should perhaps switch to another SSRI. Me I had tons of problems on sertraline yet on citalopram I get no side effects what so ever, everyone's different and you need to work with your doctor in order to find out what is right for you :smile:

What ever you do, don't just stop taking them however. When coming off of SSRI's you'll need to work out a reduction plan so you don't end up with the nasty side effects associated with sudden withdrawal.
Reply 2
It's a personal decision for everyone who suffers depression. Weighing up the side effects, vs the positive. I took them for six weeks then stopped, but during that six weeks I made immense changes to my life and was generally much, much happier. I can't say if the changes I made were because of the fluoxotine, they apparently take six weeks to chemically kick in, but maybe the thought I was doing something to make me feel better was enough to put the changes in place that needed to be made.

All I could say is that if you've written down and carefully considered everything you don't like in your life and then worked to rectify each and every one of them, if you still feel depressed then perhaps continue to take the prozac, I know that's what I'd have done.

One thing I was not expecting was the viagra effect... My doctor didn't warn me about that one!

Whatever happens, good luck :smile:
Reply 3
fire2burn
This isn't really something we can advise you on, you should speak to the doctor (GP/Psychiatrist/who ever) who put you on them in order to evaluate the pro's and con's of taking medication.

If you're getting side effects that are unpleasant it may simply be that you haven't settled on it yet, or that the dose/medication isn't right for you. Speak to the doctor and find out whether the dosage needs reducing or whether you should perhaps switch to another SSRI. Me I had tons of problems on sertraline yet on citalopram I get no side effects what so ever, everyone's different and you need to work with your doctor in order to find out what is right for you :smile:

What ever you do, don't just stop taking them however. When coming off of SSRI's you'll need to work out a reduction plan so you don't end up with the nasty side effects associated with sudden withdrawal.


Thanks for your help. I spoke to my doctor but she said that I needed to wait another month and see if it evened out (unless things got much worse). This is fair enough; the problem is I have deadlines and things that need doing now that I can't meet because of the tiredness. Of course finding the "right" medication takes time too so I guess it's not really solvable in the short-term . I'm glad that citalopram is working out for you
Reply 4
Anonymous
Anon or delete please.

Hey,

I've been taking fluoxetine for 5 weeks now, but I can't decide whether the benefits outweigh the negatives. I've often suffered from debilitating panic attacks and depression, but I think they are always caused by something (irrational levels of work stress that I can't switch off from, feeling fat, depressing winter months, etc). I think the prozac has helped me to manage and reduce the panic and negative thoughts. There are points in the day when I feel truly alive, full of energy, and capable - but I get severe mood swings and there are other points where things feel difficult again, especially because since going on the medication I seem to be fighting a fog of tiredness, yawning and hand shakiness a lot of the time. Like many others, I find it affects the quality of my sleep - waking up at 5am, etc. However, I have always been an insomniac because of my anxiety, etc, and it's possible I'm not getting any less sleep than before - in fact more than in my times of epic panic. Any advice would be much appreciated, thanks


Hey , I was on Fluoxetine too , for about 8 months.
It ****** with my sleeping and I often fell asleep in lessons or was overly hyper and ******* annoying.
Although I took it for bulimia and not for anxiety or panic attacks.
My advice is to scale down your dose as that worked for me , while still being a little beneficial.
good luck
Reply 5
Fluoxetine is known to have lots of side effects such as dizziness, drowsiness, nausea, diarrhoea etc.. you have to think would you rather put up with the side effects or have depression/panick attacks?

Glad you went to see your doctor - and maybe waiting it out is the best option see if things get better. Could you maybe go back to your GP and tell her about your deadlines and how your tiredness is affecting everything? They might be able to change you to another SSRI
Reply 6
Winnieee
Hey , I was on Fluoxetine too , for about 8 months.
It ****** with my sleeping and I often fell asleep in lessons or was overly hyper and ******* annoying.
Although I took it for bulimia and not for anxiety or panic attacks.
My advice is to scale down your dose as that worked for me , while still being a little beneficial.
good luck



For Bulimia a 60mg dose is normally given much higher than those who are on it for depression/anxiety/panic attacks as they are normally given a 20mg dose.
Reply 7
Anonymous
Thanks for your help. I spoke to my doctor but she said that I needed to wait another month and see if it evened out (unless things got much worse). This is fair enough; the problem is I have deadlines and things that need doing now that I can't meet because of the tiredness. Of course finding the "right" medication takes time too so I guess it's not really solvable in the short-term . I'm glad that citalopram is working out for you


Oh and another thing that may or may not be useful is to try taking it in a different form ?
I started off taking it as a liquid form and it didn't affect me so detrimentally , but when I switched to tablets I got ******.
Reply 8
Holamigo
Fluoxetine is known to have lots of side effects such as dizziness, drowsiness, nausea, diarrhoea etc.. you have to think would you rather put up with the side effects or have depression/panick attacks?

Glad you went to see your doctor - and maybe waiting it out is the best option see if things get better. Could you maybe go back to your GP and tell her about your deadlines and how your tiredness is affecting everything? They might be able to change you to another SSRI


Thanks a lot for the advice. I think I will have to go back and have a chat with the GP; I just get the impression they think I'm a burden though and should just be waiting quietly for the side effects to settle down. Also my doctor said she would sign me up for CBT and that I'd hear about my initial consultation really soon, but that hasn't happened :confused: Somewhat irritating after I just switched practices on the recommendation of my lecturer... but nevermind. Sorry for whining :o: just not relishing the thought of going back to my lecturer on Wednesday and saying I can't meet my extension *again* :frown: thanks again for your help
Is this your first time on anti-depressants?
Reply 10
35mm_
Is this your first time on anti-depressants?


Yes, why? I've been prescribed them on a number of occasions in the past, but this is the first time I've actually tried taking them.
Anonymous
Yes, why? I've been prescribed them on a number of occasions in the past, but this is the first time I've actually tried taking them.

Oh right. I was prescribed Prozac once and it was by far the anti-depressant that made me the most tired and zombie like.

If it's the tiredness that's the main problem, then maybe you could look at switching to a SNRI, rather than an SSRI. But then everybody reacts differently to anti-depressants. I also found that wellbutrin often gives a stimulating effect, rather than a sedating effect, but, again, everybody's different.

The best advice you're going to get is to talk with your doctor. If the benefits from the med outweigh the side-effects and you can live with it, then it's up to you to decide whether to continue with the medication or change or stop it. I understand how annoying the effects are, as I've recently stopped taking sertraline because I was just so tired on it.
Reply 12
35mm_
Oh right. I was prescribed Prozac once and it was by far the anti-depressant that made me the most tired and zombie like.
If it's the tiredness that's the main problem, then maybe you could look at switching to a SNRI, rather than an SSRI. But then everybody reacts differently to anti-depressants. I also found that wellbutrin often gives a stimulating effect, rather than a sedating effect, but, again, everybody's different.
The best advice you're going to get is to talk with your doctor. If the benefits from the med outweigh the side-effects and you can live with it, then it's up to you to decide whether to continue with the medication or change or stop it. I understand how annoying the effects are, as I've recently stopped taking sertraline because I was just so tired on it.


Yes I'm coming to the conclusion that whilst I don't savour the idea of fresh bouts of side effects and the uncertainties of medical experimentation, I may have to switch SSRIs. I've only been on prozac 5 weeks though so my doctor is recommending taking it for another 3 weeks before making my mind up (unless the side effects get worse)- so I guess I'm just going to have to put up with it and work as best I can in the meantime :s-smilie: Thanks for your help. Hope you're feeling better now you're off the sertraline!

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