Prazoc? im confused?

Question

I used to take 20mg/day of prozac and worked my way up to 60mg/day over the course of a year. My doctor took me off it b/c of insomnia, but now is putting me back on it at 20mg/ day. Will it still be effective at only 20 when I was on 60mg just a couple months ago?

Answer 1

It is definitely confusing. Let me try to clarify the concept for you. This drug and other SSRIs take a while to build up (and to leave) the system. A couple of months is more than enough time for the drug to flush out of the system. Thus, you are essentially starting at square one, as if you never took the drug before, and you will be as sensitive to Prozac as you were at the beginning of the previous regimen. So the doctor will need to titer the drug up to optimal levels, over time, as was done during the last treatment regimen.

My guess is that, at lower doses, insomnia wasn't a problem for you and, since you did otherwise respond favorably to the drug, the doctor will maintain the regimen at a lower dose than before. Good luck my friend.