Q. Is Fluoxetine a good drug for depression and anxiety?

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

I have a few questions,

1. Is your blood pressure maintained?

2. Do you have any headaches?

3. Are you having any palpitations or disturbed sleep at night after starting the tablet Fluoxetine (selective serotonin reuptake inhibitor)?

Kindly update us with the answers.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

I suggest you continue taking Fluoxetine for better results. Kindly watch for other side effects like erectile dysfunction with long-term usage.

I hope this has helped you.

Kindly consult a specialist, talk with them, and take medicines with their consent.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

What you have experienced might be due to anxiety. It cannot be psychosis. Psychosis is a condition in which you might experience hearing unknown voices even if nobody is around you, persistent suspiciousness about someone and loss of insight into illness. However, I have a few more questions,

1. Do you snore while sleeping?

2. Do you wake up in the middle of the night due to the stoppage of breathing?

The anxiety you mentioned when you are about to fall asleep may be due to sudden stoppage of breathing.

I hope this has helped you.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

It could be because of your anxiety. Anxiety can cause such symptoms, especially in the early morning.

I hope this has helped you.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

So anxiety can be treated in different ways. One is the dosage of Fluoxetine (antidepressant) can be either increased to 40 mg or changed to another anxiolytic medication such as Escitalopram (antidepressant) or Sertraline (selective serotonin reuptake inhibitor antidepressant), which also have good results. Second is psychotherapy in the form of cognitive behavioral therapy. Also, the tablet Olanzapine (antipsychotic) 5 mg can be given for psychosis or schizophrenia, or bipolar disorder. And, 2.5mg of Olanzapine can be preferred for anxiety which has good effects.

Kindly consult a specialist, talk with them and take the medications with their consent.

I hope this has helped you out.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Siva Anoop Yella

Experience: 3 + Yrs

Psychiatry

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