Fluoxetine has many uses and indications, among which the most well-known are anxiety and sleep. The most well-known and widely used, as mentioned above, is to treat anxiety attacks and depression, both mild and severe. It is quite often used to treat anxiety as well as obsessive-compulsive disorders. Also for some eating disorders, as we will discuss in the next section. For bulimia nervosa, it is indicated as an adjunct to psychotherapy, as an example.
Fluoxetine for food cravings
Fluoxetine or Prozac is a drug that has a high ability to affect the desire to eat. Increasing the concentration of serotonin in the brain. It is a serotonin reuptake inhibitor.
In the central nervous system, serotonin is thought to play an important role as a neurotransmitter in various and numerous self-regulatory systems, including some important ones such as body temperature, mood, ability to induce sleep, aggression, sexuality, and appetite and food craving.
A person with an anxiety eating disorder exhibits at least some of the following behaviors during an anxiety attack
- Eating a lot and faster than usual
- Eat until you feel uncomfortably full, as we say – I can barely breathe
- Eat a lot without feeling hungry or the need for it
- Eating alone, feeling embarrassed by the realization of the problem
- Feeling disgusted, depressed, or guilty after each meal
Treatment of an eating disorder usually consists of anxiety psychotherapy (talking to a qualified therapist about your mood, feelings, thoughts and behavior).
Fluoxetine for treatment of generalized anxiety
Two types of medications are usually used in treating anxiety: anxiolytics and antidepressants (there are some very good natural antidepressants). Generalized anxiety disorder is a common disorder that leads to disability, anxiety and anxiety disorders. There are a variety of effective medications and psychotherapies available to treat it, including serotonin reuptake inhibitors and cognitive behavioral therapy. Indeed, depression and anxiety are comorbid disorders that result from the frustration experienced by the patient due to the dysfunctional nature of their condition. Antidepressants and natural anxiolytics (short-acting and long half-life) are pharmacological solutions that are always used in conjunction with therapy to address the root of the problem, not just the symptoms
How to take fluoxetine for anxiety, dosage, tablets, oral solution
Fluoxetine, or Prozac, comes in the form of capsules and/or orodispersible (melting) tablets and an oral solution (liquid) in doses of 20 milligrams.
It is usually taken at a dose of 20 milligrams per day, taken at the same time each day, to begin treating anxiety. Also, depending on your symptoms, your doctor may increase the dose to a maximum of 60 milligrams per day.
Depression: the recommended starting dose is 20 mg. Your doctor will be able to review and, if necessary, adjust your dose within 3 to 4 weeks of starting treatment. If necessary, the dose may be gradually increased to a maximum of 60 mg. The dose should be increased cautiously to ensure that the lowest effective dose is received. You may not feel better right away when you start taking medication for depression. This is common because it takes a few weeks after starting treatment for symptoms of depression to improve. Patients with depression should be treated for at least 6 months.
Bulimia nervosa: the recommended dose is 60 mg per day.
Obsessive-compulsive disorder: recommended dose is 20 mg per day. Your doctor may review and adjust the dose after two weeks of treatment. If necessary, the dose may be gradually increased to a maximum of 60 mg. If no improvement is seen within 10 weeks, treatment with fluoxetine cinfa should be reconsidered.
Children and adolescents aged 8-18 years with depression: treatment should be initiated and monitored by a specialist. Initial dose is 10 mg/day. After one to two weeks, your doctor may increase the dose to 20 mg per day. The dose should be increased cautiously to ensure that the patient is maintained at the lowest effective dose. Underweight children may need lower doses. After 6 months, your doctor should reassess the need for continued treatment. If condition does not improve, treatment should be reconsidered.
Fluoxetine in pets and dogs for anxiety
This is an FDA-approved treatment for separation anxiety in dogs combined with a behavior modification plan. It is a chewable flavored tablet given to a dog once a day. It is approved for use in dogs and puppies over 6 months of age and weighing 4 kg or more.
Anxiety after stopping fluoxetine
If we suddenly stop taking our prescribed medications, we risk suffering from
- The recurrence of unwanted symptoms, such as severe or chronic depression
- Increased risk of suicide or self-harm (for some people)
- Withdrawal symptoms that may resemble the flu or cause sleep problems, dizziness, headache, restlessness or irritability
- Many people who try to quit the drug say they cannot do so because of withdrawal symptoms that no one warned them about