Cymbalta and Effexor are two of the most common SNRIs that are antidepressants. are pristiq and cymbalta the same Lets take a look at some of pros and cons between the two.

Some serious side effects of Prozac are seizures convulsions ; tremors; shivering; muscle stiffness or twitching; red, blistering, peeling skin; rash; problems with balance or coordination; and agitation, confusion, sweating, or fast heartbeat.

Less serious side effects from Prozac are drowsiness, dizziness, weakness, runny nose, sore throat, headache, flu symptoms, nausea, diarrhea, changes in appetite, weight changes, decreased sex drive, impotence, difficulty having an orgasm, dry mouth, and increased sweating. You should report any side effects your son may be having from Prozac.

Can you take Prozac with the diet pill Alli? Alli is a weight loss drug that blocks the absorption of some fats people consume.

Prozac is an antidepressant used to treat conditions of anxiety, depression, panic, and obsessive compulsive disorder. There are no known drug interactions between Alli and Prozac. Do not start or stop any new treatments without first consulting with your doctor. Does fluoxetine Prozac make you gain weight? Weight changes are common side effects with the selective serotonin reuptake inhibitors SSRIs , the class of drugs that includes Prozac fluoxetine.

There are a variety of medications in this class and some cause more weight gain than others. Switching agents may or may not help. Consult your healthcare provider about any unusual weight gain and to see if changing medications is appropriate based on your specific circumstances. Do not stop or change the amount of medication you take without talking to your healthcare provider first.

I have been taking Prozac and Wellbutrin together for 2 years. Do I have to take them forever? Both Prozac fluoxetine and Wellbutrin bupropion are antidepressants that are typically used to treat depression, although they can be used for other purposes.

Your healthcare provider will periodically re-evaluate your progress on these medications to determine if they are still needed. Your healthcare provider is best able to help guide your treatment decisions based on your specific circumstances. How long does it take for Prozac to get out of the body? The rate of elimination depends on various factors including how long a patient has been on the medication, individual patient metabolism, etc.

Prozac is broken down in the body to an active metabolite called norfluoxetine. Norfluoxetine can have a half life of days depending on length of therapy of the medication. The half life is the amount of time it takes for one half of the drug to be eliminated from the body. This long half life can cause active drug substance to still be in the body for weeks after dosing is stopped. Jennyfer Marisco, RPh Q: Can fluoxetine Prozac be taken with Adipex phentermine?

Studies suggest that these medications can be taken together in healthy adults. Without evaluating a patient's lab results for such factors as liver and kidney function, I am unable to make recommendations. Please consult with your physician for specific recommendations. Can Prozac cause hair loss? Hair loss, also called alopecia, is a rare but possible side effect of Prozac fluoxetine. Here is a link to more Prozac information: Gregory Latham, RPh Q: I recently discontinued use of Prozac under the direction of my doctor.

One of the reasons that I discontinued the medication was due to dizziness and sweating during the night. When I discontinued the medication before, these symptoms seemed to disappear. This time, however, I am having hot flashes and flushing and am sweating and hot on and off during the day and night. I am 47 years old. Do you think my symptoms are from discontinuing the Prozac or the onset of perimenopause?

Because the first time you stopped the Prozac, the symptoms disappeared and because this time they didn't, it sounds as though this could be the start of menopause. You should discuss this with your health care provider so they can determine if this is the medical condition that is occurring and not a different one. I have included a site with more information for you.

How young is too young to start taking Prozac? There are approved Food and Drug Administration dosages for Prozac for children as young as age 7. Of course there is an added risk for young people who use Prozac. A black box warning is attached to Prozac and it basically states that there is in increased risk of suicide in children, adolescents and young adults who use this medication.

As always, speak with your doctor and express your concerns before you take any new medication regimen. You want to feel comfortable about the medication that you are putting into your body. Megan Uehara, PharmD Q: My daughter has depression. She took Prozac, but it made her feel apathetic. Is there another antidepressant that has fewer side effects? Unfortunately, your question does not have a simple answer. Treatment with antidepressants is extremely patient-specific.

Often it is based on trial and error to find the appropriate balance between desired therapeutic outcomes and unwanted side effects. If she is experiencing bothersome side effects, your daughter may want to contact her health care provider to discuss other treatment options.

Beth Isaac, PharmD Q: I have depression and anxiety. I am highly stressed by staying home now for nearly three years with my kids who are 4 years old and 9 months old. Should i take 10 mg of Prozac or wait to see if it all goes away? I'm nervous it will make sex troublesome or cause serious side effects that I don't already have. I filled the prescription but haven't taken it for five days because I'm so nervous.

What do you recommend? I am curious to know how you came by the Prozac fluoxetine. Is it something that was prescribed for you or for someone else? There are sexual side effects. However, 10 mg is a fairly low dosage and is not necessarily effective for all people. The biggest problem with Prozac is that its latency can be up to six weeks until an improvement can be noticed. I would contact a provider and have them suggest something that can take effect in shorter time span if they seem fit.

Matt Curley, PharmD Q: Can you tell me what the exact symptoms are for withdrawal of Prozac. Can you suffer waves in the brain every time your heart beats? According to the package insert for Prozac, the following is a list of symptoms that can occur after discontinuation of Prozac.

This may not be a complete list of side effects from discontinuation and others may occur. Tell your doctor about any unusual or bothersome side effect. Kristen Dore, PharmD Q: I am currently on 40 mg of Prozac. I still feel very depressed although much less anxious. Do I have any hope of reducing depression on 60 mg or is the Prozac just not going to do it?

You have many options available to you. The most important thing is to talk to your physician regarding your current treatment and dissatisfaction.

Your physician may choose to increase your dosage. The maximum adult dosage of Prozac for treatment of depression is 80 mg per day. There are also numerous other medications available both in the same class as Prozac SSRI or in other classes of medication. As always, talk with your physician regarding your medications and do not change your dosage of the medication without talking to your physician first.

Attached is a link to additional information provided by Everyday Health regarding how to find the right medication to treat depression: Jen Marsico RP Q: Is Prozac really safe to take for a lifetime at 50 mg daily?

I am male and The fact sheet says, "Proceed with caution with anything which affects platelet-action. You also asked if it is safe to take with natural blood thinners and if you are a heavy cocoa drinker. According to Lexi-Comp, Prozac is dosed anywhere between 20 mg to 60 mg per day depending on the indication.

Unfortunately, I can not say one way or the other if the medication will be safe to take for your entire lifetime. There are a lot of factors that play into this. I will say though that when evaluating taking a medication, the patient and the physician must take into consideration the benefits and the risks associated with the medication. If you begin experiencing adverse reactions from the medication or if it is not an effective treatment, then you and your physician may need to consider another therapy.

According to Lexi-Comp, Prozac can interact with medications that thin the blood or have anti-platelet effects. Please talk to your health care provider to see if you should be on the fish oils and vitamin E while taking Prozac. According to Lexi-Comp, recommendation on management of this interaction if it is necessary for the patient to be on the combination is to closely monitor the patient for signs and symptoms of bleeding or excessive bruising. The therapy should be monitored by your physician.

I understand your reasoning with concerns about cocoa and Prozac, but could not find any well-documented information regarding this. Lexi-Comp did not mention anything in the dietary considerations specific to cocoa and Prozac.

However, there is mention that caffeine should be avoided while on the medication and sometimes cocoa contains caffeine. I did come across a research article that hypothesized that after a patient taking Prozac ate chocolate he developed a rash that may have been attributed to the patient being very sensitive to activity in the serotonergic system at the dermal and epidermo-dermal junctional area.

As always, talk with your health care provider regarding questions you have about your medications and interactions between medications and supplements.

Always talk with your health care provider before beginning to take over-the-counter supplements so that it can be determined if the supplement is appropriate for you. Jen Marsico RPh Q: I experienced a 25 pounds weight gain in 18 months.

I stopped taking it 4 weeks ago, but I feel like my metabolism has been affected by this. I am watching what I eat and working out, but the weight is just not coming off.

Can metabolism be affected after stopping the medication? According to the package insert for Prozac fluoxetine , the drug has a long elimination half-live, which means that it takes a long time for the drug to be eliminated from your body. Even when dosing is stopped, active drug substance stays in the body for weeks. The amount depends on individual patient characteristics, previous dosing regimen, and length of previous therapy at the time the drug is stopped.

Your basal metabolic rate is the amount of energy your body burns at rest. One effective way to influence metabolism is through exercise. You are encouraged to report any negative side effects of prescription drugs to your health care practitioner and the Food and Drug Administration FDA by visiting www. I was diagnosed with depression in January , and my doctor put me on Prozac. I've read about Prozac's long-term weight gain as a major side effect of the drug.

I am concerned because I have been struggling with an eating disorder for 5 years now and am considering weaning myself off of the drug if it will inevitably lead to weight gain. What do you advise? The most widely used depression medications on the market are selective serotonin reuptake inhibitors SSRIs and serotonin-norepinephrine reuptake inhibitors SNRIs.

These drugs have become widely prescribed because their side effects are limited. However, they still do have some side effects. Weight gain can be a common side effect of both of these classes of drugs. However, patients may react differently to different medications within these classes.

If side effects, like weight gain, occur and become an issue for you, it sometimes helps to switch medications. Make sure your health care provider is aware of your medical history, including the eating disorder. Consult your health care provider if weight gain occurs to see if switching medications is appropriate for you.

Available SSRIs, which affect serotonin, include paroxetine Paxil , fluoxetine Prozac , fluvoxamine Luvox , sertraline Zoloft , escitalopram Lexapro , and citalopram Celexa ; SNRIs, which affect serotonin and norepinephrine, include venlafaxine Effexor , duloxetine Cymbalta , and mirtazapine Remeron. Do not stop or change the amount of medication you take without talking to your health care provider first. Suddenly stopping Prozac can lead to serious withdrawal side effects.

Stopping Prozac should only be done under the supervision of a physician who can guide you in tapering the dose. Sarah Lewis, PharmD Q: What is the best way to stop taking Prozac 40 mg a day? You would want to work with your physician to come up with a gradual tapering of the dose over time to discontinue this medication. An abrupt cessation of Prozac fluoxetine may cause a discontinuation syndrome including headache, lethargy, GI upset, insomnia, nightmares, dizziness, vertigo, tremor, agitation, anxiety, irritability, and confusion.

Have you heard of Prozac being prescribed for menstrual migraines? Although menstrual migraine is not an FDA-approved indication for Prozac fluoxetine , it is sometimes prescribed for menstrual migraines. Prozac is approved for premenstrual dysphoric disorder PMDD. Headaches are a symptom of PMDD. PMDD symptoms typically occur after the middle of a monthly cycle after ovulation and usually gets worse during the week before menses.

Prozac can be an effective headache prevention between ovulation and menses. If migraines continue to break through even while on Prozac, the dose can be increased right before menstruation.

Dosing will have to be determined by a doctor and it is always good to speak with your health care provider regarding any concerns that you may have. When I first started taking Prozac, I lost my appetite.

Now it seems like I'm always starving. Could this possibly be the medication? Weight loss is listed as a common reaction to or side effect from taking-Prozac fluoxetine. Side effects can be patient specific. Check with your doctor before making any changes to your drugs or doses. Click on the following link for additional information: Does Prozac make you gain weight?

Anorexia poor appetite has been reported in 4 percent to 17 percent of patients studied during clinical trials. Weight loss has also been reported at 2 percent and increased appetite, weight gain and taste perversion have also been reported. Increases in appetite could be a factor in patients that notice weight gain while being on Prozac. However, please keep in mind that there are many causes for weight gain besides possible side effects from medications.

As always, talk with your health care provider regarding questions you have about your medications and associated side effects. If you are trying to lose weight, the attached link will provide valuable information from Everyday Health regarding weight loss: Jen Marsico, RPh Q: My doctor increased my dosage of Prozac. Since then, I have been having trouble staying awake in the afternoon, especially after lunch.

Could this extra Prozac be causing this? You are probably correct on this one. One of the side effects of Prozac is drowsiness and so this may be what is causing you to be tired in the afternoon.

For some people, this effect does go away after a period of time until the drug levels become more level in the body. If this is too bothersome for you, try speaking with your doctor to see if you can switch medications or if there is some other recommendation they may have. Will taking Prozac cause me to gain weight and be hungry all the time? Prozac fluoxetine can have an affect on weight changes. If you see an abnormal changes in your weight then you should talk to your Health Care Provider.

All the drugs in this class can have weight change side effects. Each one may affect each person differently. You should discuss this with your provider before taking.. Could taking Prozac cause me to have a delay in speaking or stutter at all? For insurance coverage of multiple dosages, your doctor most likely will have to specify taking Pristiq in "divided doses. If the matrix is sufficiently broken, a Pristiq fragment becomes desvenlafaxine, with an hour half life.

If you cut up the tablet, you might take smaller divided doses of Pristiq, more than once a day, like immediate-release Effexor , to mimic an extended-release dose. From reports on the Web, cutting up tablets does seem to work for some but it makes others ill, possibly because of "dose dumping" because the matrix is destroyed when the entire dose is released at once, instead of being gradually released through the matrix formulation.

It seems to sometimes cause stomach upset, which may be reduced by taking it with food. You may find you need a precise way to measure your tablet fragments.

See Using a digital scale to measure doses As you get down to a low dose, you may wish to switch to Effexor to more precisely control dosage decreases, see below. Crush Pristiq tablets, weigh powder with a digital scale This is similar to cutting up tablets -- Pristiq is a "do not crush" medication, as it is a time-release drug. Conceivably, dividing the dose and taking a measured amount of powder more than once a day, like regular Effexor, may make this method feasible.

Crushing the tablet and making sure the shell fragments are evenly distributed in the powder would be a more precise way of tapering than cutting up tablets. As Pristiq's extended-release mechanism is part of the tablet matrix, or the glue that holds the tablet together, when the tablet is crushed, the matrix is completely destroyed. The Pristiq powder becomes desvenlafaxine, with an hour half life. If you pulverize the tablet, you might take smaller divided doses of Pristiq, more than once a day, like immediate-release Effexor , to mimic an extended-release dose.

Peer discussion of this method starts here http: Before trying a switch to Effexor or Prozac fluoxetine from mg Pristiq, it's probably wise to go down to 50mg Pristiq first, if possible.

Once at 50mg, stabilize for a month at least and consider your plan for the next stage of tapering. Use a combination of Pristiq tablets and Effexor liquid Pristiq cannot be made into a liquid, but its close relative immediate-release Effexor not Effexor XR can. You may be able to go off Pristiq by taking part of your dose in lower-dose tablets and part in liquid Effexor, gradually converting to all-liquid Effexor as you get to lower dosages.

This may offer a convenient and gradual path off Pristiq. Only regular immediate-release Effexor can be made into a liquid see Tips for tapering off Effexor venlafaxine.

As immediate-release Effexor has a short half-life and is usually dosed twice a day, you may wish to take the liquid portion of your dosage later in the day.

For example, if you are taking mg Pristiq, you may wish to take your daily dose as one 50mg tablet and the rest in a liquid made from immediate-release Effexor. Then you can take a 25mg Pristiq tablet with the rest in a liquid made from immediate-release Effexor.

When you get to 25mg Pristiq, you might switch to splitting the tablet and taking the rest in Effexor liquid and so on until you are taking only liquid Effexor. You will have to request a prescription for Effexor tablets as well as Pristiq from your doctor. Have Pristiq made into smaller dosage capsules by a compounding pharmacy Compounding pharmacies can crush the tablets and put the powder into smaller capsules by weight.

Like cutting up tablets or crushing, this destroys the time-release quality, but the compounded method is much more exact. According to my compounding pharmacy, they can put in a slow-release additive distributing absorption over hours. Researchers say duloxetine, the generic name for Cymbalta, may effectively diminish pain and increase physical function in some, not all, patients. You should only take the amount of Cymbalta prescribed by your doctor, and you should follow the instructions on the prescription label.

Take Cymbalta once daily, with or without food If you miss a dose, take the missed dose as soon as you remember If it is almost time for the next dose, skip the missed dose and take the next dose at the regular time Do not take two doses of the drug at once The label further states that users should swallow Cymbalta whole.

They should not crush the capsule, chew the capsule, open the capsule and sprinkle its contents on food, or open the capsule and mix the contents with liquids.

A month or longer may pass before symptoms improve. Be sure to store Cymbalta at room temperature away from moisture and heat. Though rare, serious side effects of Cymbalta can include life-threatening conditions. Thank you for your visit and comment… Bill s10 Day three, not really sure about this one, but its early. The first day it felt like an immediate pick me up, but that may have been my surroundings too.

I tend to think everything is about me, and it affects me way too negatively — Friday night all seemed well in my world.

Like pretty much everyone else, I got the GI issues, headache, and spacey unmotivated feeling — but I usually get that sort of side effects when I start taking anything.

The first night, the ED problem was gone, though I did take a Viagra as insurance. The headache, spacey feeling, and diarrhea is still here, but its getting better. Time will tell if this is the right drug… in the meantime I really need to find a way to better deal with my stress.

Your last sentence speaks volumes! A lot of it has to do with not talking about what is bothering me — at least not to the right person. Spacey feeling is still there, GI problems are gone, memory seems bad though. Not sure if I have the insomnia I keep hearing about, I have always had trouble sleeping. Headache is slight, could be allergies — unless the pill is causing that too. I was on Lexapro for years.

For anxiety and depression. Last year I found out I had low testosterone. Your depressions could be stemming from a hormone imbalance Frogmen This is my day two on viibryd, i want to know if anyone felt an increase in anxiety?

And my insomania still have not lefted, does anyone have the same prpblem? If so how long did it take before the insomania is gone? For me it was much worse on Wellbutrin. Very kind of you, for sure… Ruca I am on day 2. I am not having GI issues really, just a steady dull headache and insomnia. If not, I would quit the pill for that reason alone. I need my sleep!

20 Things to Know about Pristiq (Desvenlafaxine)

This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Will it be okay to stop now entirely? You can also report them to the U. Hyponatremia is defined as a condition where the sodium level in the blood is low. Most prescription medications associated with changes in body weight affect the central nervous system. Cymbalta duloxetine is a serotonin and norepinephrine reuptake inhibitor antidepressant medication prescribed for the treatment of depression, anxiety, diabetic peripheral neuropathy, and fibromyalgia. Patients should discuss the benefits and risks of Prozac with their health care provider prior to initiation of treatment. Prozac is also available in a capsule formulation for weekly administration in 90 mg strength, are pristiq and cymbalta the same. Are say duloxetine, the generic name for Cymbalta, may effectively diminish pain and increase physical function in some, not all, patients. And you could talk to your doctor about taking a "drug holiday," scheduling a day or two off of the drug each week. According to the package insert, the most common side effects of Cymbalta duloxetine include nausea, vomiting, dizziness, tiredness or fatigue, cymbalta mouth, constipation, decreased appetite, and increased sweating. For more information on Prozac, click on this link: Consideration should be same to changing the therapeutic regimen, including possibly discontinuing the medication, in patients whose depression is persistently worse, or who are experiencing emergent and or symptoms that might be precursors to worsening depression or suicidality, especially if these symptoms are severe, abrupt in onset, or were not part of the patient's presenting symptoms. Generic medications are considered, by the FDA, to be therapeutically identical to the brand-name counterparts in dose, strength, route the administration, safety, efficacy and indication for use. Please consult with your physician your pristiq prior to making any changes. No significant interactions between Prozac and bourbon specifically were identified; however, this does not necessarily mean no interactions exist.

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