4 wks on an increase to 40mg fluoxetine and no real improvement

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I increased from 20 to 30 to 40mg just over 4 weeks ago and still no real improvement Still very low and anxious. Anyone else experienced something similar?

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    That seems a very rapid increase in short space of time Catherine. I wonder how long you were on 20 mg. I believe it does take few weeks for any effect to be felt. I am on 20mg and I would say it took a month before I began to feel a bit better. I still feel low and anxious from time to time but I also feel a bit detached from those feelings. I don't think the drug is a miracle cure, it just helps me cope a bit better. I have also had a 6 week talking therapy course. One of the ideas is to set a particular time of day for worrying (but not just before bed!). I do about 15 mins every day at 12 noon and when I start to stress about something I tell myself I will worry about it at 12 noon! I think it does help. Good luck.

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