Fluoxetine week 3- struggling.

I've been on fluoxetine just over three weeks and I'm still really struggling with side effects which I have had since I started taking it. Physically I've been having a lot of issues with insomnia/ fatigue, vivid dreams, nausea comes and goes. I've been too tired to do much most of the last three weeks and now I can't get to sleep at all or wake up all night long anxious. Mentally I have not noticed any improvements yet, I've been quite low and demoralised by the medication trial process (its been a few months now of being quite ill from side effects from different SSRIs). I've generally been pretty anxious without any relief. I don't like to take benzos.

My Dr said I need to come off it as soon as possible and try either a SNRI or Pregabalin as things are very unlikely to get better if they haven't yet. I know this is counter to what a lot of people have said on here about things improving much later, at 6 or 8 weeks or even later. That seems a very long time to wait with this level of disruption though. In the past I have ended up giving up on SSRIs because when i'm working its not practical to not be able to sleep or to be a zombie for weeks on end. I've also tried Buspirone, Escitalopram and Sertraline and had a bad experience.

I've been trying to power through with Prozac so far just hoping each day it will somehow get a bit better but it has not yet. My psychiatrist is very determined that I stop it but I am more comfortable with Prozac than the SNRIs/ Pregabalin, I just wish I could get it to work for me. I also feel like I have been through so much with it already if I stop now maybe it would have magically got better at 4 weeks and its a waste. I think I'd find it difficult to wait 3 months for results though if I'm not able to sleep properly or am too fatigued to do anything .

Any advice welcome!

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