I'm 5th week on fluoxetine and i still don't feel that much good,what should i do?

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I'm on 5th week of fluoxetine 20 mg and i m getting chest pain or tightness for last 2 days and I don't feel that good also like few days back i was normal but then out of nowhere i started feeling bad and helpless.My psychiatrist suggested to increase the dose but i m scared because I don't want to face side effects and I don't even know if this medicine is going work for me or not.

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