What does it feel like if Fluoxetine is actually working?

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What are the common symptoms/feeling of improvement? Do you just wake up one day feeling normal?

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  • Posted

    Started fluoxetine about 3 weeks ago after being on citalopram for 7 yrs it felt like my body had got used to citalopram. But I'm feeling a bit in limbo after taking fluoxetine for 3 weeks I feel like my emotions are low and I just don't feel right.

    Is this normal at first.

  • Posted

    I was on Fluoxetine for a good couple years and managed to get myself in a position to come off them. I have been off them for over 12 months but a couple of personal issues have knocked me sideways. I visited my GP yesterday who to be fair wasn't the best and just suggested "go back on the tablets as your body must have been used to them"?! I got my prescription but just cant make the decision to take them or not! I stumbled across this forum on google and thought just ask. Any advice would be greatly appreciated.

    • Posted

      I think it's best if you do what your doctor tells you.  They've gone to school for a long time to learn about these things.  If you don't like the doctor you are currently seeing, you should look for a doctor that you have a better connection with.  I think it is very important to have a strong support system and a good medical team.  Once you have that, the rest usually comes easier.  It's just about finding people that you trust.

  • Posted

    Background......my dad died suddenly in Oct 2016.  I struggled throughout winter of 2016/2017 until March when I had chest pains so badly I went to the ER.  They did tests and I was not having a heart attack so I was discharged and told to follow up with my PCP. I did that the following week and explained what I was feeling and how I could not seem to shake off the trauma. He put me on 20 MG prozac daily plus lorazepam to sleep at night.  I did ok and last November, I asked to go down to 10mG. That seemed ok and in early Feb of this year, I decided to go off it once and for all. That is when the problems started.  Anxiety, depression, hopelessness, fear, no motivation at all. Plus the morning vomit that keeps me from eating.  I found out the hard way you don't just go off Prozac but you must wean down to a point where your brain can take over making serotonin again. Right now I am back on 10mg and I feel marginally better but I can't say for sure if I am going to ever get my life back at this point. I suppose I might have to say on it indefinitely but we'll see.

  • Posted

    Hello, just read through this whole thread and it was really helpful, if anything to make me feel like I'm not alone in this battle.

    Kate, you are amazingly helpful. Really hoping you can give me some words of wisdom to help my though.

    I was on lexapro for a month, it made my depression SO MUCH WORSE. I talking constant crying, constant sadness and hopelessness. It was awful. Before the meds, I would have good days and bad days, but those all went away and were just bad. All the time.

    Ive been on fluoxetine for 3 days now and I am concerned with some conflicting feelings. Im on 20mg and have been taking at night. I tend to stay up very late and sleep about 5 hours a day on work weeks. Im on a diet that gives me more energy so generally I am not tired even with 5 hours sleep. 

    I found that within 1 hour of taking the meds I feel an energy burst, and the bad anxious thoughts are quieter. I go to bed shortly after this though. When I wake up, the thoughts are still there and sometimes racing. I find I do not cry for the first half of the day, but sometime I have to fight back tears. Around hours 12-15 I crash. It feels like the meds just completely stop and a veil is lifted and the depression comes back. The anxiety comes back. Everything is upsetting. I feel alone, hopeless, like no one cares about me if I even existed. This happens when I am at work, and especially when I get home. Im fighting a lot of issues with being afraid of losing my best friend or being replaced or hated by other people, and those feelings come at my full force. I just cry, and want to dissapear all the while feeling horrible.

    Im sure it will take time to adjust, but I feel like if its doing anything at all for part of the day that is a sign it might help me. But what if the dose is wrong, or what if this isnt the right med? I can't take much more of this... I just can't. When Im in the heat of a panic attack I am so afraid, and I cry because I am so scared of how much it hurts. Right now I am coming up on the 14 hour mark.... and I am afraid. I can feel my chest getting heavy, and I can't focus on my work. I know what is coming soon..... Please tell me there is hope sad I cant even talk to my best friend about this anymore because Im so scared to push him away by constantly daily being a problem with my isses. I feel alone.

    Side effects also include being cold quite often, loss of appetite. Sometimes my stomach will make sounds, but I feel like if I ate I would be sick or just pick at my food. I skipped my lunch today and haven't eaten since last night. 

    • Posted

      Hi AllySan

      Not sure if the post was for me, though you mention 'Kate' ...... so excuse me if it wasn’t meant for me wink

      Medicine usually makes your anxiety / depression worse before it gets better.  It heightens your symptoms for a while.  During recovery your mood will be up and down too and this usually happens all throughout recovery, though it gets easier.

      Fluoxeting and other SSRI’s usually take many months before you start seeing signs of improvement, though they’re often so subtle they can go unnoticed.

      Is there a reason you stay up very late?  Is it due to work shifts or maybe you can’t get to sleep?  Staying up late can affect you, and getting a good 8 hours will be more beneficial.  Also not using phones, tablet, computer etc in the evening will help you sleep better as these emit blue light which interferes with melotonin, our sleep hormone.

      Some people take their meds in the morning as find it suits them more - I used to.  It doesn’t matter when you taken them though, and just wonder if you’d benefit taking them in the morning if you feel more energised after taking them?  Just a thought.

      Mornings are the worst time for people who have anxiety / depression.  Even when I was recovering and my evenings were good, I’d still wake every day feeling wretched.  This eventually stopped.  But for now, just expect that your mornings are going to be awful - however that doesn’t mean the rest of your day will be.

      When suffering with anxiety your thoughts will be all over the place and will be very negative - its a side effect of anxiety.

      Absolutely there is hope - I suffered with anxiety for 16 years and I was exactly the same as you - and I recovered.  Everyone can - with the right meds, therapy etc etc which is all personal to each individual.

      I’ll private message you.

      K xx

    • Posted

      Yes it was directed tot you, thank you so much! I didnt see a private messgae though, maybe I just dont know how to use this site.

      I stay up late because I play lots of video games and its when I socialize with my friends, its also some of my biggest triggers of my anxiety. 

      I started taking them first thing in the morning, but I feel like I have more energry that lasts the entire day. I havent felt sleepy mid day. I couldnt sleep last night, I only slept 2 hours.

      I tend to have my melt down at night. Last night was no exception. The prozac feels like its supresses my ability cry. It tries to stop it but failed, but about 20 minutes later its like it kicked in and turned that all off.

      I had a situation with some friends, and it left me feeling panicky. Iva had a racing heart beat since last night, I just feel anxious and border line panic attack all day. It actually just started up again really really badly. Im scared. Is this normal? I feel like these drugs are helping, but this feeling scares me a lot. And makes me more panicky thinking about it sad 

    • Posted

      Hi AllySan

      Sorry for the late reply.  I’ve private messaged you now too - though I had before but can’t find anything eek

      Staying up late won’t help with anxiety / depression, and especially playing video games.  Your body is being deprived of its sleep hormone Melatonin, which can have detrimental results on your body which isn’t good for anxiety / depression, as well as your sleep.  Using a phone, tablet, laptop of computer in the evening disrupts this hormone because the screens emit blue light.  Even though I’m recovered I know that using screens well into the evening affect me - too much computer work and I start to feel low and agitated, as well as not sleeping.

      Taking these meds will affect your sleep for a while and it will heighten your symptoms too.  This is usually only in the first few weeks or so and should wear off.

      Yes the meds do seem to supress the ability to cry - they’re helping your body to calm and should in time calm the anxiety too.

      Whilst you’re suffering with anxiety you’ll be over-thinking and over-feeling everything at the moment, and which will make you feel panicky.  Trouble is with anxiety you fall into a cycle of experiencing anxiety / panic and then become afraid of that feeling, and that fear then causes more anxiety / panic.  Your mind will race and many people start avoiding places / situations where they felt panic, and so starts this constant cycle of anxiety / fear / anxiety.

      The meds will take a long to work, but being patient with them pays off.

      But seriously - don’t stay up late playing video games.  Try and put a time limit on them and maybe even think about getting some blue light glasses.

      K x

    • Posted

      Thank you. You are right about the gaming. The thing is that its the only time I get to see soem of my friends and they will stay up until 2-3am sometimes. I dont stay up that late, but when I am not around and they are all playing games it makes me feel left out and like I will be replaced by someone else who is there. I know its really stupid, but its a big trigger for me. 

      I sure hope things normalize. I had 2 really good days and then yesterday I was laying on the floor crying. Today I feel like doing the same. Im at work and finding it impossible to focus on anything sad

      Yes it is such a viscious cycle indeed. I just want to be a normal person with normal thoughts and feelings and reactions like I used to be once upon a time. Im going to lose all my friends at this rate because Im so damn difficult to be a round right now sad 

    • Posted

      Its the same as people who've been overworked in a stressful job - your body can only take so much and anxiety is just telling you that you've overdone things.  Its called burn-out.  In order to heal you sometimes have to make lifestyle changes ... after all, what's more important, your health and mental well being or lifestyle?

      Anxiety often stems from stress - and stress is your body's warning system that you're pushing it too much, and if you don't take action it can result in anxiety, as you've found.  Your body is asking to rest and I know we all just carry on pushing ourselves in whatever we do, which doesn't help.  Slowing down, making changes, taking medication and stepping aside is all it needs so our body can heal.

      I know its important for you to keep those friends though, but also consider how too much of one thing can cause the damage - especially staring at a screen.  Its serious business.  Maybe make small changes - limit yourself, put a timer on and be strict with yourself.  You won't be left out and those online friends will look forward to you popping in at times.

      You will be a normal person again - the medication will help you get there, but it will take some time.  Don't beat yourself up about how difficult you are at the moment - you can't help it, you're not well.  You'll heal in time.

      K x

    • Posted

      Thank you, going to just reply to your PM to keep it all in one place if thats ok!
  • Edited

    Hi everyone, I started taking fluoxetine four weeks ago. A couple of days after I wasn’t feeling good. Feeling very down and emotional. Those feelings went away and I started to feel better about life and not caring much about the little things. But now for the past couple of days I have been very irritable, very emotional about any and everything. I feel like my world is just caving in on me. My husband asks me what’s wrong and I can’t give him an answer... my stomach feels like a knot and I have been crying almost all day.... I just want to be alone in a quiet place... It’s a terrible feeling. Is this all part of the process since being on it for a month already? Kate I know we messaged personally and you said I would have these ups and downs but I thought I was done with that part😢

    • Posted

      I am 45 days on 20mg fluoxetine. During weeks 4 and 5 I noticed my mood slipping back. I have been getting some stomach cramps and aches and more anxiety, but I have now been experiencing short periods of relief evey other day it seems like. I think this is a long road of up and down. I have periods of feeling like I want to cry or scream in anger. I try to let out those feelings by myself. I try not do it with my husband around. It’s hard for him to understand why I am feeling like this . Hang in there
    • Posted

      Thank you for your response. Sometimes I wish my husband understood how I felt but then again I wouldn’t want him to experience this because it is very overwhelming and sad to me. I really do feel like I’m going crazy sometimes with so much emotion. I hope these feelings go away soon.... I got on the meds to feel better not the same or worst. Today has probably been the worst day in all four weeks.... one day at a time I keep telling myself.
    • Posted

      Do you have any other drugs to help with the anxiety or to sleep at night. I take 50mg o Trazadone which helps me sleep st night
    • Posted

      Yes I take lorazepam, which hasn’t been helping much. I end up listening to nature music which I find helps me more.
    • Posted

      I take .25 of Klonopin in the am but trying to wean down more. I have not much appetite at all. The Trazadone really helps me sleep. Let me know how your doing. I have therapy today for PTSD. And anxiety. Do you have much anxiety or just depression 
    • Posted

      I don’t have much of an appetite either but I force myself to eat because if not then I’ll feel worst and sick. I deal with both anxiety and depression. I’ve dealt with it for the past couple of years and just recently decided to see a doctor for it because it started to become unbearable. 

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