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Hi, My Fluoxetine Was Upped Dramatically From 40 To 80

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Posted on Fri, 6 Sep 2019
Question: Hi, my fluoxetine was upped dramatically from 40 to 80 per day about 2.5 mos ago. Since then I've had auditory hallucinations, they scream at me and hate me and threaten me ……….seems very real. Can't sleep, can't concentrate. Very frustrated! How do I get these hallucinations to stop and be safe at the safe time?
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Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
Lower dosage and do psychotherapy.

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

I think you may need to decrease the dosage of fluoxetine gradually to 60 and give time to yourself to get accustomed to new dosage.
I don't think you need such larger dosage as 80mg/day.
You can talk to your psychiatrist about lowering the dose and also you may discuss about psychotherapy to help you cope with auditory hallucinations.


Hope I have answered the question.
Let me know if I can assist you further.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10113 Questions

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Hi, My Fluoxetine Was Upped Dramatically From 40 To 80

Brief Answer: Lower dosage and do psychotherapy. Detailed Answer: Hello dear, welcome to Ask a doctor service. I read your query and here is my advice. I think you may need to decrease the dosage of fluoxetine gradually to 60 and give time to yourself to get accustomed to new dosage. I don't think you need such larger dosage as 80mg/day. You can talk to your psychiatrist about lowering the dose and also you may discuss about psychotherapy to help you cope with auditory hallucinations. Hope I have answered the question. Let me know if I can assist you further.