Suggest Dosage For Prozac

Posted on Tue, 22 Aug 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 22 Aug 2017 Answered on

Tue, 12 Sep 2017 Last reviewed on

Question : 20 plus years on prozac for panic disorder. Major relapse 4 months ago. Reluctantly switched to Celexa and taken ro 40 mg. 6 weeks at 29 5 weeks at 40. Two weeks ago I was switched back to 20,mg of prozac and given the genesight genetic test which showed prozac much better drug for me than the celexa. Dr. wants me to immediately go to 40 mg. of prozac. Is this too quick and increase having only been on 20 two weeks and coming off of 11 weeks of celexa.. Have been taking 1 to 2 mg of klonopin and ambien for sleep as well. Sometimes 10 mg. of prpranolol when heart races.

Answered by Dr. Ashok Kumar Choudhary (6 hours later)

Brief Answer:
two weeks is reasonable time

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I think your doctor is taking right approach to increase the dose of prozac to 40 mg after trial of two weeks with prozac 20 mg.

It is common observation that after discontinuation you often need higher dose of prozac and I think 40 mg is well within reasonable limits without risk of any serious side effects.

In addition considering the use of other medications including klonopin, propranolol and poor response with 40 mg of celexa makes me to think in favour of higher dose of prozac and not for lowest possible dose.

I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regard.

Above answer was peer-reviewed by : Dr. Kampana