Starting Prozac (fluoxetine) tips?

It takes at least 3-4 weeks to have effect. Don't stop taking it suddenly unless it's on the advice of your doctor as there can be withdrawal effects if not gradually reduced or replaced.

You may initially feel a bit more anxious than normal but if you bear with it, it should go away and leave you less anxious than when you started. Starting at this very low dose means you are less likely to have that happen though. Start low and increase slow is always safer here. Remember that SSRIs often mean an increased level of energy and motivation before the mood actually picks up. You will hear stories of suicides happening on fluoxetine and other SSRIs, but there is a school of thought that says this is only because the person was too depressed and unmotivated to get around to suicide, but the initial increase in motivation before the mood rose, meant they were still unhappy but now had the energy to kill themselves... whereas if they had waited a little longer, the mood would have caught up.

Don't take St John's Wort with it as they do the same thing (St John's Wort more weakly, but combined they can be toxic).

So, if you can manage it, stick with it for 3-4 weeks to see if it works and it may require you bearing through the initial discomfort if there is any, for later greater gains. I hope you're also seeing a psychologist for some cognitive behavioural therapy as medications are only half the treatment.

No one could work that out for you it depends on lots of variables like your size and general health age alcohol other medications food in the stomach and so on. If you were used to a full dose for a long time the body gets used to the chemicals and are less likely to be thrown by a small over dose. If you do take small over doses once or more often the ongoing overdoses may produce an accumulative effect on your health. Despite saying that how will you manage if you take extra in terms of repeat prescriptions? You are going to run out of them too fast and the doctor is going to question your use of them. When you speak of making yourself ill do you actually want to be throwing up or in pain or dizzy or unconscious? What would that achieve, is this a thing for attention perhaps? If you manage it once you won't manage it again and they'll find out from blood tests why you were ill and possibly stop your prescription totally. Maybe you'd get to keep then if you get 1 week at a time from the pharmacy to stop you doing this. Think long and hard about what you want or need here before assuming this is the best way to get help or attention. Are you a teen struggling with hormonal moods? Do you have BPP borderline personality disorder? If not then you may be heading in that direction with this and it's not a good diagnosis to get, trust me. Good luck

Take it in the morning, as it tends to be activating. However, if you find it makes you sleepy, take it at night!

After you take it the first time, you will feel . . . nothing. After a while, though, you'll notice your mood improved and your OCD going down.