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Mental Health  (Expert Forum)
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Generic Prozac
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Generic Prozac

by moodysue, Aug 20, 2003 12:00AM
I suffered from disabling depression and severe panic attacks for 20 years.  In 1990, I started Prozac and the panic/depression disappeared.  At last I was able to work, drive, etc.  In other words, I got my life back.  This past April, my prescription plan stopped covering brand name Prozac, so I was forced to switch to the generic.  About a month later, I noticed I was feeling much more anxious and depressed.  Now I am having what feels like the beginning of panic attacks again.  Also, I have become very withdrawn again.  Have many people reported this problem with generic Prozac?

by Roger Gould, M.D., Aug 22, 2003 12:00AM
not to my knowledge..it should be exactly the same..you may be suffering from a lack of confidence in the medication, so give that some thought.
Member Comments (4)

by wks55, Aug 21, 2003 12:00AM
As a Principal Pharmaceutical Process Specialist for a major pharmaceutical company in New Jersey, with over 30 years experience in the field, I can say that as long as the tablets are manufactured by an American Pharmaceutical company, they will be just as safe and effective as the brand name drug.
Today, the FDA keeps a close eye on generic companies because of their reputation in the past.
And being quite honest, I have visited a number of generic manufacturing plants, and am happy to report that they are up to standards required by the FDA.
They must conform to G.M.P.'s (Good Manufacturing Practices) in regards to manufacturing, testing and releasing all drugs.
I am sure the doctor may be able to give you an explanation for your symptoms, but I would be confident to assume that you can rule out a generic drug as the cause.
Hope you feel better.

by angie17, Sep 10, 2003 12:00AM
I too was on Prozac and did wonderful on it - for years.  It stopped working therefore I went off of it I couldn't find another antidepressant that worked as well so after 6 months or so I went back on it and it worked as well as ever.  Than the "generic" version came along.  I was started taking it and after 3 months or so I told my therapist and doctor that I didn't feel "normal" and that I thought my meds weren't working.  I have nothing against "generics" and use them 90% of the time.  My insurance told me that it would not pay for the brand name PERIOD.  My doctor wrote on the prescription DAW and that didn't work and than she called the insurance company and it was no. I talked to my therapist and he told me that he had so many clients that told him or other therapist that the "generic" didn't work for them.  This is the first time I have ever had a problem with "generics".  I switched to prozac weekly (90 mg) and I took it twice a week.  It helped but not enough because I did take 20 mg of Prozac twice a day. After several months I talked to my doctor and she started me on Wellbutrin SR along with my Prozac weekly.  I am sleeping now and starting to feel human again.  I am 37 years old and have dealt with depression since JR High School.  I also have a 3 year old son who deserve a Mother who is there.  A Mom who is "feeling human" not someone who hates life and wants to sleep but can't.  

So I have to disagree with the two and say yes the "generic" can effect one differently and since every body is different and one's chemistry is different the inactive ingredient may not work with each person.  IT DID NOT WORK FOR ME AND IT IS NOT PSYCHOLOGICAL.  While severely depressed I went to college and graduated with honors first with an AA and I went on to a private college and got my BA in Psychology and Social Work. I have been through psychological problems and this wasn't one of them.

by 3rdMajor, Sep 27, 2003 12:00AM
These chemicals are designed to stop working when the patent runs out.   kidding.
Barr Labs is an outstanding company, and they do the generic prozac.  
It is likely circumstancial that your flouxetine "pooped" out on you in conjuction with expiration of the patent. SSRIs tend to lose effectiveness over time.  No one knows why this happens to some, and not others...or why it happens in a year for some, but in a decade for others.
But, you could always try another month's supply of "prozac", to see if you still respond to the original.
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