Prozac for OCD

[Chickie1]

I have a question. I am new to this site. I had been on Prozac for about 9 years and it was wonderful. It almost totally alleviated all of my OCD symptoms. Well, I was incredibly stupid and thought I no longer needed medication and weaned off of Prozac last October. Needless to say, my OCD came back full force (worse this time around) in March of this year. I honestly thought I was going to die. Well, after a try on Lexapro which made me tired and more depressed I went back on Prozac. I started on 20 mg eight weeks ago, went up to 40 mg six weeks ago, and now have been on 60 mg for 2 1/2 weeks. The last time I was on Prozac 40 mg the entire time. Well, I am really scared. Sometimes I feel like I am feeling better and at other times I feel awful. I know increasing the dose brings increased anxiety, etc., but should I wait with the 60 mg for an extended period of time or do you think Prozac is not working for me this time????
I want this to work again so badly. I know the meds work because it worked for 9 years. I also know I can feel better because I did feel great. Please help me!!!!!!  

[Roger Gould, M.D.]

It sounds to me like you are doing this on your own without a  psychiatrist's supervision.  You should have someone monitoring this with you.  There are many other medications now to choose from and your doctor can help you try them, but for now, try to relax a bit and let the Prozac do its work...your desperation is getting in the way of the medication effect.  Give it a few more weeks.

[Chickie1]

Actually I have been under the care of both a pdoc and a psychologist.  When I first had this episode I tried Paxil and Lexapro and didn't have much luck with either one.  Finally we decided to give Prozac another try and I can tell it is working, just not as well as I would like.  

Chickie1

[rruussnn]

I'm in a similar situation as you. I was taking Zoloft 150mg for about 9 years and, most recently two years ago I decided, naively, to go off of it because I thought I was making progress in therapy. Well, the depression/anxiety came back and bit me in the you know what again. I went back to 150mg, but wasn't feeling well still. I found that 200mg got me back to where I was. Then there's the issue of switching to the generic, which again made me relapse. But, the doc is right. Let the drug work. For OCD, it is fairly common to go on high doses of Prozac, even a bit beyond the FDA guidelines. There are also other drugs out there as well. Hang in there.