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Prozac: People
built 215 days ago
[J]ust like scuds, Prozac turned out to be less precise than originally supposed. Experiences with it range from miraculous to mediocre. The writer Zoe Heller found that within weeks of taking it, she stopped crying and could get out of bed. Others describe it as a detached benevolence, or a comforting numbness. It makes some people feel anxious, agitated and unable to sleep. There are those who stop taking it, as they feel no effect at all.
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"Van Meerendonk's story is no reason to ban Prozac," Czarka insists. Yet Van Meerendonk is not asking for a ban. "I realise how bad depression can be and that psychotherapy doesn't always help," he says. "But I'm convinced that many people have been wrongly prescribed Prozac: when they're in mourning, want to give up smoking or drinking, want to lose weight or have been mugged. What these people really need is empathy and support."
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Prozac is used to treat depression, obsessive-compulsive disorder, and bulimia nervosa. For the treatment of depression and obsessive-compulsive disorder, a dose of 20 mg/day, taken in the morning, is recommended as the initial dose. A dose increase may be considered after several weeks if insufficient clinical improvement occurs. The maximum Prozac dose should not exceed 80 mg/day. For the treatment of bulimia nervosa, the recommended dose is 60 mg/day, taken in the morning. Prozac doses above 60 mg/day have not been systematically studied in people with bulimia.
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In addition, Prozac is used to treat panic disorder, including panic associated with agoraphobia (a severe fear of being in crowds or public places). People with panic disorder usually suffer from panic attacks - feelings of intense fear that develop suddenly, often for no reason. Various symptoms occur during the attacks, including a rapid or pounding heartbeat, chest pain, sweating, trembling, and shortness of breath.
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"Van Meerendonk is among the thirty percent of patients who don't respond to Prozac," he adds. "People who have had psychiatric diseases often have a distorted view of their symptomology. These illnesses change their perception of reality."
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In 1971, when LY110141 - the compound that became Prozac - was developed, depression was rarely discussed and antidepressants largely restricted to the psychiatric unit. People went to their GPs with 'anxiety' and 'nerves'. Tranquillisers such as Valium were a likely response.
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