I was on fluoxetine for almost 3 years. I was diagnosed with MDD at the time. I did not have any relief from my depression; in fact I became far more suicidal and became even more impulsive during hypomania. I don't recall if I became rapid cycling while on fluoxetine, but I know for a fact I have been rapid cycling for the past 2 years when I was not before (I think). As for alcohol, back then I had no access to it whatsoever but I did crave anything to shut my mind down - so yes, if it had been available to me I definitely would have had far more urges to drink at that time.