[SingDanceRunLife]

I just saw my doctor today for a med check-in...She asked how my OCD was, and well, it's definitely a lot better, so is my general anxiety, and I'm sleeping better than I was before...And then she asked the percentage, and I was like, I don't know, maybe 25%...So she decided to up my dose from 20mg to 40mg.

First of all...When I said 25%, it was a number, just to give her an answer. I'm sick right now, and I really have no idea. My brain isn't quite functioning right. Maybe 25% is right, maybe it's mot, but there is a definite difference in my behavior.

Second of all...When I first started taking Prozac, I had horrid side-effects. I was super tired all the time, couldn't eat...And my doctor said that'll probably happen again with upping the dosage. I don't want to go through that again.

Third of all...Right now is a bad time to experiment with meds. Tomorrow is the last day of school, I have the ACT on Saturday, and finals all of next week! I can't be whacked out or feeling sick or whatever for that stuff.

I'm supposed to go back and see my doctor in 2 weeks to check in again...But I really don't want to change my dose. Should I just keep taking what I've been taking and not change yet? I'm thinking that I can just tell her that I hate the 40mg dose and I want to go back, right? I mean, I'm the one with the problem and the meds, so I can choose, right?

I don't know.

Thanks.

[HALLIEBETH87]

youre the boss.u have the control of your treatment darling.

[sunrise]

If you have some important things coming up like the ACT, I would not risk a change in meds. You are doing OK on 20 mg. Why not continue on that until your tests are over? Then try 40 mg if you want to. If you are happy with where you are, just stay at 20 mg for the time being, and then discuss it with your pdoc next time. Whatever you do, do not lie to your pdoc and tell her you tried 40 mg but it didn't work for you. That helps no one.

Yes, you do have a choice.

Last time I saw my PNP we looked at ways in which my functionality had improved since starting on an AD two weeks before. She asked me if I wanted to try a higher dose and potentially see greater improvements. She said, "how good do you want to feel?" So we upped the dose a bit and so far I don't feel any different. She indicated we could go even higher if I wanted. I think with meds it is just trial and error, you keep experimenting until you find the right med and the right dose.

I hope you can share your fears about that the bad side effects might return.

[struggling931]

I would call her and leave a message. If she's a good doctor she should work with you, and respond to messages promptly (she might still tell you to increase, but it's still your choice). Also for example she could have been having a bad day and she just didn't pick up on the fact that you were uncomfortable with her suggestion, or that the percentage you chose represented a greater improvement to you than to her.