A case of fluoxetine-induced stimulant side effects with suicidal ideation associated with a possible withdrawal reaction (“crashing”)
TL;DRAbstract
Mrs. A, a 19-year-old Hispanic woman, went into couples counseling for marital problems, and then became depressed as she uncovered more about her physically and sexually abusive childhood. Her counselor referred her to a psychiatrist who prescribed fluoxetine 20 mg QD AM. Within two or three days after starting fluoxetine she became energized and couldn't sleep at night. She could not read or watch TV but felt a compulsive need to socialize or to do housework and other chores. Friends noticed that she would become silly and outgoing at night, while remaining shy during the day. She began to feel have to have my Prozac. I can't do without it. When out of town, she ran out of fluoxetine and became frantic to get it. She did not, however, increase the dose on her own. When she accidentally skipped her medication on occasion, coworkers noticed a drop in her
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Mrs. A, a 19-year-old Hispanic woman, went into couples counseling for marital problems, and then became depressed as she uncovered more about her physically and sexually abusive childhood. Her counselor referred her to a psychiatrist who prescribed fluoxetine 20 mg QD AM. Within two or three days after starting fluoxetine she became energized and couldn't sleep at night. She could not read or watch TV but felt a compulsive need to socialize or to do housework and other chores. Friends noticed that she would become silly and outgoing at night, while remaining shy during the day. She began to feel have to have my Prozac. I can't do without it. When out of town, she ran out of fluoxetine and became frantic to get it. She did not, however, increase the dose on her own. When she accidentally skipped her medication on occasion, coworkers noticed a drop in her
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