Health QuestionsCategory: TreatmentsMoving from Lexapro to Prozac, any advice?
guynnrv asked 3 years ago

I’m on 10mg of Lexapro.  Its not working for me.  So doc wants to move me to Prozac 20mg.  He says I don’t need to back off of Lexapro or wait before taking the Prozac.  He said just to start the Prozac the next day.  
Do you guys think that will be OK?

8 Answers
StrungOutOnLife answered 3 years ago

Re: Moving from Lexapro to Prozac, any advice?
Quote from guynnrv on 10. May 2006 at 12:24:

I’m on 10mg of Lexapro. Its not working for me. So doc wants to move me to Prozac 20mg. He says I don’t need to back off of Lexapro or wait before taking the Prozac. He said just to start the Prozac the next day.
Do you guys think that will be OK?

 
http://www.crazymeds.org/lexapro.html
 
Quote:

How to Stop Taking Lexapro: Your doctor should be recommending that you reduce your dosage by 5mg a day every 6-8 days if you need to stop taking it, if not more slowly than that. Based on the 27-32 hour half-life. For more information, please see the page on how to safely stop taking these crazy meds.
If you’ve worked your way up to a particular dosage, it’s usually best to spend this many days at the next lowest dosage before going down the next lowest dosage before that and so forth. This is the least sucky way to avoid problems when stopping any psychiatric medication. Presuming you have the option of slowly tapering off them.
StrungOutOnLife answered 3 years ago

Re: Moving from Lexapro to Prozac, any advice?
Edited: then again, because you aren’t titrating down to nothing, this could be completely different story. Also, Prozac =/= MAOI.

SnaiLuv answered 3 years ago

Re: Moving from Lexapro to Prozac, any advice?
In my experience, switching from one med to another without tapering isn’t as traumatic as just stopping a med without tapering. I’ve never been on prozac, though (har har, it may actually be the only one….)so your milage may vary. You’ll probably feel funny, but you know….it’s part of the process.

BuyPolar answered 3 years ago

Re: Moving from Lexapro to Prozac, any advice?
When switching from SSRI to SSRI, my pdocs over the years haven’t had me titrate down on the old then up on the new by more than a couple of days….

chibicurmudgeon answered 3 years ago

Re: Moving from Lexapro to Prozac, any advice?
At that dosage, it should be okay, but if you’ve never been on prozac, I’d prefer to start small just to be on the safe side. Maybe 10 mg ‘zac for 2 days, and then 20; it doesn’t have to be really gradual, but some people get crappy side effects, so that’s why I’d suggest startng small.