The recommended starting dosage of Prozac for people with panic disorder is 10 mg once daily. After one week, your healthcare provider may increase the amount to 20 mg once daily. Your healthcare provider may choose to increase this if symptoms continue or decrease it if side effects occur. The maximum recommended dose for panic disorder treatment is Prozac 60 mg per day.
Prozac Dosage in Combination With ZyprexaWhen combined with Zyprexa® (olanzapine), Prozac is approved treat depression associated with bipolar disorder and treatment-resistant depression (depression that was not helped by at least two different antidepressants). For these uses, the starting dosage of Prozac is 20 mg daily, in combination with Zyprexa 5 mg daily. Your healthcare provider may adjust your dosage of each medication as necessary.
The starting Prozac dose for children and teens is usually 10 mg or 20 mg once daily. Your child's healthcare provider will take into consideration your child's age, weight, and medical conditions when prescribing an amount for your child. This medication is approved for use in children and teens with depression, OCD, or (when used in combination with olanzapine) depressive episodes associated with bipolar disorder; it has not been adequately studied in children and teens with bulimia or panic disorder.
Some considerations for people taking Prozac include the following:
- It usually takes several weeks (perhaps even more than a month) before feeling the beneficial effects of Prozac. Try not to be discouraged if the medication does not work right away for you.
- Make sure to swallow long-acting capsules whole (do not open, chew, or crush them).
- If Prozac makes you drowsy, try taking your dosage before bedtime. If the medication causes insomnia for you, try taking it in the morning.
- Elderly people and people with liver problems, including liver failure or cirrhosis, often need lower doses of Prozac.
- You can take Prozac with or without food. If the antidepressant bothers your stomach, try taking it with food.
- You dose should be taken at the same time each day (or the same day each week) to maintain an even level in your blood.
- Abruptly stopping medications like Prozac can result in withdrawal symptoms (see Prozac Withdrawal for more information).
- For Prozac to work properly, you have to take it as prescribed. The medication will not work if you take it differently than how your healthcare provider prescribes.
- If you are unsure about anything related to dosing with Prozac, please talk to your doctor, nurse, or pharmacist. Do not stop taking the drug without first discussing it with your healthcare provider.