For those who really need an anti-depressant, prozac has two large pros in its favor. First, it is a stimulant, where celexa and paxil are sedating, expecially celexa (and lexapro, which is just a cleaned up version of celexa). Second, if they have no insurance, it is dirt cheap. It can be very effective at lifting people out of deep dangerous depressions. It does have some down sides that seriously limit its use. It has a high rate of sexual disfunction. It can cause aggressive behavior, and impulsive behavior. The suicidal issue can be easily misunderstood. It has not been shown to cause suicidal actions. It was found by assking patients to answer questionaires, that teens on SSRI's were more likely to think about suicide. The leading theory being that depression makes people want to do nothing, even dream up ways to kill themselves. The risk happens when prozac stimulates and aggitates them, before they are feeling less depressed.
I do recommend chemical treatment for many people who have depression that honestly impacts their life. Side effects are small, compared to someone loosing their job, wife or hating life. I also think too many people take them just because they feel they should get to allways feel good, and do not want to deal with normal depression.
Yes, SSRIs do effect peoples dreams. This is something to warn new patients about. The effect on dreams seems to lesson after the two week period Alyzarin mentioned. The effect on dreams can not be predicted, but are normal described as aggitated or strange dreams.
SSRIs are cheap and effective, but have a fairly large side effect profile. A drug that is not in this class is welbutrin. It has many fewer and less intense side effects, but is still somewhat expensive. It still has the same effect on dreams. Prozac and welbutrin are both stimulants, so are not recommended for people who have trouble with aggitation.
Hope any of that helps. Thank you Hathor for the interesting link. I however feel it is a good drug, if the person is truely at risk of messing up their life or faces a life of deep dark depression, and can not afford welbutrin. If anyone has a question about this kind of thing, I will be glad to help out.
|
|
Bookmarks