Do you have a patient suffering from medication side effects? Do you have patients that are ready to get off their medications? A step-by-step method is now available. Insomnia, anxiety, head symptoms are the common withdrawal side effects from psychoactive drugs which stops most people from being able to completely get off their medication. Those symptoms no longer need to get in the way of a successful taper.

Deciding how fast to titrate off a medication can be a confusing decision. Which medication to taper first needs to based on drug/drug interactions associated with the CYP enzymes. Did you know, if you taper a patient off the antidepressant first, while they concurrently take a benzodiazepine, the patient will go into withdrawal on the benzodiazepine as well? Click here for the method used by physicians worldwide to taper patients off psychoactive medications.

Review by Dr. Hyla Cass M.D. Psychiatrist "Here is an essential handbook on how to safely and more easily wean yourself (under medical supervision) off the heavily over-prescribed psychotropic medications. I have used the program with my patients and it works!” Hyla Cass M.D. Author of Supplement Your Prescription

Physician Resource
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 Prozac withdrawal. Prozac withdrawal side effects, Prozac withdrawal warnings, Prozac withdrawal precautions, Prozac withdrawal adverse effects, overdose, withdrawal symptoms and Prozac natural alternatives. Before you begin the spiral down with Prozac , try giving your body what it really wants.

Prozac

Prozac Clinical Trials

Drug-induced Brugada syndrome.

Yap YG, Behr ER, Camm AJ.

Europace. 2009 May 29. [Epub ahead of print]

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Neurogenesis-dependent and -independent effects of fluoxetine in an animal model of anxiety/depression.

David DJ, Samuels BA, Rainer Q, Wang JW, Marsteller D, Mendez I, Drew M, Craig DA, Guiard BP, Guilloux JP, Artymyshyn RP, Gardier AM, Gerald C, Antonijevic IA, Leonardo ED, Hen R.

Neuron. 2009 May 28;62(4):479-93.

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Dissecting the pathophysiology of depression with a Swiss army knife.

Lledo PM.

Neuron. 2009 May 28;62(4):453-5.

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Simultaneous determination of anti-diabetes/anti-obesity drugs by LC/PDA, and targeted analysis of sibutramine analog in dietary supplements by LC/MS/MS.

Kim SH, Lee J, Yoon T, Choi J, Choi D, Kim D, Kwon SW.

Biomed Chromatogr. 2009 May 27. [Epub ahead of print]

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Influence of antidepressant drugs on Ecto-nucleotide pyrophosphatase/phosphodiesterases (E-NPPs) from salivary glands of rats.

Henz SL, Cognato GD, Vuaden FC, Bogo MR, Bonan CD, Sarkis JJ.

Arch Oral Biol. 2009 May 25. [Epub ahead of print]

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Continuous Fluoxetine Administration Prevents Recurrence of Pulmonary Arterial Hypertension and Prolongs Survival in Rats.

Zhu SP, Mao ZF, Huang J, Wang JY.

Clin Exp Pharmacol Physiol. 2009 Mar 26. [Epub ahead of print]

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Cardiac sympathetic activity in stress-induced (Takotsubo) cardiomyopathy.

Prasad A, Madhavan M, Chareonthaitawee P; Medscape.

Nat Rev Cardiol. 2009 Jun;6(6):430-4.

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Effects of SNS activation on SSRI-induced sexual side effects differ by SSRI.

Ahrold TK, Meston CM.

J Sex Marital Ther. 2009;35(4):311-9.

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Relative Cost-Effectiveness of Treatments for Adolescent Depression: 36-Week Results From the TADS Randomized Trial.

Domino ME, Foster EM, Vitiello B, Kratochvil CJ, Burns BJ, Silva SG, Reinecke MA, March JS.

J Am Acad Child Adolesc Psychiatry. 2009 May 20. [Epub ahead of print]

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Why are physicians reluctant to use estrogens for anything - or do they prefer 'PROFOX'?

Studd J.

Menopause Int. 2009 Jun;15(2):52-4.

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Cortico-striatal cyclic AMP-phosphodiesterase-4 signalling and stereotypy in the deer mouse: attenuation after chronic fluoxetine treatment.

Korff S, Stein DJ, Harvey BH.

Pharmacol Biochem Behav. 2009 May;92(3):514-20. Epub 2009 Feb 6.

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Pharmacokinetics and pharmacodynamics of norfluoxetine in rats: Increasing extracellular serotonin level in the frontal cortex.

Qu Y, Aluisio L, Lord B, Boggs J, Hoey K, Mazur C, Lovenberg T.

Pharmacol Biochem Behav. 2009 May;92(3):469-73. Epub 2009 Feb 5.

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Lack of in vitro interactions using human liver microsomes between rabeprazole and anticancer drugs.

Tamaro I, Genazzani A, Canonico P, Grosa G.

Eur J Drug Metab Pharmacokinet. 2009 Jan-Mar;34(1):19-26.

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New light on the serotonergic paradox in the rat circadian system.

Cuesta M, Clesse D, Pévet P, Challet E.

J Neurochem. 2009 Apr 27. [Epub ahead of print]

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High resolution micro-SPECT scanning in rats using (125)I beta-CIT: Effects of chronic treatment with carbamazepine.

Cain SM, Ruest T, Pimlott S, Patterson J, Duncan R, Dewar D, Sills GJ.

Epilepsia. 2009 May 9. [Epub ahead of print]

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Mirtazapine: a review of its use in major depression and other psychiatric disorders.

Croom KF, Perry CM, Plosker GL.

CNS Drugs. 2009;23(5):427-52. doi: 10.2165/00023210-200923050-00006.

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Utility of atypical antipsychotics in the treatment of resistant unipolar depression.

Debattista C, Hawkins J.

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[Efficacy and safety of selective serotonin re-uptake inhibitors in the treatment of premature ejaculation: a systematic evaluation]

Huang XK, Lu YP, Luo SW, Wang F, Xie ZY, Wang XD.

Zhonghua Nan Ke Xue. 2009 Mar;15(3):248-55. Chinese.

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Placental transfer of SSRI and SNRI antidepressants and effects on the neonate.

Rampono J, Simmer K, Ilett KF, Hackett LP, Doherty DA, Elliot R, Kok CH, Coenen A, Forman T.

Pharmacopsychiatry. 2009 May;42(3):95-100. Epub 2009 May 18.

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Potentially inappropriate medication prescribing in outpatient practices: Prevalence and patient characteristics based on electronic health records.

Buck MD, Atreja A, Brunker CP, Jain A, Suh TT, Palmer RM, Dorr DA, Harris CM, Wilcox AB.

Am J Geriatr Pharmacother. 2009 Apr;7(2):84-92.

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Behavioral abnormality and pharmacologic response in social isolation-reared mice.

Koike H, Ibi D, Mizoguchi H, Nagai T, Nitta A, Takuma K, Nabeshima T, Yoneda Y, Yamada K.

Behav Brain Res. 2009 Aug 24;202(1):114-21. Epub 2009 Mar 31.

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Depression in children and adolescents.

Hazell P.

Clin Evid (Online). 2009 Jan 7;2009. pii: 1008.

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Pediatric generalized anxiety disorder: epidemiology, diagnosis, and management.

Keeton CP, Kolos AC, Walkup JT.

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[Effects of chronic fluoxetine treatment on catalepsy and immune response in mice genetically predisposed to freezing reaction: the role of 5-HT1A and 5-HT2A receptors and tph2 and SERT genes]

[No authors listed]

Zh Vyssh Nerv Deiat Im I P Pavlova. 2009 Mar-Apr;59(2):237-44. Russian.

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Fluoxetine treatment affects nitrogen waste excretion and osmoregulation in a marine teleost fish.

Morando MB, Medeiros LR, McDonald MD.

Aquat Toxicol. 2009 Apr 18. [Epub ahead of print]

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Binding of CYP2C9 with diverse drugs and its implications for metabolic mechanism.

Wang JF, Yan JY, Wei DQ, Chou KC.

Med Chem. 2009 May;5(3):263-70.

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Monoaminergic neurotransmission: the history of the discovery of antidepressants from 1950s until today.

López-Muñoz F, Alamo C.

Curr Pharm Des. 2009;15(14):1563-86.

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[Application of liquid chromatography coupled with mass spectrometry (LC/MS) to determine antidepressants in blood samples]

Pufal E, Sykutera M.

Arch Med Sadowej Kryminol. 2009 Oct-Dec;58(4):171-6. Polish.

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[Antipsychotics in clinical practice. Treatment of the first schizophrenic episode]

Jarema M, Meder J, Araszkiewicz A, Tyszkowska M.

Psychiatr Pol. 2008 Nov-Dec;42(6):841-58. Polish.

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Paradoxical Anxiogenic Response of Juvenile Mice to Fluoxetine.

Oh JE, Zupan B, Gross S, Toth M.

Neuropsychopharmacology. 2009 May 13. [Epub ahead of print]

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Trismus induced by fluoxetine.

Filho AS, Carvalho DL, Tumas V, Hetem LA, Ferrari MC, Crippa JA.

J Clin Psychopharmacol. 2009 Jun;29(3):306-7. No abstract available.

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Treatment-emergent sexual dysfunction related to antidepressants: a meta-analysis.

Serretti A, Chiesa A.

J Clin Psychopharmacol. 2009 Jun;29(3):259-66.

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Ascorbic acid administration produces an antidepressant-like effect: evidence for the involvement of monoaminergic neurotransmission.

Binfaré RW, Rosa AO, Lobato KR, Santos AR, Rodrigues AL.

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Early raise of BDNF in hippocampus suggests induction of posttranscriptional mechanisms by antidepressants.

Musazzi L, Cattaneo A, Tardito D, Barbon A, Gennarelli M, Barlati S, Racagni G, Popoli M.

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5-HT1A receptor antagonism reverses and prevents fluoxetine-induced sexual dysfunction in rats.

Sukoff Rizzo SJ, Pulicicchio C, Malberg JE, Andree TH, Stack GP, Hughes ZA, Schechter LE, Rosenzweig-Lipson S.

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Antidepressant specificity of serotonin transporter suggested by three LeuT-SSRI structures.

Zhou Z, Zhen J, Karpowich NK, Law CJ, Reith ME, Wang DN.

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Effects of chronic fluoxetine treatment on the rat somatosensory cortex: activation and induction of neuronal structural plasticity.

Guirado R, Varea E, Castillo-Gómez E, Gómez-Climent MA, Rovira-Esteban L, Blasco-Ibáñez JM, Crespo C, Martínez-Guijarro FJ, Nàcher J.

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Inhibitory effect of selective serotonin reuptake inhibitors on the vesicular monoamine transporter 2.

Yasumoto S, Tamura K, Karasawa J, Hasegawa R, Ikeda K, Yamamoto T, Yamamoto H.

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Quantitative evaluation of serotonin release and clearance in Drosophila.

Borue X, Cooper S, Hirsh J, Condron B, Venton BJ.

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Fluoxetine attenuates kainic acid-induced neuronal cell death in the mouse hippocampus.

Jin Y, Lim CM, Kim SW, Park JY, Seo JS, Han PL, Yoon SH, Lee JK.

Brain Res. 2009 May 7. [Epub ahead of print]

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Serotonin stimulates platelet receptor shedding by tumor necrosis factor-alpha-converting enzyme (ADAM17).

Duerschmied D, Canault M, Lievens D, Brill A, Cifuni SM, Bader M, Wagner DD.

J Thromb Haemost. 2009 May 8. [Epub ahead of print]

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Role of dopamine transporters in the behavioral effects of 3,4-methylenedioxymethamphetamine (MDMA) in nonhuman primates.

Fantegrossi WE, Bauzo RM, Manvich DM, Morales JC, Votaw JR, Goodman MM, Howell LL.

Psychopharmacology (Berl). 2009 May 7. [Epub ahead of print]

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Effect of Date of Drug Marketing on Disproportionality Measures in Pharmacovigilance: The Example of Suicide with SSRIs Using Data From the UK MHRA.

Pariente A, Daveluy A, Laribière-Bénard A, Miremont-Salame G, Begaud B, Moore N.

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[Combining Antidepressants: a Useful Strategy for Therapy Resistant Depression?]

Schmauß M, Messer T.

Fortschr Neurol Psychiatr. 2009 May 4. [Epub ahead of print] German.

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Pediatric antidepressant use after the black-box warning.

Busch SH, Barry CL.

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Novel sequence variations in the brain-derived neurotrophic factor gene and association with major depression and antidepressant treatment response.

Licinio J, Dong C, Wong ML.

Arch Gen Psychiatry. 2009 May;66(5):488-97.

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Pre-exposure to environmental cues predictive of food availability elicits hypothalamic-pituitary-adrenal axis activation and increases operant responding for food in female rats.

Cifani C, Zanoncelli A, Tessari M, Righetti C, Di Francesco C, Ciccocioppo R, Massi M, Melotto S.

Addict Biol. 2009 Apr 28. [Epub ahead of print]

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Fluoxetine potentiates the effects of corticotropin-releasing factor on locomotor activity and serotonergic systems in the roughskin newt, Taricha granulosa.

Lowry CA, Hale MW, Burke KA, Renner KJ, Moore FL.

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Aripiprazole augmentation in major depressive disorder: a double-blind, placebo-controlled study in patients with inadequate response to antidepressants.

Berman RM, Fava M, Thase ME, Trivedi MH, Swanink R, McQuade RD, Carson WH, Adson D, Taylor L, Hazel J, Marcus RN.

CNS Spectr. 2009 Apr;14(4):197-206.

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Antidepressants at Environmentally Relevant Concentrations Affect Predator Avoidance Behavior of Larval Fathead Minnows (Pimephales promelas).

Painter MM, Buerkley MA, Julius ML, Vajda AM, Norris DO, Barber LB, Furlong ET, Schultz MM, Schoenfuss HL.

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Early induction of CREB activation and CREB-regulating signalling by antidepressants.

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Pediatric depression: issues and treatment recommendations.

Cullen K, Klimes-Dougan B, Kumra S.

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Orosomucoid influences the response to antidepressants in major depressive disorder.

Harley J, Roberts R, Joyce P, Mulder R, Luty S, Frampton C, Kennedy M.

J Psychopharmacol. 2009 Apr 24. [Epub ahead of print]

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Pharmaceutical and personal care products in tile drainage following surface spreading and injection of dewatered municipal biosolids to an agricultural field.

Edwards M, Topp E, Metcalfe CD, Li H, Gottschall N, Bolton P, Curnoe W, Payne M, Beck A, Kleywegt S, Lapen DR.

Sci Total Environ. 2009 Jul 1;407(14):4220-30. Epub 2009 Apr 26.

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Results of a retrospective claims database analysis of differences in antidepressant treatment persistence associated with escitalopram and other selective serotonin reuptake inhibitors in the United States.

Esposito D, Wahl P, Daniel G, Stoto MA, Erder MH, Croghan TW.

Clin Ther. 2009 Mar;31(3):644-56.

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Inhibitory effect of antidepressants on the NMDA-evoked [(3)H]noradrenaline release from rat hippocampal slices.

Mayer A, Szasz BK, Kiss JP.

Neurochem Int. 2009 Apr 22. [Epub ahead of print]

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[Study on electroacupuncture treatment of depression by magnetic resonance imaging]

Duan DM, Tu Y, Chen LP, Wu ZJ.

Zhongguo Zhen Jiu. 2009 Feb;29(2):139-44. Chinese.

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A double-blind, randomized, placebo-controlled trial of fluoxetine in patients with intermittent explosive disorder.

Coccaro EF, Lee RJ, Kavoussi RJ.

J Clin Psychiatry. 2009 Apr 21. [Epub ahead of print]

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Neonatal fluoxetine exposure affects the neuronal structure in the somatosensory cortex and somatosensory-related behaviors in adolescent rats.

Lee LJ.

Neurotox Res. 2009 Apr;15(3):212-23. Epub 2009 Mar 4.

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In vitro and in vivo reproduction toxicology of 12 monoaminergic reuptake inhibitors: Possible mechanisms of infrequent cardiovascular anomalies.

Sloot WN, Bowden HC, Yih TD.

Reprod Toxicol. 2009 Apr 19. [Epub ahead of print]

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Dose-finding study of fluoxetine and venlafaxine for the treatment of self-injurious and stereotypic behavior in rhesus macaques (Macaca mulatta).

Fontenot MB, Musso MW, McFatter RM, Anderson GM.

J Am Assoc Lab Anim Sci. 2009 Mar;48(2):176-84.

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Allostatic tumor-burden induces depression-associated changes in hepatoma-bearing mice.

Qi H, Ma J, Liu YM, Yang L, Peng L, Wang H, Chen HZ.

J Neurooncol. 2009 Apr 21. [Epub ahead of print]

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Food restriction and streptozotocin differentially modify sensitivity to the hypothermic effects of direct- and indirect-acting serotonin receptor agonists in rats.

Li JX, Koek W, France CP.

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Gamma-aminobutyric acid amides of nortriptyline and fluoxetine display improved pain suppressing activity.

Rephaeli A, Gil-Ad I, Aharoni A, Tarasenko I, Tarasenko N, Geffen Y, Halbfinger E, Nisemblat Y, Weizman A, Nudelman A.

J Med Chem. 2009 May 14;52(9):3010-7.

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Differential involvement of the norepinephrine, serotonin and dopamine reuptake transporter proteins in cocaine-induced taste aversion.

Jones JD, Hall FS, Uhl GR, Rice K, Riley AL.

Pharmacol Biochem Behav. 2009 Jul;93(1):75-81. Epub 2009 Apr 17.

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What is the effect of selective serotonin reuptake inhibitors on temperament and character in patients with fibromyalgia?

Mazza M, Mazza O, Pomponi M, Di Nicola M, Padua L, Vicini M, Bria P, Mazza S.

Compr Psychiatry. 2009 May-Jun;50(3):240-4. Epub 2008 Oct 17.

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Combined Cognitive-Behavioural Therapy and Pharmacotherapy for Adolescent Depression: Does it Improve Outcomes Compared with Monotherapy?

Vitiello B.

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The change in plasma GABA, glutamine and glutamate levels in fluoxetine- or S-citalopram-treated female patients with major depression.

Küçükibrahimoğlu E, Saygın MZ, Calışkan M, Kaplan OK, Unsal C, Gören MZ.

Eur J Clin Pharmacol. 2009 Apr 17. [Epub ahead of print]

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Effects of the essential oil from leaves of Alpinia zerumbet on behavioral alterations in mice.

Murakami S, Matsuura M, Satou T, Hayashi S, Koike K.

Nat Prod Commun. 2009 Jan;4(1):129-32.

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Escitalopram versus other antidepressive agents for depression.

Cipriani A, Santilli C, Furukawa TA, Signoretti A, Nakagawa A, McGuire H, Churchill R, Barbui C.

Cochrane Database Syst Rev. 2009 Apr 15;(2):CD006532.

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Sertraline versus other antidepressive agents for depression.

Cipriani A, La Ferla T, Furukawa TA, Signoretti A, Nakagawa A, Churchill R, McGuire H, Barbui C.

Cochrane Database Syst Rev. 2009 Apr 15;(2):CD006117.

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Selective serotonin reuptake inhibitors for premenstrual syndrome.

Brown J, O'Brien PM, Marjoribanks J, Wyatt K.

Cochrane Database Syst Rev. 2009 Apr 15;(2):CD001396.

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Efficacy of treatments for patients with obsessive-compulsive disorder: a systematic review.

Choi YJ.

J Am Acad Nurse Pract. 2009 Apr;21(4):207-13.

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Perinatal malnutrition programs sustained alterations in nitric oxide released by activated macrophages in response to fluoxetine in adult rats.

Ferreira-E-Silva WT, Galvão BA, Ferraz-Pereira KN, de-Castro CB, Manhães-de-Castro R.

Neuroimmunomodulation. 2009;16(4):219-27. Epub 2009 Apr 9.

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Chronic psychotropic drug treatment causes differential expression of Reelin signaling system in frontal cortex of rats.

Fatemi SH, Reutiman TJ, Folsom TD.

Schizophr Res. 2009 Jun;111(1-3):138-152. Epub 2009 Apr 9.

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Gender differences in the association between antidepressant use and restless legs syndrome.

Baughman KR, Bourguet CC, Ober SK.

Mov Disord. 2009 Apr 7;24(7):1054-1059. [Epub ahead of print]

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Community structure in networks of functional connectivity: Resolving functional organization in the rat brain with pharmacological MRI.

Schwarz AJ, Gozzi A, Bifone A.

Neuroimage. 2009 Aug 1;47(1):302-311. Epub 2009 Apr 2.

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Serotonin, social status and sex change in the bluebanded goby Lythrypnus dalli.

Lorenzi V, Carpenter RE, Summers CH, Earley RL, Grober MS.

Physiol Behav. 2009 Jun 22;97(3-4):476-83. Epub 2009 Apr 2.

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Fluoxetine affects weight gain and expression of feeding peptides in the female goldfish brain.

Mennigen JA, Harris EA, Chang JP, Moon TW, Trudeau VL.

Regul Pept. 2009 Jan 21. [Epub ahead of print]

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Cooperative opioid and serotonergic mechanisms generate superior antidepressant-like effects in a mice model of depression.

Berrocoso E, Mico JA.

Int J Neuropsychopharmacol. 2009 Apr 3:1-12. [Epub ahead of print]

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Preclinical characterization of WAY-211612: a dual 5-HT uptake inhibitor and 5-HT (1A) receptor antagonist and potential novel antidepressant.

Beyer CE, Lin Q, Platt B, Malberg J, Hornby G, Sullivan KM, Smith DL, Lock T, Mitchell PJ, Hatzenbuhler NT, Evrard DA, Harrison BL, Magolda R, Pangalos MN, Schechter LE, Rosenzweig-Lipson S, Andree TH.

Br J Pharmacol. 2009 May;157(2):307-19. Epub 2009 Mar 26.

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Newer Antidepressants and Gabapentin for Hot Flashes: An Individual Patient Pooled Analysis.

Loprinzi CL, Sloan J, Stearns V, Slack R, Iyengar M, Diekmann B, Kimmick G, Lovato J, Gordon P, Pandya K, Guttuso T Jr, Barton D, Novotny P.

J Clin Oncol. 2009 Mar 30. [Epub ahead of print]

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Quantitative changes in hippocampal microvasculature of chronically stressed rats: No effect of fluoxetine treatment.

Czéh B, Abumaria N, Rygula R, Fuchs E.

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Prozac withdrawal Body

Prozac withdrawal Dry Mouth - The usual amount to moisture in the mouth is noticeably less.

Prozac withdrawal Sweating Increased - A large quantity of perspiration that is medically caused.

Prozac withdrawal Cardiovascular (Involving the heart and the blood vessels)

Prozac withdrawal Palpitation - Unusual and not normal heartbeat, that is sometimes irregular, but rapid and forceful thumping or fluttering.  It can be brought on by shock, excitement, exertion, or medical stimulants.  A person is normally unaware of his/her heartbeat.

Prozac withdrawal Hypertension - is high blood pressure, which is a symptom of disease in the blood vessels leading away from the heart.  Hypertension is known as the “silent killer”.  The symptoms are usually not obvious, however it can lead to damage to the heart, brain, kidneys and eye, and even to stroke and kidney failure. Treatment includes dietary and lifestyle changes.

Prozac withdrawal Bradycardia - The heart rate is slowed from 72 beats per minute, which is normal, to below 60 beats per minute in an adult.

Prozac withdrawal Tachycardia - The heart rate is speeded up to above 100 beats per minute in an adult.  Normal adult heart rate is 72 beats per minute.

Prozac withdrawal ECG Abnormal - A test called an electrocardiogram (ECG) that records the activity of the heart.  It measures heartbeats as will as the position and size of the heart’s four chambers.  It also measures if there is damage to the heart and the effects of drugs or mechanical devices like a pacemaker on the heart.  When the test is abnormal this means that one or more of the following are present: heart disease, defects, beating too fast or too slow, disease of the blood vessels leading from the heart or of the heart valves, and/or a past or about to occur heart attack. 

Prozac withdrawal Flushing - The skin all over the body turns red.

Prozac withdrawal Varicose Vein - Unusually swollen veins near the surface of the skin that sometimes appear twisted and knotted, but always enlarged.  They are called hemorrhoids when they appear around the rectum.  The cause is attributed to hereditary weakness in the veins aggravated by obesity, pregnancy, pressure from standing, aging, etc.  Severe cases may develop swelling in the legs, ankles and feet, eczema and/or ulcers in the affected areas.

Prozac withdrawal Gastrointestinal (Involving the stomach and the intestines)

Prozac withdrawal Abdominal Cramp/Pain - Sudden, severe, uncontrollable and painful shortening and thickening of the muscles in the belly.  The belly includes the stomach as well as the intestines, liver, kidneys, pancreas, spleen, gall bladder, and urinary bladder.

Prozac withdrawal Belching - Noisy release of gas from the stomach through the mouth; a burp.

Prozac withdrawal Bloating - Swelling of the belly caused by excessive intestinal gas.

Prozac withdrawal Constipation - Difficulty in having a bowel movement where the material in the bowels is hard due to a lack of exercise, fluid intake, and roughage in the diet, or due to certain drugs.

Prozac withdrawal Diarrhea - Unusually frequent and excessive, runny bowel movements that may result in severe dehydration and shock

Prozac withdrawal Dyspepsia - Indigestion.  This is the discomfort you experience after eating.  It can be heartburn, gas, nausea, a bellyache or bloating.

Prozac withdrawal Flatulence - More gas than normal in the digestive organs.

Prozac withdrawal Gagging - Involuntary choking and/or involuntary throwing up.

Prozac withdrawal Gastritis - A severe irritation of the mucus lining of the stomach either short in duration or lasting for a long period of time.

Prozac withdrawal Gastroenteritis - A condition where the membranes of the stomach and intestines are irritated.

Prozac withdrawal Gastroesophageal Reflux - A continuous state where stomach juices flow back into the throat causing acid indigestion and heartburn and possibly injury to the throat.

Prozac withdrawal Heartburn - A burning pain in the area of the breastbone caused by stomach juices flowing back up into the throat.

Prozac withdrawal Hemorrhoids - Small rounded purplish swollen veins that either bleed, itch or are painful and appear around the anus.

 

Prozac withdrawal Increased Stool frequency - Diarrhea.  

Prozac withdrawal Indigestion - Unable to properly consume and absorb food in the digestive tract causing constipation, nausea, stomach ache, gas, swollen belly, pain and general discomfort or sickness.

Prozac withdrawal Nausea - Stomach irritation with a queasy sensation similar to motion sickness and a feeling that one is going to vomit.

Prozac withdrawal Polyposis Gastric - Tumors that grow on stems in the lining of the stomach, which usually become cancerous.

Prozac withdrawal Swallowing Difficulty - A feeling that food is stuck in the throat or upper chest area and won’t go down, making it difficult to swallow.

Prozac withdrawal Toothache - Pain in a tooth above and below the gum line.

Prozac withdrawal Vomiting - Involuntarily throwing up the contents of the stomach and usually getting a nauseated, sick feeling just prior to doing so.

Prozac withdrawal General

Prozac withdrawal Allergy - The extreme sensitivity of body tissues triggered by substances in the air, drugs, or foods causing a reaction like sneezing, itching, asthma, hay fever, skin rashes, nausea and/or vomiting.

Prozac withdrawal Anaphylaxis - A violent, sudden, and severe drop in blood pressure caused by a re-exposure to a foreign protein or a second dosage of a drug that may be fatal unless emergency treatment is given right away.

Prozac withdrawal Asthenia - A physically weak condition.

Prozac withdrawal Chest Pains - Severe discomfort in the chest caused by not enough oxygen going to the heart because of narrowing of the blood vessels or spasms.

Prozac withdrawal Chills - Appearing pale while cold and shivering; sometimes with a fever.

Prozac withdrawal Edema of Extremities - Abnormal swelling of the body’s tissue caused by the collection of fluid.

Prozac withdrawal Fall - To suddenly lose your normal standing upright position as if you were shot.

Prozac withdrawal Fatigue - Loss of normal strength so as to not be able to do the usual physical and mental activities. 

Prozac withdrawal Fever - Abnormally high body temperature, the normal being 98 degrees Fahrenheit or 37 degrees Centigrade in humans, which is a symptom of disease or disorder in the body.  The body is affected by feeling hot, chilled, sweaty, weak and exhausted.  If the fever goes too high, death can result.

Prozac withdrawal Hot Flashes - Brief, abnormal enlargement of the blood vessels that causes a sudden heat sensation over the entire body.  Women in menopause will sometimes experience this.

Prozac withdrawal Influenza-like Symptoms - Demonstrating irritation of the respiratory tract (organs of breathing) such as a cold, sudden fever, aches and pains, as well as feeling weak and seeking bed rest, which is similar to having the flu.

Prozac withdrawal Leg Pain - A hurtful sensation in the legs that is caused by excessive stimulation of the nerve endings in the legs and results in extreme discomfort.

Prozac withdrawal Malaise - The somewhat unclear feeling of discomfort you get when you start to feel sick.

Prozac withdrawal Pain in Limb - Sudden, sharp and uncontrolled leg discomfort.

Prozac withdrawal Syncope - A short period of light headedness or unconsciousness (black-out) also know as fainting caused by lack of oxygen to the brain because of an interruption in blood flowing to the brain.

Prozac withdrawal Tightness of Chest - Mild or sharp discomfort, tightness or pressure in the chest area (anywhere between the throat and belly).  The causes can be mild or seriously life-threatening because they include the heart, lungs and surrounding muscles.

Prozac withdrawal Hemic and Lymphatic Disorders (Involving the blood and the clear fluids in the tissues that contain white blood cells)

Prozac withdrawal Bruise - Damage to the skin resulting in a purple-green-yellow skin coloration that’s caused by breaking the blood vessels in the area without breaking the surface of the skin.

Prozac withdrawal Anemia - A condition where the blood is no longer carrying enough oxygen, so the person looks pale and easily gets dizzy, weak and tired.  More severely, a person can end up with an abnormal heart, as well as breathing and digestive difficulties.  The causes of anemia are not enough protein in the red blood cells, or missing and chemically destroyed red blood cells, as well as diseased or destroyed bone marrow.

Prozac withdrawal Nosebleed - Blood lost from the part of the face that has the organs of smell and is where the body takes in oxygen.

Prozac withdrawal Hematoma - Broken blood vessels that cause a swelling in an area on the body.

Prozac withdrawal Lymphadenopathy Cervical - The lymph nodes in the neck, which are part of the body’s immune system get swollen and enlarge by reacting to the presence of a drug.  The swelling is the result of the white blood cells multiplying in order to fight the invasion of the drug.

Prozac withdrawal Metabolic and Nutritional Disorders (Energy and health)

Prozac withdrawal Arthralgia - Sudden sharp nerve pain in one or more joints.

Prozac withdrawal Arthropathy - Having joint disease or abnormal joints.

Prozac withdrawal Arthritis - Painfully inflamed and swollen joints.  The reddened and swollen condition is brought on by a serious injury or shock to the body either from physical or emotional causes.

Prozac withdrawal Back Discomfort - Severe physical distress in the area from the neck to the pelvis along the backbone.

Prozac withdrawal Bilirubin Increased - Bilirubin is a waste product of the breakdown of old blood cells.  Bilirubin is sent to the liver to be made water-soluble so it can be eliminated from the body through emptying the bladder.  A drug can interfere with or damage this normal liver function creating liver disease.

Prozac withdrawal Decreased Weight - Uncontrolled and measured loss of heaviness or weight.

Prozac withdrawal Gout - A severe arthritis condition that is caused by the dumping of a waste product called uric acid in the tissues and joints.  It can become worse and cause the body to develop a deformity after going through stages of pain, inflammation, severe tenderness, and stiffness.

Prozac withdrawal Hepatic Enzymes Increased - An increase in the amount of paired liver proteins that regulate liver processes causing a condition where the liver functions abnormally.

Prozac withdrawal Hypercholesterolemia - Too much cholesterol in the blood cells.

Prozac withdrawal Hyperglycemia - An unhealthy amount of sugar in the blood.

Prozac withdrawal Increased Weight - A concentration and storage of fat in the body accumulating over a period of time caused by unhealthy eating patterns, that can predispose the body to many disorders and diseases.

Prozac withdrawal Jaw Pain - The pain due to irritation and swelling of the nerves associated with the mouth area where it opens and closes just in front of the ear.  Some of the symptoms are pain when chewing, head aches, losing your balance, stuffy ears or ringing in the ears, and teeth grinding.

Prozac withdrawal Jaw Stiffness - The result of squeezing and grinding the teeth while asleep that can cause your teeth to deteriorate as well as the muscles and joints of the jaw.

Prozac withdrawal Joint Stiffness - A loss of free motion and easy flexibility where any two bones come together.

Prozac withdrawal Muscle Cramp - When muscles contract uncontrollably without warning and do not relax.  The muscles of any of the body’s organs can cramp.

Prozac withdrawal Muscle Stiffness - Tightening of muscles making it difficult to bend.

Prozac withdrawal Muscle Weakness - Loss of physical strength.

Prozac withdrawal Myalgia - A general widespread pain and tenderness of the muscles.

Prozac withdrawal Thirst - A strong, unnatural craving for moisture/water in the mouth and throat. 

Prozac withdrawal Nervous System (Sensory channels)

Prozac withdrawal Carpal Tunnel Syndrome - A pinched nerve in the wrist that causes pain, tingling, and numbing.

Prozac withdrawal Coordination Abnormal - A lack of normal, harmonious interaction of the parts of the body when it is in motion.

Prozac withdrawal Dizziness - Losing one’s balance while feeling unsteady and lightheaded which may lead to fainting.

Prozac withdrawal Disequilibrium - Lack of mental and emotional balance.

Prozac withdrawal Faintness - A temporary condition where one is likely to go unconscious and fall.

Prozac withdrawal Headache - A sharp or dull persistent pain in the head

Prozac withdrawal Hyperreflexia - A not normal and involuntary increased response in the tissues connecting the bones to the muscles.

Prozac withdrawal Light-headed Feeling – Uncontrolled and usually brief loss of consciousness caused by lack of oxygen to the brain.

Prozac withdrawal Migraine - Reoccurring severe head pain usually with nausea, vomiting, dizziness, flashes or spots before the eyes, and ringing in the ears

Prozac withdrawal Muscle Contractions Involuntary - Spontaneous and uncontrollable tightening reaction of the muscles caused by electrical impulses from the nervous system.

Prozac withdrawal Muscular Tone Increased - Uncontrolled and exaggeration muscle tension.  Muscles are normally partially tensed and this is what gives us muscle tone. 

Prozac withdrawal Paresthesia - Burning, prickly, itchy, or tingling skin with no obvious or understood physical cause.

Prozac withdrawal Restless Legs - A need to move the legs without any apparent reason.  Sometimes there is pain, twitching, jerking, cramping, burning, or a creepy-crawly sensation associated with the movements.  It worsens when a person is inactive and can interrupt one’s sleep so one feels the need to move to gain some relief.

Prozac withdrawal Shaking - Uncontrolled quivering and trembling as if one is cold and chilled.

Prozac withdrawal Sluggishness - Lack of alertness and energy, as well as being slow to respond or perform in life.

Prozac withdrawal Tics - A contraction of a muscle causing a repeated movement not under the control of the person usually on the face or limbs.

Prozac withdrawal Tremor - A nervous and involuntary vibrating or quivering of the body.

Prozac withdrawal Twitching - Sharp, jerky and spastic motion sometimes with a sharp sudden pain.

Prozac withdrawal Vertigo - A sensation of dizziness with disorientation and confusion.

Prozac withdrawal Psychiatric Disorders (Mental and emotional)

Prozac withdrawal Aggravated Nervousness - A progressively worsening, irritated and troubled state of mind.

Prozac withdrawal Agitation - Suddenly violent and forceful, emotionally disturbed state of mind.

Prozac withdrawal Amnesia - Long term or short term, partial or full memory loss created by emotional or physical shock, severe illness, or a blow to the head where the person was caused pain and became unconsciousness.

Prozac withdrawal Anxiety Attack - Sudden and intense feelings of fear, terror, and dread physically creating shortness of breath, sweating, trembling and heart palpitations.

Prozac withdrawal Apathy - Complete lack of concern or interest for things that ordinarily would be regarded as important or would normally cause concern.

Prozac withdrawal Appetite Decreased - Having a lack of appetite despite the ordinary caloric demands of living with a resulting unintentional loss of weight.

Prozac withdrawal Appetite Increased - An unusual hunger causing one to overeat.

Prozac withdrawal Auditory Hallucination - Hearing things without the voices or noises being present.

Prozac withdrawal Bruxism - Grinding and clenching of teeth while sleeping.

Prozac withdrawal Carbohydrate Craving - A drive and craving to eat foods rich in sugar and starches (sweets, snacks and junk foods) that intensifies as the diet becomes more and more unbalanced due to the unbalancing of the proper nutritional requirements of the body.

Prozac withdrawal Concentration Impaired - Unable to easily focus your attention for long periods of time.

Prozac withdrawal Confusion - Not able to think clearly and understand in order to make a logical decision.

Prozac withdrawal Crying Abnormal - Unusual and not normal fits of weeping for short or long periods of time for no apparent reason.

Prozac withdrawal Depersonalization - A condition where one has lost a normal sense of personal identity.

Prozac withdrawal Depression - A hopeless feeling of failure, loss and sadness that can deteriorate into thoughts of death.

Prozac withdrawal Disorientation - A loss of sense of direction, place, time or surroundings as well as mental confusion on personal identity.

Prozac withdrawal Dreaming Abnormal - Dreaming that leaves a very clear, detailed picture and impression when awake that can last for a long period of time and sometimes be unpleasant.

Prozac withdrawal Emotional Lability - Suddenly breaking out in laughter or crying or doing both without being able to control the outburst of emotion.  These episodes are unstable as they are caused by things that normally would not have this effect on an individual.

Prozac withdrawal Excitability - Uncontrollably responding to stimuli.

Prozac withdrawal Feeling Unreal - The awareness that one has an undesirable emotion like fear but can’t seem to shake off the irrational feeling.  For example, feeling like one is going crazy but rationally knowing that it is not true.  The quality of this side effect resembles being in a bad dream and not being able to wake up.

Prozac withdrawal Forgetfulness - Unable to remember what one ordinarily would remember.

Prozac withdrawal Insomnia - Sleeplessness caused by physical stress, mental stress or stimulants such as coffee or medications; it is a condition of being abnormally awake when one would ordinarily be able to fall and remain asleep.

Prozac withdrawal Irritability - Abnormally annoyed in response to a stimulus.

Prozac withdrawal Jitteriness - Nervous fidgeting without an apparent cause.

Prozac withdrawal Lethargy - Mental and physical sluggishness and apathy that can deteriorate into an unconscious state resembling deep sleep.  A numbed state of mind.

Prozac withdrawal Libido Decreased - An abnormal loss of sexual energy or desire.

Prozac withdrawal Panic Reaction - A sudden, overpowering, chaotic and confused mental state of terror resulting in being doubt ridden often accompanied with hyperventilation, and extreme anxiety.

Prozac withdrawal Restlessness Aggravated - A constantly worsening troubled state of mind characterized by the person being increasingly nervous, unable to relax, and easily angered.

Prozac withdrawal Somnolence - Feeling sleepy all the time or having a condition of semi-consciousness.

Prozac withdrawal Suicide Attempt - An unsuccessful deliberate attack on one’s own life with the intention of ending it.

Prozac withdrawal Suicidal Tendency - Most likely will attempt to kill oneself.

Prozac withdrawal Tremulousness Nervous - Very jumpy, shaky, and uneasy while feeling fearful and timid.  The condition is characterized by thoughts of dreading the future, involuntary quivering, trembling, and feeling distressed and suddenly upset.

Prozac withdrawal Yawning - involuntary opening of the mouth with deep inhalation of air.

Prozac withdrawal Reproductive Disorder Female

Prozac withdrawal Breast Neoplasm - A tumor or cancer, of either of the two milk-secreting organs on the chest of a woman. 

Prozac withdrawal Menorrhagia - Abnormally heavy menstrual period or a menstrual flow that has continued for an unusually long period of time.

Prozac withdrawal Menstrual Cramps - Painful, involuntary uterus contractions that women experience around the time of their menstrual period, sometimes causing pain in the lower back and thighs.

Prozac withdrawal Menstrual Disorder - A disturbance or derangement in the normal function of a woman’s menstrual period.

Prozac withdrawal Pelvic Inflammation - The reaction of the body to infectious, allergic, or chemical irritation, which in turn causes tissue irritation, injury, or bacterial infection characterized by pain, redness, swelling, and sometimes loss of function. The reaction usually begins in the uterus and spreads to the fallopian tubes, ovaries, and other areas in the hipbone region of the body.

Prozac withdrawal Premenstrual Syndrome - Various physical and mental symptoms commonly experienced by women of childbearing age usually 2 to 7 days before the start of their monthly period.  There are over 150 symptoms including eating binges, behavioral changes, moodiness, irritability, fatigue, fluid retention, breast tenderness, headaches, bloating, anxiety, and depression.  The symptoms cease shortly after the period begins, and disappear with menopause.

Prozac withdrawal Spotting Between Menses - Abnormal bleeding between periods.  Unusual spotting between menstrual cycles.

Prozac withdrawal RESPIRATORY SYSTEM (Organs involved in breathing)

Prozac withdrawal Asthma - A disease of the breathing system initiated by and allergic reaction or a chemical with repeated attacks of coughing, sticky mucus, wheezing, shortness of breath, and a tight feeling in the chest.  The disease can reach a state where it stops a person from exhaling, leading to unconsciousness and death.

Prozac withdrawal Breath Shortness - Unnatural breathing using a lot off effort resulting in not enough air taken in by the body.

Prozac withdrawal Bronchitis - Inflammation of the two main breathing tubes leading from the windpipe to the lungs.  The disease is marked with coughing, a low-grade fever, chest pains, and hoarseness, caused by an allergic reaction.

Prozac withdrawal Coughing - A cough is the response to an irritation, such as mucus, that causes the muscles controlling the breathing process to expel air from the lungs suddenly and noisily to keep the air passages free from the irritating material.

Prozac withdrawal Laryngitis - Inflammation of the voice box characterized by hoarseness, sore throat, and coughing.  It can be cause by straining the voice or exposure to infectious, allergic or chemical irritation.

Prozac withdrawal Nasal Congestion - The presence of an abnormal amount of fluid in the nose.

Prozac withdrawal Pneumonia Tracheitis - Bacterial infection of the air passageways and lungs that causes redness, swelling and pain in the windpipe.  Other symptoms are high fever, chills, pain in the chest, difficulty in breathing, and coughing with mucus discharge.

Prozac withdrawal Rhinitis - Chemical irritation causing pain, redness and swelling in the mucus membranes of the nose.

Prozac withdrawal Sinus Congestion - The mucus-lined areas of the bones in the face that are thought to help warm and moisten air to the nose.  These areas become clogged with excess fluid or infected.

Prozac withdrawal Sinus Headache - The abnormal amount of fluid in the hollows of the face bone area especially around the nose.  This excess fluid creates pressure, causing pain in the head.

Prozac withdrawal Sinusitis - The body reacting to chemical irritation causing redness, swelling and pain in the area of the hollows in the facial bones especially around the nose.

Prozac withdrawal SKELETAL

Prozac withdrawal Neck/Shoulder Pain - Hurtful sensations of the nerve endings caused by damage to the tissues in the neck and shoulder signaling danger of disease.

Prozac withdrawal SKIN and APPENDAGES DISORDERS (Skin, legs and arms)

Prozac withdrawal Acne - Eruptions of the oils glands of the skin, especially on the face, marked by pimples, blackheads, whiteheads, bumps, and more severely, by cysts and scarring.

Prozac withdrawal Alopecia - The loss of hair or baldness.

Prozac withdrawal Eczema - A severe or continuing skin disease marked by redness, crusting and scaling with watery blisters and itching.  It is often difficult to treat and will sometimes go away only to reappear again.

Prozac withdrawal Dermatitis - Generally irritated skin that can be caused by any of a number of irritating things such as parasites, fungus, bacteria, or foreign substances causing an allergic reaction.  It is a general inflammation of the skin.

Prozac withdrawal Dry Lips - The lack of normal moisture in the fleshy folds that surround the mouth.

Prozac withdrawal Dry Skin - The lack of normal moisture/oils in the surface layer of the body.  The skin is the body’s largest organ.

 

Prozac withdrawal Folliculitis - Inflammation of a follicle (small body sac) especially a hair follicle.  A hair follicle contains the root of a hair.

 

Prozac withdrawal Furunculosis - Skin boils that show up repeatedly.

 

Prozac withdrawal Lipoma - A tumor of mostly fat cells that is not health endangering.

 

Prozac withdrawal Pruritus - Extreme itching of often-undamaged skin.

 

Prozac withdrawal Rash - A skin eruption or discoloration that may or may not be itching, tingling, burning, or painful.  It may be caused by an allergy, an skin irritation, a skin disease.

 

Prozac withdrawal Skin Nodule - A bulge, knob, swelling or outgrowth in the skin that is a mass of tissue or cells.

 

Prozac withdrawal SPECIAL SENSES

 

Prozac withdrawal Conjunctivitis - Infection of the membrane that covers the eyeball and lines the eyelid, caused by a virus, allergic reaction, or an irritating chemical.  It is characterized by redness, a discharge of fluid and itching.

 

Prozac withdrawal Dry Eyes - Not enough moisture in the eyes.

 

Prozac withdrawal Earache - Pain in the ear.

           

Prozac withdrawal Eye Infection - The invasion of the eye tissue by a bacteria, virus, fungus, etc, causing damage to the tissue, with toxicity.  Infection spreading in the body progresses into disease.

 

Prozac withdrawal Eye Irritation - An inflammation of the eye.

 

Prozac withdrawal Metallic Taste - A range of taste impairment from distorted taste to a complete loss of taste.

 

Prozac withdrawal Pupils Dilated - Abnormal expansion of the blace circular opening in the center of the eye.

 

Prozac withdrawal Taste alteration - Abnormal flavor detection in food.

 

Prozac withdrawal Tinnitus - A buzzing, ringing, or whistling sound in one or both ears occurring from the internal use of certain drugs.

 

Prozac withdrawal Vision Abnormal - Normal images are seen differently by the viewer.

 

Prozac withdrawal Vision Blurred - Eyesight is dim or indistinct and hazy in outline or appearance.

 

Prozac withdrawal Visual Disturbance - Eyesight is interfered with or interrupted.  Some disturbances are light sensitivity and the inability to easily distinguish colors.

Prozac withdrawal URINARY SYSTEM DISORDER

Prozac withdrawal Blood in Urine - Blood is present when one empties liquid waste product of the kidneys through the bladder by urinating in the toilet turning the water pink to bright red.  Or you could see pots of blood in the water after urinating. 

Prozac withdrawal Dysuria - Difficult or painful urination.

Prozac withdrawal Kidney Stone - Small hard masses of salt deposits that the kidney forms.

Prozac withdrawal Urinary Frequency - Having to urinate more often than usual or between unusually short time periods.

Prozac withdrawal Urinary Tract Infection - An invasion of bacteria, viruses, fungi, etc., of the system in the body that starts with the kidneys and eliminates urine from the body.  If the invasion goes unchecked it can injure tissue and progress into disease.

Prozac withdrawal Urinary Urgency - A sudden compelling urge to urinate, accompanied by discomfort in the bladder.

Prozac withdrawal UROGENITAL (Urinary tract and genital structures or functions)

Prozac withdrawal Anorgasmia - Failure to experience an orgasm.

Prozac withdrawal Ejaculation Disorder - Dysfunction of the discharge of semen during orgasm.

Prozac withdrawal Menstrual Disorder - Dysfunction of the discharge during the monthly menstrual cycle.

Prozac withdrawal Acute Renal Failure - The kidneys stop functioning properly to excrete wastes.
 

Prozac withdrawal Angioedema - Intensely itching and swelling welts on the skin called hives caused by an allergic reaction to internal or external agents.  The reaction is common to a food or a drug. Chronic cases can last for a long period of time. 

Prozac withdrawal Toxic Epidermal Necrolysis - An abnormal condition where a large portion of skin becomes intensely red and peels off like a second-degree burn.  Often the symptoms include blistering.

Prozac withdrawal Gastrointestinal Hemorrhage - Stomach and intestinal excessive internal bleeding.

Prozac withdrawal Grand Mal Seizures (or Convulsions) - A recurring sudden violent and involuntary attack of muscle spasms with a loss of consciousness.

Prozac withdrawal Neuroleptic Malignant Syndrome - A life threatening, rare reaction to an anti-psychotic drug marked by fever, muscular rigidity, changed mental status, and dysfunction of the autonomic nervous system.

Prozac withdrawal Pancreatitis - Chemical irritation with redness, swelling, and pain in the pancreas where digestive enzymes and hormones are secreted.

 

Prozac withdrawal QT Prolongation - A very fast heart rhythm disturbance that is too fast for the heart to beat effectively so the blood to the brain falls causing a sudden loss of consciousness and may cause sudden cardiac death.

 

Prozac withdrawal Rhabdomyolysis - The breakdown of muscle fibers that releases the fibers into the circulatory system.  Some of the fibers are poisonous to the kidney and frequently result in kidney damage.

 

Prozac withdrawal Serotonin Syndrome - A disorder brought on by excessive levels of serotonin caused by drugs and can be fatal as death from this side effect can come very rapidly.

 

Prozac withdrawal Thrombocytopenia - An abnormal decrease in the number of blood platelets in the circulatory system. A decrease in platelets would cause a decrease in the ability of the blood to clot when necessary.

 

Prozac withdrawal Torsades de Pointes - Unusual rapid heart rhythm starting in the lower heart chambers.  If the short bursts of rapid heart rhythm continue for a prolonged period it can degenerate into a more rapid rhythm and can be fatal.

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