CAN PROZAC HELP IN …?

Can Prozac induce a manic high? In Bipolar I or Bipolar II manic-depressive patients, not on lithium, Prozac has been reported to induce a manic or hypomanic state, which is why this drug must be prescribed and monitored with great care in such patients. This is a serious problem—and it is certainly something to watch carefully—but keep in mind that all antidepressants present the same danger. Since imipramine, the first antidepressant, was introduced in 1958, hypomanic highs have been induced by every antidepressant on the market, including the tricyclics, MAOIs (Monoamine Oxidase Inhibitors), the second generation antidepressants, the SSRIs, Wellbutrin and Effexor.

What are the symptoms of grief or bereavement, and does Prozac help in their treatment?

We usually think of grief only in terms of the death of a loved one, but bereavement reactions also occur in response to the loss of a job, a large quantity of money, an important object such as a home, or even an idealistic concept that one has long pursued. Weeping, anxiety, sadness, anger, irritability, guilt, insomnia, and obsessive thinking about the loss are all common reactions, but if these symptoms do not begin to level off after three to four months,

psychiatrists usually diagnose major depressive disorder. In such cases, Prozac or another antidepressant, along with therapy, is indicated. Indeed, it may help earlier.

What are seasonal affective disorders (SADs) and can they be treated with Prozac?

Seasonal affective disorders are disturbances of mood that appear to be precipitated at a particular time of the year, usually in the fall or winter. Prozac, like all other antidepressants, as well as light therapy, is effective in treating the recurrent episodes of depression in the seasonal affective disorders, as well as the depression of a nonseasonal type.

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