Prozac makes me feel numb
SAMHSA’s National Helpline | SAMHSA
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SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
Also visit the online treatment locator.
SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders.
This service provides referrals to local treatment facilities, support groups, and community-based organizations.
Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.
The service is open 24/7, 365 days a year.
English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.
In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.
The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid.
If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.
The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.
No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.
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Suggested Resources
What Is Substance Abuse Treatment? A Booklet for Families
Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery.
Addresses concerns of children of parents with substance use/abuse problems.It's Not Your Fault (NACoA) (PDF | 12 KB)
Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.
For additional resources, please visit the SAMHSA Store.
Last Updated: 08/30/2022
SAMHSA Behavioral Health Treatment Services Locator
HomeWelcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.
PLEASE NOTE: Your personal information and the search criteria you enter into the Locator is secure and anonymous. SAMHSA does not collect or maintain any information you provide.
Please enter a valid location.
please type your address
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FindTreatment.
gov Millions of Americans have a substance use disorder. Find a treatment facility near you.
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988 Suicide & Crisis Lifeline
Call or text 988
Free and confidential support for people in distress, 24/7.
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National Helpline
1-800-662-HELP (4357)
Treatment referral and information, 24/7.
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Disaster Distress Helpline
1-800-985-5990
Immediate crisis counseling related to disasters, 24/7.
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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly.
Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).
Fluoxetine (Prozac) for depression. Who tried? Was there an effect?
Fluoxetine (Prozac) …
41 responses
Last - Remove
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6
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#5
Guest
You lose weight
467 answers
A lie 22 years long. How to destroy?
754 answers
Husband left, 2 months of depression... How will you cope if you are left all alone?
171 reply
#31
Guest
My husband has been drinking for a year now. Prescribed by a psychiatrist. These pills are prescription only. You need to drink it with tranquilizers. Then they are cancelled. A side effect is insomnia. (Everyone probably has a different one). The mood got better. You should definitely see a doctor. depression is different.
I had psychosomatics:
palpitations, dyspnea, insomnia, pain in the left storon, numbness, etc. I was prescribed rexetine and trunks temporarily. Be sure to go to psychotherapy. It took me 6 months for treatment, 2 months of psychotherapy, autogenic training, relaxation. For 2.5 years without pills, I have depression caused by stress, but my husband has chronic depression. I learned to relieve nervous tension with exercises. My husband only takes pills and does not exercise.
#32
Guest I bought
without a prescription, started taking it, now I'm afraid what to do next... And what if next time they don't sell it without a prescription? How do I get off this hell?
Glycine.
Someone, please advise some remedies for withdrawal syndrome, which can be bought without a prescription in the state. pharmacy!
#33
Guest
drink the fourth day.
The condition is terrible. I fall asleep on the go, my head is splitting, nauseated, my hands are shaking, my pupils are dilated, my face is swollen ... Terrible side effects. I'll try it for a week or two and we'll see. But so far, I'm not happy with my condition. I don't know when it will change or if it will change at all.
#34
#35
Anonymous
You need to leave fluoxine on glycine.
#36
Willow
Vary your dose. #370006
#38
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They are not sold without a recipe, although they are not sold for the first time ... now not know what to do, how to get off the flu..
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drank fluoxetine yesterday, was sick today.
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z.s. I took one pill for the first time.
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Arpimed
Amitriptyline can be taken no earlier than 14 days after stopping the MAO inhibitors.
Special instructions and precautions
Talk to your doctor or pharmacist before using Amitriptyline.
Arrhythmias and hypotension may occur with high doses of amitriptyline. This can also occur at regular doses if you suffer from heart disease.
Prolongation of the QT interval
Cardiac pathology called “prolongation of the QT interval” (which is recorded on the electrocardiogram, ECG) and arrhythmia (rapid or irregular heartbeat) was observed with the use of Amitriptyline. Tell your doctor if:
- you have a slow heartbeat,
- you have or have had problems where your heart is not able to supply the body with the blood it needs (a condition called heart failure),
- are taking other medicines that can cause heart problems, or
- have a disorder that results in low levels of potassium or magnesium or high levels of potassium in the blood
- if you are preparing for surgery, as it may be necessary to stop taking amitriptyline before administering anesthetics.
In case of emergency surgery, the anesthesiologist should be informed about the treatment with amitriptyline. - have an overactive thyroid or are taking thyroid medication.
Suicidal thoughts and worsening of your depressive disorder
If you are depressed, you may sometimes have suicidal thoughts and desire to hurt yourself. These may be increased the first time antidepressants are used, as these drugs take time to develop an effect, about 2 weeks or more.
This is especially observed in the following categories of patients:
- if you have had suicidal thoughts and a desire to harm yourself before,
- if you are young. Data from clinical studies have shown that an increased risk of suicidal tendencies occurs in people under the age of 25 with psychiatric disorders treated with antidepressants.
If you have suicidal thoughts and want to hurt yourself, call your doctor or go to the hospital right away.
It may be helpful to tell a relative or close friend that you are depressed and ask them to read this leaflet. You can ask them to tell you if they think your depression or anxiety is getting worse, or if they are worried about changes in your behavior.
Manic episode
Some patients with manic-depressive illness may enter a manic phase. It is characterized by exuberant and rapidly changing ideas, hyperthymia (persistent high spirits), and excessive physical activity.
Tell your healthcare provider if you have or have recently had health problems, especially if you have
- narrow angle glaucoma (loss of vision due to an abnormal increase in intraocular pressure)
- epilepsy, history of convulsions or seizures
- difficulty urinating
- prostate enlargement
- diseases of the thyroid gland
- bipolar disorder
- schizophrenia
- acute liver disease
- severe heart disease
- pyloric stenosis (narrowing of the opening at the outlet of the stomach) and paralytic ileus (intestinal obstruction)
- diabetes, because you may need to adjust the dose of your diabetes medicine.
If you are using antidepressants such as selective serotonin reuptake inhibitors (SSRIs), your doctor may consider changing the dose of your medicine (see section Other drugs and Amitriptyline and section How to take Amitriptyline).
Older people are more likely to experience certain side effects, such as dizziness due to orthostatic hypotension (see section Possible side effects).
Children and adolescents
Depression, neuropathic pain, chronic headache of tenzial type and migraine prevention
Amititilin should not be prescribed for children and adolescents under the age of 18 years old since this age group is for this age group since this age group is for this age group since this age group effectiveness has not been established.
Bedwetting
- ECG should be performed before starting amitriptyline therapy to rule out long QT syndrome
- Medicines in this group should not be taken concomitantly with anticholinergics (see also section Other medicines and Amitriptyline)
- Suicidal thoughts and behavior may also develop during early antidepressant treatment for disorders other than depression; in the treatment of patients with bedwetting, the same precautions should be observed as in the treatment of patients with depression.
Other medicines and amitriptyline
Some medicines can affect how other medicines work, and this can sometimes cause serious side effects.
Tell your doctor or pharmacist if you are taking, have recently taken or should be taking any other medicines such as: (used to treat Parkinson's disease). They should not be taken during a course of treatment with amitriptyline (see section Do not take amitriptyline)
John's wort - herbal remedy for depression
Also tell your doctor if you are taking, have recently taken or may be taking medicines that can affect your heart rate, including:
- medicines for the treatment of palpitations (including quinidine and sotalol)
- astemizole and terfenadine (used to treat allergic reactions and hay fever)
- medicines used to treat certain mental illnesses (including pimozide and sertindole)
- cisapride (used to treat certain types of indigestion)
- halofantrine (used to treat malaria)
- methadone (used for pain management and drug detoxification)
- diuretics (including furosemide).
If you are having surgery with general or local anesthetics, you must tell your doctor that you are taking this drug.
You must also tell your dentist that you are taking this drug before you use a local anesthetic.
Amitriptyline with alcohol
It is not recommended to drink alcohol during treatment with this medicine, as this may increase the sedative effect.
Pregnancy and lactation
If you are pregnant or breastfeeding, think you may be pregnant or are planning to become pregnant, please consult your healthcare professional.
Amitriptyline is not recommended during pregnancy unless you and your doctor have discussed the risks and benefits of using the drug.
If you are taking this drug during the last trimester of pregnancy, you should know that your newborn baby may have the following side effects such as irritability, increased muscle tension, tremors, irregular breathing, not wanting to drink fluids, loud crying, urinary retention and constipation.
Your doctor will tell you to start/continue/stop breastfeeding or stop using this drug based on the benefits of breastfeeding for your baby and the benefits of therapy for you.
Influence on the ability to drive and use machines
The drug may cause drowsiness, dizziness, especially at the beginning of treatment. It is unacceptable to drive or work with mechanisms if it negatively affects you.
Important information about the ingredients of amitriptyline tablets
Amitriptyline tablets contain lactose
medicine.
How to take Amitriptyline
Amitriptyline should be taken exactly as directed by your doctor. If you have any doubts, you should consult your doctor or pharmacist.
Not all dosage regimens are possible with different dosage forms and doses of the drug.
The appropriate dosage form and dosage must be selected for starting 3 and subsequent increasing doses.
Depression
Adults :
The recommended starting dose is 25 mg twice a day. Depending on the clinical effect, the dose may be increased up to 150 mg/day divided into two doses.
Elderly patients (over 65 years of age) and patients with cardiovascular disease
The recommended starting dose is 10-25 mg per day. Depending on the clinical effect, the dose may be increased to 100 mg / day, divided into two doses. If you are taking 100mg to 150mg of the drug, you may need to see your doctor more often.
Use in children and adolescents
Amitriptyline is not recommended for use in children and adolescents for the treatment of depression. See section 2 for more information.
Neuropathic pain, chronic tension headaches and migraine prophylaxis
Your doctor will adjust the dose and response of your body to your symptom and response to treatment.
Adults :
The recommended starting dose is 10-25 mg in the evening.
The recommended daily dose is 25-75 mg.
Depending on the clinical effect, the dose may be gradually increased. If you are taking more than 100mg/day, you may need to see your doctor more often. Take the drug once a day or divide the dose into two doses, your doctor will tell you.
Elderly patients (over 65 years of age) and patients with cardiovascular disease
The recommended starting dose is 10-25 mg in the evening.
Depending on the clinical effect of the drug, the dose may be gradually increased.
If you are taking more than 75 mg/day, you may need to see your doctor more often.
Use in children and adolescents
Amitriptyline is not recommended for use in children and adolescents for the treatment of neuropathic pain, chronic tension headache and migraine prophylaxis.
For more information, see What you need to know before you use Amitriptyline.
Bedwetting
Use in children and adolescents
Recommended dose for children:
- Children under 6 years of age: See section "Do not take Amitriptyline Tablets"
- Children 6 to 10 years of age: 10 to 20 mg daily. In this age group, appropriate release forms are used.
- Children 11 years of age and older: 25-50 mg.
The dose should be increased gradually.
Should be taken 1 to 1.5 hours before bedtime.
Before starting treatment, your healthcare provider should perform an ECG to check for signs of a palpitations.
Your doctor will re-evaluate your condition after 3 months of treatment and, if necessary, perform a repeat ECG.
Do not stop taking this medicine without your doctor's advice.
Special Patient Populations
Patients with liver disease or known to be "slow metabolisers" are usually given lower doses.
Your doctor may take blood samples to check your amitriptyline level (see What you need to know before you use amitriptyline).
How and when to take Amitriptyline
The drug should be taken with or after meals.
Tablets should be swallowed whole with water. Tablets should not be chewed.
Treatment period
Do not change the dose of the drug or stop taking the drug without consulting a doctor.
Depression
As with other drugs used to treat depression, this too can take several weeks before you feel any improvement in your condition.
In the treatment of depression, the duration of treatment is individual and is usually at least 6 months. The duration of treatment is determined by your doctor.
Continue taking Amitriptyline for as long as your doctor tells you to. The disease may persist for a long time. If you stop treatment too soon, the symptoms of the disease may recur.
Neuropathic pain, chronic headaches tension type and migraine prevention
It may take a few weeks for your condition to improve.
Talk to your doctor about the duration of treatment and continue taking the drug until the doctor stops it.
Bedwetting
Your doctor will determine if you need to continue treatment after 3 months of taking the drug.
If you have taken more Amitriptyline than recommended
If you have taken more Amitriptyline than prescribed by your doctor, contact your doctor or the nearest hospital emergency room immediately, even if you do not experience any discomfort or symptoms of poisoning . Take the medicine package with you if you go to the doctor or hospital.
Overdose symptoms include:
- dilated pupils
- rapid or irregular heartbeat
- difficulty urinating
- dry mouth or tongue
- intestinal obstruction
- seizures
- fever
- anxiety
- confusion
- hallucinations
- involuntary movements
- low blood pressure, weak pulse, pallor
- shortness of breath
- cyanosis of the skin
- decreased heart rate
- drowsiness
- loss of consciousness
- coma
- various cardiac diseases such as cardiac conduction block, heart failure, hypotension, cardiogenic shock, metabolic acidosis, hypokalemia.
