Posting for a friend who is on EMSAM 6mg and accidentally took 20mg fluoxetine along with her vitamins. Shes pretty depressed / anxious already and is trying to avoid going to ER due to anxiety with leaving the house, etc. Seems pretty intense so I believe her. Not sure how you take prozac with your vitamins. Dont think it was a suicide attempt or anything, not at that dose. She hasnt demonstrated any borderline-like attention seeking stuff before either.
Only advice I could give her (besides go to the ER) is watch heart rate, blood pressure, reflexes, clonus, fever, all those classical ST symptoms.
Two things I think will probably work in her favor though, the dosage is low even considering the extra bioavailability you get with the dermal patch. also shes pretty overweight (like 250lb) so the amount of MAO inhibition she has is probably not that high.
Shes on a low dose of topiramate 50mg for weight control but if she did have seizure activity thats not going to do much.
18 hours after she took the fluoxetine, no symptoms of ST yet. How long does it take to show symtoms of ST if its going to be an issue?
Only advice I could give her (besides go to the ER) is watch heart rate, blood pressure, reflexes, clonus, fever, all those classical ST symptoms.
Two things I think will probably work in her favor though, the dosage is low even considering the extra bioavailability you get with the dermal patch. also shes pretty overweight (like 250lb) so the amount of MAO inhibition she has is probably not that high.
Shes on a low dose of topiramate 50mg for weight control but if she did have seizure activity thats not going to do much.
18 hours after she took the fluoxetine, no symptoms of ST yet. How long does it take to show symtoms of ST if its going to be an issue?