My doctor moved me from one SSRI to Prozac (fluoxetine) and the first three weeks were rough in a way nobody prepared me for.

What helped was writing down what I could physically do that day rather than a pain score. Numbers lie, function does not.

My doctor wants to separate tolerance from a genuine change in the underlying problem, which sounds sensible until you try to describe the difference in a ten minute appointment.

Sleep is the variable that moves everything else. Bad night, worse day, more delayed effects.

Cutting by ten percent of the current dose rather than the original is the arithmetic that keeps it survivable.

Would rather hear from people who have lived it than from the leaflet.