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Fluoxetine 40mg daily
Hello dr
My doctor prescribed Fluoxetine 20 mg once daily in the morning after breakfast, Propranolol 40 mg twice daily, and Clonazepam 0.25 mg at night for OCD and health anxiety. After 10 days, my doctor advised increasing Fluoxetine to 40 mg daily, and I have started taking 40 mg once daily. However, I am currently taking Propranolol 40 mg only once daily instead of twice. I want to confirm if this is okay and whether increasing Fluoxetine to 40 mg can cause any side effects or long-term effects on the liver or kidneys.
Answers (1)
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Dr. A N M Owais Danish
Proctologist
10 yrs exp
Hyderabad
Fluoxetine 40 mg:
Common step-up dose for OCD/anxiety
May cause initially: nausea, headache, sleep issues, anxiety ↑ for few days
Usually settles in 1–2 weeks
Generally safe for liver & kidneys in healthy individuals
Rarely mild liver enzyme rise, not common
Not ideal to change dose yourself
• Once daily may give less symptom control (palpitations, anxiety)
Better follow doctor’s advised BD dosing unless told otherwise
Clonazepam:
Ok at night short-term
Avoid long-term dependence
What you should do:
- Continue Fluoxetine 40 mg
- Take Propranolol as prescribed twice daily
- Review after 2–3 weeks
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.