Hello. Several years ago, against a background of parting with a close friend, full of uncertainty in life and constant stress state developed depressive and neurasthenia. For all past time to establish personal life failed despite numerous attempts. Present symptoms vascular composition. Somatic diseases not, was taking many tests. In the morning I feel like not sleep all night long, it is difficult to concentrate. Irritability in the family, social isolation. The mood is sometimes rises at the weekend, but not always. Practically nothing pleases. My doctor prescribed fluoxetine 20 mg in the morning. On the second day of apparent side effects – dry mouth and occasional no unexplainable bouts of anxiety and anxiety (probably the symptoms of panic attacks) – I have this had never happened before. On the second day, woke up at 5 am and could not sleep for a long time. Today I received a third pill. Can taking fluoxetine (without combination with other medications) to make serotonin syndrome? Could be a sign of these side effects beginning stage serotonin syndrome? Should I take tranquilizers (diazapam)? Maybe should stop treatment and drug-free treatment facilities – all these forms of depression is not so heavy? ! What is the likelihood of decreased potency and libido? Whether the effects are reversible taking fluoxetine? How to be. .. Thank you in advance for advice.

“You should discuss all of your questions and concerns with the therapist, who appointed you to this treatment. If you do not trust your doctor – benefit from the treatment he has for you will not. In this case you should look for another doctor, or learn to trust and talk to the one you have. At the same time you learn and build relationships, it will certainly help you in the future.”

“Personally, I think you should stop taking this medicine if you are already experiencing such feelings, then for the “spillover” effects may be amplified, even if you stop paying attention to them. I think depressive condition you should not treat the pill, but psychologically. Spend more time with those people with whom you enjoy. It is also possible that you may want to look inside yourself and answer the question, why do you live, what is your purpose in life. Perhaps worth thinking of the job, a change of scenery at the time: to go on holiday for example, Optionally somewhere abroad – a walk in the woods a week or two in the countryside rural areas, can help restore physical and spiritual strength. Spiritual harmony thing is complicated, and IMHO treat her pills (at least not without a spiritual component) is not quite true. Just make a reservation, I am not a doctor, just a long time tormented like illness. .. ”

“Treatment of this condition must necessarily include antidepressants. Patient “himself” did not get out of depression, it’s empty verbiage inhabitants.
Answers:
1. P-m to make possible.
2. Not fact.
3. Usually with fluoxetine appoint trunks, in order to hedge pobochku. They are compatible.
4. No.
5. Most, unfortunately.
6. Yes.”