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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by rjlockhart98 on September 28, 2005, at 21:18:04
Today, doctors prescribe, well have a tendency to prescribe Lexapro, Cymbalta, Effexor (which is starting to lose some rep)
I read on the top prescibed 10 medications in 1995 Prozac i think was 3.
Today it seems you have to mention it. Lexapro is so popular, all the doctors have samples, and advertisents, my brother takes lexapro from his General doctor.
It was a blockbuster
Posted by Glydin on September 28, 2005, at 22:24:06
In reply to Prozac was only poplular in the 1990's, posted by rjlockhart98 on September 28, 2005, at 21:18:04
Prozac was a huge blockbuster when it first hit the market as it was the first SSRI.I don't think Prozac - which is generic now - has hit the dusty shelves quite yet. A number of folks really like it and do well on it.
Posted by Shawn. T. on September 29, 2005, at 0:25:59
In reply to Prozac was only poplular in the 1990's, posted by rjlockhart98 on September 28, 2005, at 21:18:04
According to RxList, fluoxetine was the 28th most dispensed prescription drug in the U.S. last year. Considering antidepressants only, just Zoloft and Lexapro were dispensed more often. With 21,752,487 prescriptions dispensed last year in the U.S., fluoxetine is still a a very widely prescribed drug. I imagine that fluoxetine will remain a top five antidepressant in terms of prescriptions dispensed for the rest of the decade at least.
Shawn
Posted by blueberry on September 29, 2005, at 5:31:48
In reply to Prozac was only poplular in the 1990's, posted by rjlockhart98 on September 28, 2005, at 21:18:04
Prozac still stands out as a unique ssri, in that it hits the 5ht2 receptor in a way that none of the others do, and that it causes a release of norepinephrine and dopamine in the prefrontal cortex in a way that none of the others do. It has been called an atypical ssri.
But as we all know, none of this science or theory stuff really makes much diff. All that matters is how we respond to personal trials. We're all so unique.
Posted by ed_uk on September 29, 2005, at 14:11:56
In reply to Re: Prozac was only poplular in the 1990's, posted by blueberry on September 29, 2005, at 5:31:48
Generic fluoxetine is immensely popular in the UK. No one takes Prozac - too expensive. The generic is so cheap it's difficult to comprehend how they can even manufacture the box for that price!
~Ed
Posted by Phillipa on September 29, 2005, at 18:26:55
In reply to Re: Prozac was only poplular in the 1990's » blueberry, posted by ed_uk on September 29, 2005, at 14:11:56
Worked the first time round for my daughter. Then when she tried it again it didn't work. Fondly, Phillipa
Posted by med_empowered on October 1, 2005, at 11:22:11
In reply to Re: Prozac was only poplular in the 1990's, posted by Phillipa on September 29, 2005, at 18:26:55
I think Prozac was a huge, unbelievable hit and cultural phenomenom--remember "Listening to Prozac," and "Prozac Nation"? I think its probably the first psychiatric drug since Valium to make such a huge impression on the national psyche. Anyway, it also epitomized for a lot of people what was wrong with pill-culture, and SSRIs in particular--overuse, loss of libido, akathisia, careless RXing by docs, drug-induced mania/psychosis, etc. Plus...shrinks seem to love new drugs--they may not be much better, but they are new...I guess it makes them feel like they're on the "cutting edge"? Well..whatever. Seems like Prozac is still used, but its definitely not first-line for most people anymore...amongst my friends, I see it mostly in combos (Symbyax or other AP/SSRI combos, mixed with Wellbutrin, added to benzos, etc.), but I dont know many people who do Prozac monotherapy. One cool thing...for whatever reason, the Eli Lilly people did some research with combining Prozac with alternative treatments....B-vitamins, I think saint john's wort and/or SAMe, that kind of thing. So...it appears, based on their data, that Prozac (and presumably other SSRIs) are more effective when combined with certain "alternative" treatments, and the results and faster and more pronounced than using either medication alone. I think its a good sign docs are still using Prozac in generic; a lot of times, it seems prescribers get lured by shiny new drugs away from the tried-and-true. Since lots of SSRIs are now generic, or will soon be generic, this certainly bodes well for the cost-conscious mental health consumer.
This is the end of the thread.
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