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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>Stopping prozac?</title><link>https://www.vetsurgeon.org/f/clinical-questions/10720/stopping-prozac</link><description> Quick question - as I have no experience with Prozac in myself or patients... 
 Client with cat from USA been on prozac a few years. Would like to stop. Do they need to be weaned off/dose reductions slowly or can they just stop cold turkey? If dose</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55541?ContentTypeID=1</link><pubDate>Mon, 13 Feb 2012 13:14:34 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:cf426a41-5929-4129-b7de-c2a17bdad072</guid><dc:creator>Arlo Guthrie</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Bob Russell&amp;quot;]Correct me if I am wrong![/quote]&lt;/p&gt;
&lt;p&gt;No, you&amp;#39;re not, which I agree is less than ideal. I suppose the best thing to do is give yourself the same number of stars as is currently displayed. Still skews things a bit, but the best I can suggest.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55540?ContentTypeID=1</link><pubDate>Mon, 13 Feb 2012 13:05:40 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:4f5090fe-5900-4592-98f8-92e9e10c775d</guid><dc:creator>Bob Russell</dc:creator><description>&lt;p&gt;You will only be able to see the count if you have left &amp;#39;stars&amp;#39;. This is a shame if you are the OP because you have to rate your own post. Correct me if I am wrong!&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55536?ContentTypeID=1</link><pubDate>Mon, 13 Feb 2012 12:51:24 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:44a1e960-75d0-42d1-ba6d-7c961ed8e226</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;Oh, ok. I&amp;#39;ll see if there&amp;#39;s some setting I can turn on for my computer. :)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55535?ContentTypeID=1</link><pubDate>Mon, 13 Feb 2012 12:49:54 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:0012f9ab-d3ad-4d87-8b22-7d95d7292178</guid><dc:creator>Arlo Guthrie</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]Fair point, but how do we know how many people have posted? (I don&amp;#39;t see an indicator...)[/quote]&lt;/p&gt;
&lt;p&gt;When you give someone a star rating, if you subsequently roll your mouse over the stars, there is a pop-up which tells you how many people have voted. It&amp;#39;s normally &amp;lt;5.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55533?ContentTypeID=1</link><pubDate>Mon, 13 Feb 2012 12:47:47 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:ef889b99-3c31-4a7c-8396-ce9959bdda2d</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Bob Russell&amp;quot;]
&lt;p&gt;I think the star system is useful. I feel happy with five stars and carefully re-read what I have said if I get a red star. The system only works in a balanced way if a number of people vote. One person giving a red star is an opinion, twenty giving a red star suggests the poster should perhaps have a rethink!&lt;/p&gt;
&lt;p&gt;It is only for fun as they say!&lt;/p&gt;
&lt;div style="CLEAR:both;"&gt;&lt;/div&gt;
[/quote]&lt;/p&gt;
&lt;p&gt;Fair point, but how do we know how many people have posted? (I don&amp;#39;t see an indicator...)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55527?ContentTypeID=1</link><pubDate>Mon, 13 Feb 2012 11:54:28 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:910073e9-24e2-43aa-8700-a887a5c7101e</guid><dc:creator>Bob Russell</dc:creator><description>&lt;p&gt;I think the star system is useful. I feel happy with five stars and carefully re-read what I have said if I get a red star. The system only works in a balanced way if a number of people vote. One person giving a red star is an opinion, twenty giving a red star suggests the poster should perhaps have a rethink!&lt;/p&gt;
&lt;p&gt;It is only for fun as they say!&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55519?ContentTypeID=1</link><pubDate>Mon, 13 Feb 2012 11:25:01 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:1ac3ec0f-e91f-4158-ba1c-7689f4bdaf38</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Arlo Guthrie&amp;quot;]
&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]For good measure I &amp;quot;suggested&amp;quot; anon&amp;#39;s answer. One star, indeed! Yes, let&amp;#39;s all sneer and belittle someone who had the courage to get help! (sorry, i shouldn&amp;#39;t post angry posts, but good grief! I&amp;#39;m angry!)[/quote]&lt;/p&gt;
&lt;p&gt;There have been a few posts from people who are angry that others have not awarded as many&amp;nbsp;stars as they think a post deserves.&lt;/p&gt;
&lt;p&gt;But the whole point of this system is that it is democratic. If you think someone has not been given as many stars as they deserve, there&amp;#39;s no point complaining,&amp;nbsp;just give &amp;#39;em a 5! If only&amp;nbsp;1 person has awarded&amp;nbsp;1 star, that&amp;#39;ll immediately bring the post out of the red and up to&amp;nbsp;3. I&amp;#39;ve seen one starred posts change rapidly to a 4.5, so it works.&lt;/p&gt;
&lt;div style="CLEAR:both;"&gt;&lt;/div&gt;
[/quote]&lt;/p&gt;
&lt;p&gt;My objection is mainly the lack of any type of accountability. I know many on here have pseudonyms, but even then, the pseudonyms can be a fairly consistent &amp;quot;identity&amp;quot; that is responsible for things they say. A one star? We&amp;#39;ll never know who did it. Maybe it won&amp;#39;t make a difference. &lt;/p&gt;
&lt;p&gt;From the other side of things, this is simly anonymous online bullying when it&amp;#39;s done to a poster who has done nothing to deserve it.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55515?ContentTypeID=1</link><pubDate>Mon, 13 Feb 2012 09:53:19 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:d5bed94a-313e-4a9c-a92f-8d1feca9fa1f</guid><dc:creator>Arlo Guthrie</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]For good measure I &amp;quot;suggested&amp;quot; anon&amp;#39;s answer. One star, indeed! Yes, let&amp;#39;s all sneer and belittle someone who had the courage to get help! (sorry, i shouldn&amp;#39;t post angry posts, but good grief! I&amp;#39;m angry!)[/quote]&lt;/p&gt;
&lt;p&gt;There have been a few posts from people who are angry that others have not awarded as many&amp;nbsp;stars as they think a post deserves.&lt;/p&gt;
&lt;p&gt;But the whole point of this system is that it is democratic. If you think someone has not been given as many stars as they deserve, there&amp;#39;s no point complaining,&amp;nbsp;just give &amp;#39;em a 5! If only&amp;nbsp;1 person has awarded&amp;nbsp;1 star, that&amp;#39;ll immediately bring the post out of the red and up to&amp;nbsp;3. I&amp;#39;ve seen one starred posts change rapidly to a 4.5, so it works.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55494?ContentTypeID=1</link><pubDate>Sun, 12 Feb 2012 19:39:03 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:b9db9638-b986-4473-a9b9-54eb885860d1</guid><dc:creator>argyro koukouseli</dc:creator><description>&lt;p&gt;we are talking about a cat.not a dog.no humans.discontinuation syndrome in humans,as i read,is rare,but if present people complain,discribe....cats can not do that.cats as all&amp;nbsp;of you know many times hide or stay put if something is wrong,behaviour that can surelly be misunderstood by the owner as something not bad,or even good at the point(since we are talking about a possible aggressive cat).&amp;nbsp;are you sure that if its the one out of&amp;nbsp;100 cases,and the cat has dizziness,or insomnia,or brain zaps or....the owner or the vet would be able to tell?&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55477?ContentTypeID=1</link><pubDate>Sun, 12 Feb 2012 17:25:32 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:a97bbae0-90f7-4054-979c-c0a41fc42a55</guid><dc:creator>james herriot lied</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Mark Hedberg&amp;quot;]&lt;/p&gt;
&lt;p&gt;For good measure I &amp;quot;suggested&amp;quot; anon&amp;#39;s answer. One star, indeed! Yes, let&amp;#39;s all sneer and belittle someone who had the courage to get help! (sorry, i shouldn&amp;#39;t post angry posts, but good grief! I&amp;#39;m angry!) &lt;/p&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;Seconded.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55475?ContentTypeID=1</link><pubDate>Sun, 12 Feb 2012 16:59:49 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:bd7893bd-7202-48a8-ad3f-d72000e5dd1d</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;James Laidlaw&amp;quot;]&lt;p&gt;[quote user=&amp;quot;An On MRCVS&amp;quot;]&lt;/p&gt;
&lt;p&gt;Half life in humans is 5 days - you can stop taking Fluoxetine abruptly and not have to taper doses etc.&lt;/p&gt;
&lt;p&gt;Sadly, I am aware of this from years of personal experience!&lt;/p&gt;
&lt;div style="clear:both;"&gt;&lt;/div&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;The fact that anyone here has decided to give this post a low star rating is the reason I&amp;#39;m leaving the rating system alone.&lt;/p&gt;
&lt;p&gt;Thanks for the input - obviously from someone who knows first hand about this drug and is using the Anon log in for a good reason.&lt;/p&gt;
&lt;p&gt;Thanks for all the other replies too.&lt;/p&gt;
&lt;p&gt;James&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;[/quote]&lt;p&gt;

For good measure I &amp;quot;suggested&amp;quot; anon&amp;#39;s answer. One star, indeed! Yes, let&amp;#39;s all sneer and belittle someone who had the courage to get help! (sorry, i shouldn&amp;#39;t post angry posts, but good grief! I&amp;#39;m angry!)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55457?ContentTypeID=1</link><pubDate>Sun, 12 Feb 2012 12:47:59 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:48559aad-0690-4e10-b7fc-a3828663a533</guid><dc:creator>James Laidlaw</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;An On MRCVS&amp;quot;]&lt;/p&gt;
&lt;p&gt;Half life in humans is 5 days - you can stop taking Fluoxetine abruptly and not have to taper doses etc.&lt;/p&gt;
&lt;p&gt;Sadly, I am aware of this from years of personal experience!&lt;/p&gt;
&lt;div style="clear:both;"&gt;&lt;/div&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;The fact that anyone here has decided to give this post a low star rating is the reason I&amp;#39;m leaving the rating system alone.&lt;/p&gt;
&lt;p&gt;Thanks for the input - obviously from someone who knows first hand about this drug and is using the Anon log in for a good reason.&lt;/p&gt;
&lt;p&gt;Thanks for all the other replies too.&lt;/p&gt;
&lt;p&gt;James&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55402?ContentTypeID=1</link><pubDate>Sat, 11 Feb 2012 12:19:49 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:b0b87df4-7d62-49d8-89eb-0bd2903e7a1b</guid><dc:creator>argyro koukouseli</dc:creator><description>&lt;p&gt;consider dry food by royal canin veterinary diet called&amp;quot;&amp;quot;calm&amp;quot;&amp;quot; if you belive it would help.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55401?ContentTypeID=1</link><pubDate>Sat, 11 Feb 2012 12:18:00 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:83397c45-a144-41d2-ad44-5d4e887b1aa9</guid><dc:creator>An On MRCVS</dc:creator><description>&lt;p&gt;Half life in humans is 5 days - you can stop taking Fluoxetine abruptly and not have to taper doses etc.&lt;/p&gt;
&lt;p&gt;Sadly, I am aware of this from years of personal experience!&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55393?ContentTypeID=1</link><pubDate>Sat, 11 Feb 2012 11:11:20 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:25abf749-5ac4-4a33-a9f4-7c60ad36caee</guid><dc:creator>James Laidlaw</dc:creator><description>&lt;p&gt;Was for aggression. Which has stopped. Interestingly formulary says to watch for increased aggression. Owner says original vets never got a 100% confirmed diagnosis for the cause of the problem (difficult in neuro cases anyway) but he responded well to meds.
On discussing only ever had 3 or 4 bouts of behavioural aggression anyway - so difficult to know what difference medicating has had I guess.

Thanks for the replies.

James&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55392?ContentTypeID=1</link><pubDate>Sat, 11 Feb 2012 11:10:33 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:ea0c60e3-a920-4fba-8b5c-54c6309d9012</guid><dc:creator>Clive Ansell</dc:creator><description>&lt;p&gt;&lt;h2&gt;From BNF, advice for human patients taking selective serotonin reuptake inhibitors (SSRI&amp;#39;s).&lt;/h2&gt;
&lt;h2&gt;Withdrawal&lt;/h2&gt;
&lt;p class="cBN"&gt;&lt;em&gt;&amp;quot;Withdrawal effects may occur within 5 days of stopping treatment with antidepressant drugs; they are usually mild and self-limiting, but in some cases may be severe. Drugs with a shorter half-life, such as &lt;/em&gt;&lt;a href="http://www.vetsurgeon.org/forums/3369.htm#_3369" title="BNF:monograph: PAROXETINE"&gt;&lt;em&gt;paroxetine&lt;/em&gt;&lt;/a&gt;&lt;em&gt; and &lt;/em&gt;&lt;a href="http://www.vetsurgeon.org/forums/27102.htm#_27102" title="BNF:monograph: VENLAFAXINE"&gt;&lt;em&gt;venlafaxine&lt;/em&gt;&lt;/a&gt;&lt;em&gt;, are associated with a higher risk of withdrawal symptoms. The risk of withdrawal symptoms is also increased if the antidepressant is stopped suddenly after regular administration for 8 weeks or more. The dose should preferably be reduced gradually over about 4 weeks, or longer if withdrawal symptoms emerge (6 months in patients who have been on long-term maintenance treatment)&amp;quot; &lt;/em&gt;&lt;/p&gt;
&lt;p class="cBN"&gt;That said, they give the same advise for Monoamine-oxidase inhibitors (MAOI&amp;#39;s) in humans &lt;em&gt;&amp;quot;Withdrawal symptoms occasionally experienced when discontinuing MAOIs include hallucinations and paranoid delusions. If possible MAOIs should be withdrawn slowly&amp;quot;&lt;/em&gt; but the data sheet for the licenced canine MAOI, Selgian, states&amp;nbsp; &lt;em&gt;&amp;quot;The treatment can be stopped suddenly without gradual dose reductions&amp;quot;&amp;nbsp; so ?????&lt;/em&gt;&lt;/p&gt;
&lt;p class="cBN"&gt;I think I would be cautious and advise a slowly tapered withdrawal over a month or so. &lt;/p&gt;
&lt;p class="cBN"&gt;&amp;nbsp;&lt;/p&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55390?ContentTypeID=1</link><pubDate>Sat, 11 Feb 2012 11:00:21 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:37f54faf-305e-4f25-a68f-5e5403c4c533</guid><dc:creator>Bob Russell</dc:creator><description>&lt;p&gt;Very slow tapering would be my recommendation. It is not supposed to be addictive in man but people are considered to become &amp;#39;dependent&amp;#39; on it. I would say depending on a drug to get through the day may be considered addiction or it might just mean life is still &amp;#39;difficult&amp;#39;!&lt;/p&gt;
&lt;p&gt;The Americans seemed to go through a spell of using behaviour&amp;nbsp;modifying&amp;nbsp;drugs. Do you know why the cat was put on it in the first place?&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Stopping prozac?</title><link>https://www.vetsurgeon.org/thread/55387?ContentTypeID=1</link><pubDate>Sat, 11 Feb 2012 10:44:56 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:5ca365a7-4e43-4e39-b899-c68329771782</guid><dc:creator>argyro koukouseli</dc:creator><description>&lt;p&gt;termination should be via slow taper when treatment has been chronic.though in humans,suppose in animals also,if suddently stopped it remains in blood and decreases in few weeks.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>