Discussions that mention prozac

Women's Health board


I have PMDD. I talked to my doctor about this a couple of years ago. My husband has always said something to me about my moods during this time of the month. It usually happens about 1 week before i start. One day i was sorting laundary and started yelling at my husband about not helping and then like seconds later i was crying. That is when i myself relized that something wasn't right. So i talked with my doctor. She put my on Sarefem. A drug simialar to prozac, but it marketed for PMDD. Well i went off of it for sometime due to us trying to have a baby. We just had our little girl about 4 months ago.Now i have started my clycles again and noticing alot of depression.I wasn't going to do anything about. My fear being that what if something ever happened between my husband and i. I hope that never happens, but what if it does and he would use this aganist me. I thought i would be better for me to get back on it for my daughter.It pretty costly and i talked with my doctor about just getting prozac. Thinking that would be cheaper. The problem with that being that if you take prozac instead you are consider to have a mental problem instead of PMDD. Which i didn't want people saying. So i went with the Sarafem and just paid the money. I think it will be worth it. I was really starting to feel bad. I have only being having my periods for the last two months, but i have really noticed the change in myself since i have had them. Its just horrible. Usually i am really mean to my husband when i get like this, but this time i was extremely depressed with it. If it wasn't for the Sarafem i don't know that my husband would have put up with me this time around. It was really bad. Good luck and i am hear if you need to talk. I know this isn't easy.
You sound about like me...lol. I get pretty mean and irritable towards my husband too. Do you find that you are very "in tune" to your hormones? Like...you know when you are ovulating, up to the minute before you start your period??

I used to be on sarafem also. (a few years ago) I guess it is just like prozac, but it seemed a bit gentler? My insurance quit paying for sarafem, so I had to move to prozac, but now I am on paxil. Charlotte
I have pmdd, have been on prozac for a couple of years which has helped a lot...i tried once to stop taking it and it was a disaster. My pmdd leads to all sorts of self hating thoughts and sometimes suicidal ideations, this is what led me to finally do something about it. I still get irritable and easily down with pms, and i seem to try to break up with my partner every couple of months just before my period! Lately though I have noticed that trend so it is becoming less and less. In the meantime though I have to go to the doc today, my period has been going on for 8 days (twice as long as normal) and I am so tired and cranky...driving everyone crazy including me!
I found that when i was pregnant i felt better too. I was in much happier moods. My husband even noticed. Now that she is four months old and i have been back on my period for a couple of months the pmdd is back. I was very depressed this last period. My husband is very supportive. Thank goodness. At first he was like no we are not paying $100 for sarafem. Its like $120, but insurance helped a little bit. Plus i have $100 deductable to meet. Now that i meet that it will be $20 a month. He really wanted me to get something else. My doctor said that would be prozac, but you have to be careful with that. You can be classified as have a mental problem, but not on sarafem. She said it has alot to do with the way the two drugs are markted. So i didn't want to do the prozac. Plus she said she knew alot of people having troubles getting their insurance to help.I don't know. When i told my husband all that he said ok lets get sarafem. So thats what we did. I have only started in this week. I really loved it a couple of years ago when i was on it.
Quote from americandancer:
Does anyone know if sarafem helps with anxiey issues also? I can't find much about it on the net.


It helps you pretty much the same way that prozac does. I remember it helping me with my anxiety too! ;) Charlotte
Quote from americandancer:
Does anyone know if sarafem helps with anxiey issues also? I can't find much about it on the net.



I am not certain about this, bascially serafem is the same drug as prozac (flouxatene), the only difference is that you only are supposed to take it for the two weeks preceding your period. I did that for a while, now I just take the same dose every day, it's just easier for me that way. I take .20 milligrams a day and it helps a lot.
Yes, I have just been diagnosed with this and I am 33 years old and had my 3rd child 5 months ago. All of a sudden two days before my period, I would develop such severe anxiety, panic and literally could not cope. Would have to stay in bed for five days because I was so tired and freaked out. The day the bleeding stops I am fine. I told this to my OB-GYN and he said I should see a psychiatrist! So I did and he immediately told me after an evaluation that PMDD is what I have. I have NEVER had depression or anxiety or anything like this in my life before and those episodes are really scary. He has prescribed Prozac 20mg day to keep seratonin levels on an even keel every day. I just started the meds on Monday and am praying I won't have to go through this for another period next month. I have learned a lot about mental health in all this and also developed much empathy for those who suffer each day.
I agree you need to give the zoloft some time to kick in. I was on that before and it worked well, I switched to prozac after thinking I didn't need anyting anymore (Big mistake). It is hard to feel that loss of control over your emotions and behavior every month, the zoloft should help you get back on a more even keel. I worried that I would become too happy with meds (in other words never having any feelings at all) but that didn't happen. Just made it more manageable.
Good to read from all of you. Today is my 8th day on 20mg prozac and I'm not sure if it's working...or helping. Maybe it takes a lot longer....I really feel anxiety sometimes and it bothers me...makes me want to reach for a xanax but I know that's probably a bad idea. I've read on the web at some sites that many people feel anxious on prozac...the opposite of what I need. Any advice would be really appreciated!
I know a lot of people say sarafem works for pmdd, which my dr. said is the same as prozac. If you didn't have anxiety issues before you started, I would just give it a little longer. It may have to get in your system, like the zoloft I am taking. Keep us posted!
Oh yea, take the xanax if you have them. It should be fine until you get the prozac in your system. I wouldn't take them either, but I am now because I just don't have a choice.
Quote from americandancer:
I know a lot of people say sarafem works for pmdd, which my dr. said is the same as prozac. If you didn't have anxiety issues before you started, I would just give it a little longer. It may have to get in your system, like the zoloft I am taking. Keep us posted!


Yeah, they do work the same. I have been on both of them. I started on sarafem, then had to get on prozac instead, because my insurance wouldn't cover sarafem because it was more expensive?? I thought that sarafem had less side effects than prozac. What do you think? Sort of a more "gentle" drug.

I went off of prozac after about a year of it, then moved onto sarafem, once I got badly depressed while pregnant. I stayed on that for a year and a half, then went straight to paxil, as I was weaning off of lexapro. Now....I am weaning off paxil, and hoping that my PMMD won't control my life again....*sigh*...Guess I will just wait and see. :confused: Charlotte
So you're not taking anything now? My dr. said prozac and sarafem were the exact same thing, but I don't see how they can be if one is more expensive. But this is the dr. who says pmdd doesn't exist, so I can't really believe him on that one! ;)
Quote from americandancer:
So you're not taking anything now? My dr. said prozac and sarafem were the exact same thing, but I don't see how they can be if one is more expensive. But this is the dr. who says pmdd doesn't exist, so I can't really believe him on that one! ;)


Well, I am weaning off of paxil now; only taking a pill ever 3 days. I notice a difference now...my anger is worse, and I am premenstrual right now too...eeeeek!

I dunno why sarafem is more expensive. They try and make it "seem" more feminine for whatever reason, so maybe that's why?? I heard that prozac and sarafem were the same too, but what the heck is so different about sarafem that makes it more expensive?? Wierd! :confused: Charlotte
Why are you weaning off paxil? I think for pmdd, you have to be on something. I think they have packaged the sarafem as "feminine", as you said, and just up the price for the doctors that are prescribing it to their patients with pmdd....the ones that believe in it anyway. It looks more feminine and is not called outright prozac, so probally many that take it don't even know they are taking prozac. Just a guess.....I hate you are having problems right now. Again, why did you get off the lexapro and why are you weaning off paxil? I'm here for you. Keep me posted.
Quote from americandancer:
Why are you weaning off paxil? I think for pmdd, you have to be on something. I think they have packaged the sarafem as "feminine", as you said, and just up the price for the doctors that are prescribing it to their patients with pmdd....the ones that believe in it anyway. It looks more feminine and is not called outright prozac, so probally many that take it don't even know they are taking prozac. Just a guess.....I hate you are having problems right now. Again, why did you get off the lexapro and why are you weaning off paxil? I'm here for you. Keep me posted.


Well, I got off lexapro mainly because I still seemed anxious alot of the time. My doc moved me to paxil, which I have been on a while now, and it has totally ruined and sex drive I might have had, not to mention I would wake up drenched in sweat every morning.

I know these are side effects of paxil, but they were taking over my life. I had absolutely no urge to have sex, and it was causing some serious marital problems. I already feel the difference in my sexual urges now, and also I don't wake up sweaty anymore. :)

I will just see how it goes without the drugs, and if it my PMDD anger gets out of hand again, I will have to find yet another drug, :confused: Charlotte