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Prozac has been around for more than 20 years, so it's the SSRI that doctors know most about (this is my thought after reading lots of studies).

The first few weeks on any SSRI can be an adjustment. It is not uncommon to have increased anxiety and insomnia during that time. You may also experience headaches or dry mouth. These are transient symptoms that don't last long. It's very common for your doctor to prescribe an anti-anxiety medication such as Xanax or Klonopin to ease you through. Ambien and Lunesta can be used to help you sleep, too. Once your have become accustomed to the SSRI, it should ease your symptoms.

Some people take Trazodone instead of an SSRI, but it's a very sedating drug. It could be a good fit for you, but your doctor will have to decide.

Personally, I'm taking Serzone, which is somewhat related to Trazodone. It's not quite as strong and I sleep beautifully. My anxiety is reduced about 90% and I'm no longer needing any other medications. The downside with Serzone is that it has about a 1 in 250,000 chance of causing liver damage. I have my liver enzymes tested regularly. No problems.

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