Three days ago I had my Fluoxetine dosage upped from 20mg to 40mg. I haven't had any shifts since this time however I feel awful. Very jittery, shaky, a nasty taste in my mouth, pretty much everything i got when I started with the 20mg. However in two days I'm working a 15 hour shift. I am a care support worker so I care for my clients in their homes. However this particular person is a waking shift, which means no sleep for me. I'm struggling to keep my eyes open at the best of times and on top of the sicky feeling these give me keeping myself awake doesn't sound appealing at all. Its a really nasty battle of feeling restless but tired and sick, very very sick.
Would it be appropriate to inform my boss of my medication change? As I'm worried i may fall asleep on the shift. This is really just asking for advice more on whether or not to inform my workplace but all help would be really appreciated!
Fluoxetine and night shift advice?
Question posted by rhiannonkiera on 25 Nov 2016
Last updated on 27 November 2016 by chuck1957
Answers
rhiannonkiera; Sorry you have to deal with this problem, But I know the doctor would not have increased it unless you need it, One good thing is many times with the older SSRI'S is when they do increase the dose after you have been on it, Many people do level out quicker than when you first start it and these side effects should go away hopefully sooner than Later. It really depends on you and your boss's relationship. But if you really feel you can't handle a 15-hour shift you should let the boss know, for you and the patient's sake. It's always best, to be honest than putting someone in danger or yourself. But you must take care of yourself prior to being able to take care of others. I'm sure you well be back to normal and feeling better real soon. Keep the chin up you know this is just a minor setback.
Hi Rhiannaonkiera-
It depends on how your boss feels about you being on an antidepressant. You may want to talk to your doctor about staying on the 20 mg if that was working for you. The side effects from the increase can last up to 2 weeks.
Hope you get better soon : )
Related topics
depression, fluoxetine, dosage, anxiety and stress, mouth, taste
Further information
- Fluoxetine uses and safety info
- Fluoxetine prescribing info & package insert (for Health Professionals)
- Side effects of Fluoxetine (detailed)
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