Our expert says:
OK, a good explanation is ALWAYS needed. SOunds complex, but broadly OK. With recurrent Depressions and Bipolar Disorder, one tries meds to find the combination that suits the person's condition best, and its important to remain on the proper meds for long enough to see if they work properly. Then if the problem was a first or second episode, they may well try the efefct of weaning you off the meds, as some people then remain well long-term. Some docs after a second episode, most after a third, would recommend remaining on the meds long-term, to prevent or limit future episodes.
Fluoxetine, 20 mg a day suits many people, and 40 mg a day is otherwise a reasonable dose. Alzam is purely a tranquillizer, and is NOT antidepressant NOR a mood stabilizer used in treating bipolar disorder. I don't understand the thinking behind a rather high daily Alzam dose, and it is NOT ever a treatment either for a depressive disorder not likely to even temporarily improve a temporary low such as your mood dip in mid-afternoon. Because that entire family of drugs ( Alzam's relatives ) act on mood rather like alcohol, they could indeed contribute to your episodes of tearfulness, just as a drunk can get teary.
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