Prozac won't have an immediate effect in most cases. This is a very low starting dose (a good thing, in my opinion) and he may start to feel better in a few days. Most likely YOU will notice some subtle seeming changes in his attitude and behavior within a week. For the full effects it does need to be in the system for several weeks.
I know many docs don't like this medication. Or they don't think of it because the drug reps always push the new medications hard, esp the medications for moods/depression/whatever.
both my mom and I have taken prozac for years. Not all the time, sometimes we don't need it and taper off. Then we will notice things about each other and after a couple of weeks it sort of hits us that we are not nearly as grumpy and surly.
Prozac can cause irritation in the stomach and esophagus. Mostly this is due to not taking the medications properly. I would ask the doctor about putting difficult child on the generic zantac or prilosec (can't remember the generic names but both are generic now) to prevent any problems. Usually this request is fine.
here are the "steps" for taking the medications as told to me by my gastroenterologist:
first get a cup of liquid at least 4 oz and preferably 8 oz. Whatever liquid you choose, it needs to be at a temperature that you can drink all the liquid at once.
Have your pill (s) ready. (If you have doctor's orders for prozac or any other medication, make sure you can take it with-in a certain amount of time or if you should take the stomach medications (generic zantac and prilosec) on an empty or full stomach.
Now, take the pills in your hand. Wait to put them in your mouth.
Take a normal size drink of the liquid you have ready.
Right after you take that "normal" size drink then you put the pills in your mouth.
Use ALL of the rest of the liquid to wash the medication down where it needs to go.
Then take a bite or 3 of this awesome meal. I am so blessed to have you!
The small drink before you put the pills in your mouth is to keep the medications to stick against the wall of the esophagus. Sort of like priming a pump.
Drinking all the water afterwords is very important.
Taking a bite of something and be smart and safe, so I have to get there. Oh Well.
Love you sweetheart!