I have been on Prozac for several years now. (I'm also a cognitive-behavioral therapist) Any of the SSRI's can cause side effects. For most people, the effects are minimal and last only for a few days or weeks. Nausea is the most common side effect, and usually only lasts a few days. Taking the Prozac with food, and at night, can help with the initial nausea. Most doctors will start you at a lower dose and gradually increase it to a therapeutic level to minimize those early side effects. As with any medication, there are some people who just aren't going to be able to tolerate the Prozac. There are many other effective antidepressants to try if it turns out you can't tolerate the Prozac.

Before I was on Prozac I took Paxil. I experienced some really nasty side effects when I decided to taper off of it, and have encountered a number of people who had a similar experience--so you may want to steer clear of it.

Good luck.

Janie