Prozac - Try higher dosages if not working You have to be patient but it sure does work. I was not seeing much positive benefit at 40mg, but when switched to 60mg the results were dramatic. Until something better comes up I learn to live with the negatives. The negatives are lack of sexual desire, slight fogginess, and slightly blunted emotions. I've found over time my mental clarity has returned and the sexual side-effects lessen. I'm taking Adderall XL mg. daily which offsets some of the mental fogginess, sexual drive and engergy issues. This combo is really great for me.