Hey Des - just wanted to add my experience with Prozac which I was on for a really long time and had had increases to over the years from 10 to 40 mgs daily. I have to say it wasn't doing much for me in the end, and earlier this year switched to Celexa which has made quite a difference.
I don't know if it's because our bodies acclimatize or that the Celexa is just a better med for me though. I was diagnosed with Social Anxiety (which is common in CPTSD) this year and that helped target my symptoms better. Anyway, it's probably best to talk to your GP or better yet a psychiatrist as they are much more experienced in psych meds that GPs. I went through a bit of a crap shoot getting onto the right med with my GP before seeing a psychiatrist and landing on a diagnosis of SA and prescribed Celexa. Some docs don't fully understand CPTSD - in my case Prozac was prescribed for "chronic depression" until being properly diagnosed with CPTSD and then SA so you may have to make sure your GP/T have the full picture of what you are dealing with.
Hope you are able to find something that works for you!
I don't know if it's because our bodies acclimatize or that the Celexa is just a better med for me though. I was diagnosed with Social Anxiety (which is common in CPTSD) this year and that helped target my symptoms better. Anyway, it's probably best to talk to your GP or better yet a psychiatrist as they are much more experienced in psych meds that GPs. I went through a bit of a crap shoot getting onto the right med with my GP before seeing a psychiatrist and landing on a diagnosis of SA and prescribed Celexa. Some docs don't fully understand CPTSD - in my case Prozac was prescribed for "chronic depression" until being properly diagnosed with CPTSD and then SA so you may have to make sure your GP/T have the full picture of what you are dealing with.
Hope you are able to find something that works for you!