I had tapered my dose of prozac to 3.4 gms and had decided to stay at that level for several months to totally stabalize.
To avoid the fiddle of measuring the liquid prozac with a one mL syringe every day, I decided to have a compounding pharmacy (Lauden Compounding Pharmacy, Santa Cruz, CA)
make up capsules of 3.4 of prozac. After a week on the new capsules I was a mess, high anxiety and dark thought withdrawal. At first
I thought it was just the bump from changing from liquid to capsules. However I decided to weigh the each capsules with my accurate gram scale.
I was shocked at the discrepency between each capsule. Lowest was 264 mg the highest was 289 mg. Of course these weights include the filler powder
and weight of capsule, but clearly the dose of actual prozac in each capsule was way variant.
I'm in the last stages of tapering and am super sensitive to even the slightest variation in dose. Had been at 3.4 for four months and had stabalized great.
Now I'm all screwed up again.
Is it common for compounding pharmacies to be this careless in their measurement of medication in capsules?