<human>: I am a 66 year old male. I have recently had AAA surgery. I have also been informed that I suffer from clinical depression, and for this I am taken one Prozec pill a day. I do not seem to get any effect from these pills once I take one. .My symptoms are a, strange and slow way of thoughts, and I ask if the flow of blood to the brain would be the cause of this. I have very poor circulation in both legs due to clogged arteries, and feel that if it is there, then why not in the brain as well.
<bot>: Hello, Welcome to Chat Doctor. You appear to have multiple symptoms of depression. Prozac used in depression and usually takes 2-4 weeks to show improvement. If you are not responding to existing doses of Prozac then following steps will help you:-Increase dose of prozac-Change of anti-depressant under psychiatrist supervision.-Treatment of medical morbidity.-Addition of cognitive behavior therapy (CBT) and supportive counseling. Wishing you good health and all the best.www.99doctor.com