@ivy5556 - welcome to Mayo Clinic Connect. I wanted to let you know I moved your post here so that you could chat with others talking about similar topics related to fluoxetine (Prozac) and then coming off of this medication:

- Would like to talk about withdrawal from Prozac https://connect.mayoclinic.org/discussion/would-like-to-talk-about-withdrawal-from-prozac/

I'm sorry to hear that both your time on fluoxetine (Prozac) and afterward have been really rough, ivy5556, with extreme paranoia, anxiety, depression and agitation. Hoping members here such as @rosebookay @dlydailyhope @maryking3977 will have some thoughts for you on whether these symptoms might be because of the medication. @twindeer @catcatanzaro60 @charlotte1957 @maryjjeandennis also have been involved in Connect discussions about fluoxetine (Prozac) and may have some insights for you.

While you wait for them to respond, you might take a look at this Mayo Clinic information on this medication:

- Fluoxetine (oral route) https://www.mayoclinic.org/drugs-supplements/fluoxetine-oral-route/description/drg-20063952

Are you noticing any effects from the escitalopram (Lexapro) you were put on at this point? If not, have you considered making a call to your doctor's office to get some help soon?