Fluoxetine (Prozac)

Remission: GAD-7 < 5
Some Improvement: Any drop in the GAD-7 score
No Improvement: No drop in the GAD-7 score
Partial Response: A drop of 4 or more points in the GAD-7 score at week 6 compared to week 1
Non-Response: A drop of <4 points in GAD-7 score at week 6 compared to week 1

At CDPs 2,3,4,5,6 and 7 consider switching antidepressant if side effects are intolerable FIBSER.pdf
Rather than switch to another medication consider instead switch to Psychotherapy (CBT)
If switching to another medication, go to Increase, Augment or Switch and proceed to the bottom of the page
For assistance with switching please go to SwitchRx
Lower doses or less frequent dosage increases may be better for anxious, medically compromised, geriatric patients or those experiencing tolerable side effects
For patients who develop treatment-emergent anxiety may need to drop the dose and go more slowly
It can help some patients to have some input in determining when to increase the dose
In cases of non-response reassess diagnosis, check for non-adherence and assess for impact of extreme psychosocial stressors
Check WSAS periodically for change in functioning
If treating anxiety with medication only, advise patient to continue to approach situations or experiences that they are avoiding due to anxiety