Cause: Black coffee (caffeine) paired with Prodep (Fluoxetine) and heavy lifting causes excessive sympathetic activation; Fluoxetine slows caffeine breakdown, compounding jitters. Brain Misinterpretation: Normal post-exercise arousal (elevated heart rate, alertness) is being misinterpreted by the brain as panic or emotional anxiety.

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Hi, may be cut down on black coffee and see as it can increase anxiety symptoms.

You could reply: What you’re experiencing can happen after exercise, particularly when combined with caffeine. Both exercise and black coffee can increase physiological arousal, which may sometimes be experienced as anxiety, restlessness or racing thoughts. Try avoiding/reducing the black coffee before your workout, hydrate well, and notice whether the symptoms reduce. If the anxiety continues despite these changes, or feels intense/persistent, please discuss it with your psychiatrist before making any changes to Prodep.

Try avoid black coffee. If anxiety persists even after stopping, need to evaluate for other symptoms or stress if present