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Increased symptoms may also reflect patient bias. QTY:.39 per pill or unit.00, free Shipping. While use of generic fluoxetine rather than Prozac will decrease medication costs, the question arises: Is the brand-name drug more effective than its generic equivalent? And Canada only from Australia, Canada, India, Mauritius, NZ, Singapore, UK, US QTY:.32 per pill or unit.00 Includes.00 Shipping. Ships Worldwide Except Canada from Canada, NZ, Singapore, UK QTY:.59 per pill or unit.95 Includes.95 Shipping. Other people with depression have reported a recurrence of side effects when they switched to generics, and one report showed that switching from one generic to another can also result in a relapse. And theyre less expensive, so it makes sense to use them, says Alpert But, he adds, the differences for a given individual might be enough to throw off that individuals response or to cause additional side effects. 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