Fluoxetine is used for treating pre-menstrual dysphoric disorder (PMDD), a serious form of premenstrual symptoms. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural material in the mind, which aids to enhance mood.
Use Fluoxetine as instructed by your doctor.
Take Fluoxetine by mouth with or without food.
Using Fluoxetine at the same time each day will help you remember to bring it.
Continue to take Fluoxetine even though you feel good. Do not miss any doses.
Don't suddenly stop using Fluoxetine without consulting your doctor. Side effects might happen. They could include mental or mood changes, numbness or prickling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness. You will be carefully supervised once you begin Fluoxetine and whenever a change in dose is made.
Take it as promptly as possible, should you forget a dosage of Fluoxetine. In case it is nearly time for your next dose, skip the skipped dosage and return to your regular dosing timetable. Do not take more than one dose at once.
Request your doctor any questions you may have regarding how to use Fluoxetine.
Do NOT use Fluoxetine if:
You're hypersensitive to any component in Fluoxetine
You're taking or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or Saint. John's wort within the last 14 days
You're taking a fenfluramine derivative (eg, dexfenfluramine), an H1 antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, a serotonin-norepinephrine re-uptake inhibitor (SNRI) (eg, venlafaxine), another SSRI (eg, paroxetine), sibutramine, thioridazine, or trp.
Get in touch with your physician or doctor immediately if any of these affect you.
Some medical conditions may interact with Fluoxetine. Tell your physician or pharmacist if you hold any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
In case you are taking any prescription or nonprescription medication, herbal preparation, or dietary supplement
When you have allergies to medications, foods, or alternative substances
In the event that you or a family member has a brief history of bipolar disorder (manic-depression), other psychological or mood problems, suicidal thoughts or attempts, or perhaps alcohol or substance abuse
When you have a history of convulsions, heart problems, liver difficulties, serious kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
Should you be dehydrated, have low blood salt levels, or consume alcohol
if You'll be having electroconvulsive therapy (ECT).
Some medicines might interact with Fluoxetine. Tell your physician should you be getting any other medicines, particularly any of the following:
Anorexiants (eg, phentermine), fenfluramine derivatives (eg, dexfenfluramine), linezolid, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, SNRIs (eg, venlafaxine), Street. John's wort, trazodone, or tryptophan because intense unwanted side effects, like a response that may include temperature, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, might occur
Anticoagulants (eg, warfarin), aspirin, or non-steroidal anti-inflammatory medicines (NSAIDs) (eg, advil) because the risk of bleeding, including stomach bleeding, may be increased
Diuretics (eg, furosemide, hydrochlorothiazide) as the risk of low blood salt amounts may be raised
Because the risk of convulsions may be increased tramadol
Cyclobenzaprine or H1 antagonists (eg, astemizole, terfenadine) because severe heart issues, including irregular heartbeat, may occur
HIV protease inhibitors (eg, ritonavir) because they may increase the chance of Fluoxetine's side effects
Cyproheptadine because it might reduce Fluoxetine's effectiveness
Aripiprazole, benzodiazepines (eg, alprazolam), betablockers (eg, propranolol), carbamazepine, clozapine, dextromethorphan, digoxin, flecainide, haloperidol, hydantoins (eg, phenytoin), lithium, norepinephrine reuptake inhibitors (eg, atomoxetine), phenothiazines (eg, chlorpromazine, thioridazine), pimozide, propafenone, risperidone, tricyclic antidepressants (eg, amitriptyline), or vinblastine because the danger of these side effects can be raised by Fluoxetine.
This may not be a whole record of all relationships that might occur. Request your physician if Fluoxetine might communicate with several other medications which you take. Check with your own health care provider before you start, stop, or adjust the dose of any medication.
Important security information:
Fluoxetine can cause sleepiness or lightheadedness. These effects might be worse if you take it with alcohol or particular medications. Take Fluoxetine with caution. Don't drive or perform other potential unsafe jobs until you know how you respond to it.
Check with your own doctor before you consume alcohol or use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you're taking Fluoxetine; it may increase their effects. Ask your pharmacist when you've got concerns regarding which medications can cause drowsiness.
Weeks might pass before your symptoms improve. Do NOT take more than the recommended dose, alter your dose, or take Fluoxetine for longer than prescribed without consulting your doctor.
Kids and teenagers who take Fluoxetine may be at increased risk for suicidal ideas or actions. Adults are often influenced. The threat may be higher in individuals that have had suicidal thoughts or actions in the past. The threat may also be greater in individuals who have had bipolar (manicdepressive) illness, or if their loved ones have had it. Observe patients who take Fluoxetine closely. Contact the physician at once if new, worsened, or unanticipated symptoms like depressed mood; stressed, unsettled, or irritable behavior; panic attacks; or any unusual change in feeling or behavior occur. Contact the doctor immediately if any signs of suicidal feelings or actions occur.
Diabetes patients - Fluoxetine may affect your blood sugar levels. Check glucose levels carefully. Ask your doctor prior to changing the dosage of your diabetes medicine.
This syndrome is a potentially fatal syndrome which can result from Fluoxetine. Your own risk could be better for Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Signs may include agitation; coma; confusion; excessive sweating; speedy or irregular heartbeat; temperature; hallucinations; nausea, vomiting, or diarrhea; tremor. Get in touch with your doctor right away when you hold some of these symptoms.
Neuroleptic malignant syndrome (NMS) is a possibly deadly syndrome which can result from Fluoxetine. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; rapidly or irregular pulse; and sweating. Contact your doctor immediately if you have some of those symptoms.
If your doctor tells you to quit using Fluoxetine, you're going to have to await weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your physician if you need to begin to bring your new medicines once you have stopped taking Fluoxetine.
Fluoxetine may infrequently cause a lengthy, painful erection. This may happen also if you're not having sex. If this isn't treated immediately, it may cause permanent sexual problems like impotence. Get in touch with your doctor immediately if this occurs.
Fluoxetine comprises a number of the exact same components as Prozac, a medication used in the treatment of depression and other mental difficulties, and Symbyax, a medicine used to treat depression in individuals with bipolar disorder. Do not take Fluoxetine if you are also taking Prozac or Symbyax. Discuss any questions or issues with your doctor.
Use Fluoxetine with caution in the elderly; they may become more sensitive to its effects, particularly low blood sodium levels.
Caution is recommended when using Fluoxetine in kids; they might become more sensitive to the effects, particularly heightened risk of suicidal thoughts or actions.
Fluoxetine should be utilized with extreme caution in children; security and effectiveness in children have not been affirmed.
Fluoxetine can cause weight changes. While they take Fluoxetine children and adolescents may need regular weight and increase checks.
Pregnancy and breast feeding: If it is employed during the last 3 months of pregnancy fluoxetine can cause harm for the fetus. In case you become pregnant, contact your doctor. You'll need to discuss the dangers and benefits of using Fluoxetine while you're pregnant. Fluoxetine is available in breast milk. Don't breast-feed when you are taking Fluoxetine.
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