Fluoxetine is also sometimes used to treat alcoholism, attention-deficit disorder, borderline personality disorder, sleep disorders, headaches, mental illness, posttraumatic stress disorder, Tourette's syndrome, obesity, sexual problems, and phobias.
Talk to your doctor about the possible risks of using this medication for your condition. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one. Fluoxetine may decrease appetite and cause weight loss in children. Your child's doctor will watch his or her growth carefully. Talk to your child's doctor if you have concerns about your child's growth or weight while he or she is taking this medication.
Talk to your child's doctor about the risks of giving fluoxetine to your child. Fluoxetine may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children.
Store it at room temperature and away from light, excess heat, and moisture not in the bathroom. It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily.
To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.
In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at Before having any laboratory test especially those that involve methylene blue , tell your doctor and the laboratory personnel that you are taking fluoxetine. Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.
It is also important information to carry with you in case of emergencies. Fluoxetine pronounced as floo ox' e teen. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What should I do if I forget a dose? What side effects can this medication cause? The maintenance dose is from 20 to 60 mg a day, and the maximum dose is 80 mg a day. An adult who uses delayed release oral capsule to treat depression will take a 90 mg capsule once a week.
Patients who suddenly reduce their dose or stop taking Prozac may experience a number of unwanted effects. Suddenly stopping an antidepressant that has been used for 6 weeks or more can lead to withdrawal syndrome.
Reducing intake can sometimes have this effect. Some patients do not experience withdrawal symptoms, while others will experience symptoms if they stop over several weeks. Some patients may need to stop suddenly, for example, due to adverse effects or pregnancy. It is important for the patient and their doctor to discuss how to stop using fluoxetine. Prozac is selective serotonin reuptake inhibitor SSRI.
It works by blocking the absorption of the neurotransmitter serotonin in the brain. Regulating the amount of serotonin helps brain cells transmit messages to each other. This results in a better and more stable mood. The hippocampus plays a role in forming memories. The U. Food and Drug Administration FDA currently approves Prozac for acute and maintenance treatment of major depressive disorder MDD , obsessive compulsive disorder OCD , bulimia nervosa, and panic disorder, with or without agoraphobia.
Prozac is normally used alone. However, fluoxetine combined with olanzapine OFC can also be used to treat depressive episodes in people with bipolar disorder.
Fluoxetine combined with olanzapine is known as Symbyax. This combination can also help people with treatment-resistant depression. Prozac can be used to treat depression in adults. It can also be used for children and adolescents from the age of 10 to 19 years with severe, persistent depression.
A review comparing the effectiveness of Prozac with other antidepressants found that it appears to be similarly effective, and possibly better tolerated. However, the authors concluded that more research is needed, as a number of factors made an exact comparison difficult.
These patients, say the researchers, may benefit from a switch to Prozac. A number of studies have suggested that Prozac can reduce the incidence of panic attacks in people with panic disorder.
In one study, around 7 percent of patients reported experiencing increased anxiety in the first few weeks after they started using Prozac, compared with 9 percent who took a placebo. Bulimia is a condition where a person binges on food, then uses various methods to purge e. Premenstrual dysphoric disorder PMDD is a condition where a woman experiences depression, tension, and irritability for a few days prior to menstruation that end when menstruation begins. These symptoms are more severe than those of premenstrual syndrome PMS.
They should be clear about the limits of the research around that medication and if there are any other options. Do not stop taking fluoxetine, even when you feel better. With input from you, your health care provider will assess how long you will need to take the medicine.
Depression is also a part of bipolar illness. People with bipolar disorder who take antidepressants may be at risk for "switching" from depression into mania.
Symptoms of mania include "high" or irritable mood, very high self-esteem, decreased need for sleep, pressure to keep talking, racing thoughts, being easily distracted, frequently involved in activities with a large risk for bad consequences for example, excessive buying sprees. Medical attention should be sought if serotonin syndrome is suspected.
If you are planning on becoming pregnant, notify your health care provider to best manage your medications. People living with MDD who wish to become pregnant face important decisions. Untreated MDD has risks to the fetus, as well as the mother. It is important to discuss the risks and benefits of treatment with your doctor and caregivers.
For women who take antidepressant medications during weeks 13 through the end of their pregnancy second and third trimesters , there is a risk that the baby can be born before it is fully developed before 37 weeks. This is a potentially fatal condition that is associated with use of the antidepressant in the second half of pregnancy. However, women who discontinued antidepressant therapy were five times more likely to have a depression relapse than those who continued their antidepressant.
If you are pregnant, please discuss the risks and benefits of antidepressant use with your health care provider. Typically patients begin at a low dose of medicine and the dose is increased slowly over several weeks.
The dose usually ranges from 20 mg to 80 mg when taken once daily or 90 mg taken once weekly. Only your health care provider can determine the correct dose for you. If you are taking fluoxetine for PMDD, it can be taken once daily everyday or intermittently usually starting 14 days prior to menstruation through the first full day of menses of each cycle.
Discuss this with your prescriber. The liquid should be measured with a dosing spoon or oral syringe which you can get from your pharmacy. Consider using a calendar, pillbox, alarm clock, or cell phone alert to help you remember to take your medication. You may also ask a family member or friend to remind you or check in with you to be sure you are taking your medication.
If you miss a dose of fluoxetine that you take daily, take it as soon as you remember, unless it is closer to the time of your next dose. If you take fluoxetine once weekly, take it as soon as possible, then go back to your regular schedule the next week. Discuss this with your health care provider. Do not double your next dose or take more than what is prescribed. Avoid drinking alcohol or using illegal drugs while you are taking antidepressant medications.
They may decrease the benefits e. If an overdose occurs, call your doctor or You may need urgent medical care. You may also contact the poison control center at Headache, nausea, diarrhea, dry mouth, increased sweating, feeling nervous, restless, fatigue, or having trouble sleeping insomnia.
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