FLUOXETINE
(floo OX e teen) Brand: PROzac, PROzac Weekly, Rapiflux, Sarafem, Selfemra
What is the most significant information I must know about fluoxetine?
• You must not use fluoxetine if you also take pimozide or thioridazine, or if you are being treated with methylene blue injection.
• Do not use fluoxetine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. You should wait at least 14 days after stopping an MAO inhibitor till you can take fluoxetine. You should wait 5 weeks after stopping fluoxetine till you can take thioridazine or an MAOI.
• Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using fluoxetine. Your family or another caregivers must also be alert to changes in your mood or symptoms.
What is fluoxetine?
• Fluoxetine is a selective serotonin reuptake inhibitors (SSRI) antidepressant. Fluoxetine affects chemicals in the brain that may become unbalanced and reason depression, panic, anxiety, or obsessive-compulsive symptoms.
• Fluoxetine is used to treat major depressive mess, bulimia nervosa (an eating disorder) obsessive-compulsive mess, panic mess, and premenstrual dysphoric mess (PMDD).
• Fluoxetine is sometimes used together with other medicine called olanzapine (Zyprexa). to treat depression caused by bipolar mess (manic depression). This combination is also used to treat depression after at least 2 another medications have been tried without successful treatment of symptoms.
• Fluoxetine may also be used for purposes not listed in this medicine guide.
What must I discuss with my healthcare provider till taking fluoxetine?
• You must not use fluoxetine if you are allergic to it, if you also take pimozide or thioridazine, or if you are being treated with methylene blue injection.
• Do not use fluoxetine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
• You should wait at least 14 days after stopping an MAO inhibitor till you can take fluoxetine. You should wait 5 weeks after stopping fluoxetine till you can take thioridazine or an MAOI.
• Speak your doctor about all another antidepressants you take, especially Celexa, Cymbalta, Desyrel, Effexor, Lexapro, Luvox, Oleptro, Paxil, Pexeva, Symbyax, Viibryd, or Zoloft.
• To create certain fluoxetine is safety for you, speak your doctor if you have:
· kidney disease;
· diabetes;
· glaucoma;
· seizures or epilepsy;
· bipolar mess (manic depression); or
· a history of drug abuse or suicidal thoughts.
• Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using fluoxetine. Your family or another caregivers must also be alert to changes in your mood or symptoms.
• FDA pregnancy category C. Taking an SSRI antidepressant during pregnancy may reason serious lung problems or another complications in the child. However, you may have a relapse of depression if you stop taking your antidepressant. Speak your doctor right away if you become pregnant while taking fluoxetine. Do not start or stop taking this medication during pregnancy without your doctor's advice.
• Fluoxetine can pass into breast milk and may harm a nursing child. Speak your doctor if you are breast-feeding a baby.
• Do not give this medicine to anyone under 18 years old without medical advice.
How must I take fluoxetine?
• Follow all directions on your prescription label. Your doctor may occasionally change your doze to create certain you get the excellent results. Do not take this medication in larger or less amounts or for longer than recommended.
• Do not crush, chew, interrupt, or open an extended-release capsule. Swallow it intact.
• Measure liquid medication with a particular dose-measuring spoon or medication cup. If you do not have a dose-measuring device, ask your pharmacist for one.
• It may take up to 4 weeks till your symptoms improve. Hold using the medicine as directed and speak your doctor if your symptoms do not improve.
• Do not stop using fluoxetine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using fluoxetine.
• To treat premenstrual dysphoric disorder, the normal doze of fluoxetine is once daily while you are having your period, or 14 days till you suppose your period to start. Follow your doctor's instructions.
• Store at room temperature away from moisture and heat.
What happens if I miss a dose?
• Take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.
• If you miss a doze of Prozac Weekly, take the missed doze as soon as you remember and take the following doze 7 days later. However, if it is nearly time for the following regularly scheduled weekly doze, skip the missed doze and take the following one as directed. Do not take extra medication to create up the missed dose.
What happens if I overdose?
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.
What must I avoid while taking fluoxetine?
• Avoid taking tryptophan while you are taking fluoxetine.
• Drinking alcohol can magnify determined side effects of fluoxetine.
• This medicine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
What are the possible side effects of fluoxetine?
• Get abnormal medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your person, lips, tongue, or throat.
• Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
• Call your doctor at once if you have:
· very stiff (rigid) muscles, tall fever, sweating, confusion, quick or uneven heartbeats, tremors, feeling like you might pass out;
· agitation, hallucinations, overactive reflexes, nausea, vomiting, diarrhea;
· headache, slurred speech, severe weakness, muscle cramps, loss of coordination, feeling unsteady, seizure (convulsions), shallow breathing (breathing may stop); or
· severe skin reaction -- fever, sore throat, swelling in your person or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the person or upper body) and causes blistering and peeling.
• General side effects may include:
· drowsiness, yawning;
· tremors, sweating, feeling anxious or nervous;
· dry mouth, upset stomach, mild nausea;
· sleep problems (insomnia), strange dreams;;
· mild rash;
· changes in weight or appetite;
· decreased sex drive, impotence, or difficulty having an orgasm; or
· cool symptoms such as stuffy nose, sinus pain, sore throat.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
What another drugs will affect fluoxetine?
• Taking fluoxetine with another drugs that create you sleepy or slow your breathing can magnify these effects. Ask your doctor till taking fluoxetine with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety, depression, or seizures.
• Ask your doctor till taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Using an NSAID with fluoxetine may reason you to bruise or bleed easily.
• Much drugs can interact with fluoxetine. Not all possible interactions are listed here. Speak your doctor about all your medications and any you start or stop using during treatment with fluoxetine, especially:
· any another antidepressant or medicine to treat mental illness;
· lithium;
· St. John's Wort;
· tryptophan (sometimes called L-tryptophan);
· vinblastine;
· a blood thinner (warfarin, Coumadin);
· heart medication--digitoxin, flecainide, propafenone, and others;
· medication to treat anxiety--alprazolam, buspirone, diazepam;
· migraine headache medicine--almotriptan, frovatriptan, sumatriptan, naratriptan, rizatriptan, zolmitriptan; or
· seizure medication--carbamazepine, phenytoin.
• This list is not complete and much another drugs can interact with fluoxetine. This includes prescription and over-the-counter medicines, vitamins, and herbal commodity. Give a list of all your medicines to any healthcare provider who treats you.
Where can I get more information?
• Your pharmacist can provide more information about fluoxetine.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.