Fluoxetine is utilized to treat depression, panic attacks, obsessive compulsive disorder, a certain eating disorder (bulimia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder).
This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It might also reduce the urge to do repeated tasks (compulsions such as for example hand-washing, counting, and checking) that interfere with daily living. Fluoxetine may reduce premenstrual symptoms such as irritability, increased appetite, and depression. It may decrease binging and behaviors that are purging bulimia.
OTHER USES: This area contains uses of the drug which are not listed in the approved professional labeling for the drug but that can be recommended by your quality of life care professional. Use this medication for an ailment that is listed in this section only if it has been so prescribed by your health care pro.
This drug is also used to take care of a specific other eating disorder (anorexia nervosa), post traumatic stress disorder (PTSD), and certain nervous system/sleep disorders (cataplexy, narcolepsy). It may also be used to treat hot flashes that occur with menopause.
Read the Medication Guide supplied by your pharmacist you get a refill before you start using fluoxetine and each time. If you have any relevant concerns, pose a question to your doctor or pharmacist.
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Take this medication by mouth as directed by your doctor, usually once daily each morning. In the morning and at noon if you are taking this medication twice a day, your doctor may direct you to take it.
If you are taking fluoxetine for premenstrual problems, your doctor may direct you to take it every day of the month or just for the 2 weeks before your period through the first full day of your period. To simply help you remember, mark your calendar.
If you are using the fluid form of this medication, determine the dose carefully using a measuring device/spoon that is special. Do not use a household spoon because you may not get the dose that is correct.
The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a dose that is low slowly increase your dose. Follow your doctor's instructions carefully. Simply take this medication regularly to get the benefit that is most from it. Each day to help you remember, take it at the same time.
It's important to continue taking this medication as prescribed even if you feel well. Don't stop using this medicine without first consulting your doctor. Some conditions may become worse whenever drug is abruptly stopped. Your dosage may gradually need to be decreased.
Some improvement should be seen by you in 1 to 2 weeks. It may take 4 to 5 weeks before you feel the full benefit.
Tell your physician if the condition doesn't improve or if it worsens.
See section that is also warning.
Sickness, drowsiness, dizziness, anxiety, trouble resting, loss in appetite, tiredness, perspiring, or yawning might occur. If some of these effects persist or worsen, inform your doctor quickly.
Keep in mind that your physician has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have side that is serious.
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Tell your physician straight away if any of these not likely but serious side effects occur: unusual or severe mental/mood changes (such as agitation, unusual high energy/excitement, ideas of suicide), simple bruising/bleeding, muscle weakness/spasm, shakiness (tremor), reduced libido, changes in intimate ability, uncommon weight loss, big students.
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Get medical help straight away for those who have any extremely serious part effects, including: bloody/black/tarry stools, vomit that appears like coffee grounds, fast/irregular heartbeat, fainting, seizures, change in quantity of urine, eye pain/swelling/redness, vision changes (such as for example seeing rainbows around lights at night, blurred vision).
If you have diabetes, fluoxetine might affect your blood sugar levels. Monitor your blood sugar regularly and share the total results with your doctor. Your doctor may need to regulate your medication, diet, and exercise once you start or stop fluoxetine.
This medicine may increase serotonin and rarely cause a very condition that is serious serotonin syndrome/toxicity. The risk increases you take (see Drug Interactions section) if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs. Get medical help right away if you develop some of the next symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, uncommon agitation/restlessness.
Rarely, males may have a painful or prolonged erection lasting 4 or more hours. If this occurs, stop using this drug and get medical help right away, or permanent problems could occur.
An extremely severe allergic reaction to this drug is rare. However, get medical help right away if you notice any outward symptoms of a critical sensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This isn't a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your medical practitioner for medical advice about unwanted effects. You might report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about negative effects. You may report side effects to wellness Canada at 1-866-234-2345.
Before taking fluoxetine, tell your doctor or pharmacist in the event that you have any other allergies if you are allergic to it; or. This product may contain ingredients that are inactive which can cause allergy symptoms or other problems. Speak to your pharmacist to get more details.
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Before using this medication, tell your doctor or pharmacist your medical history, especially of: personal or family history of bipolar/manic-depressive disorder, personal or family history of suicide attempts, liver problems, diabetes, low salt in the blood (such as might occur while taking "water pills" - diuretics), severe loss of body water (dehydration), seizures, stomach/intestinal ulcers, personal or genealogy of glaucoma (angle-closure type).
This medication might make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.
Fluoxetine may cause a disorder that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause severe (rarely fatal) fast/irregular heartbeat and other signs (such as for example severe dizziness, fainting) that need medical attention appropriate away.
The risk of QT prolongation may be increased if you have actually specific conditions that are medical are taking other drugs that could cause QT prolongation. Before using fluoxetine, tell your doctor or pharmacist of all the medications you take and when you have some of the following conditions: specific heart disease (heart failure, slow heartbeat, QT prolongation in the EKG), family history of particular heart problems (QT prolongation in the EKG, sudden cardiac death).
Lower levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you have conditions such as severe sweating, diarrhea, or vomiting if you use certain drugs (such as diuretics/"water pills") or. Keep in touch with your doctor about making use of this medication safely.
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The liquid form of this medication contains alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Some medications (such as metronidazole, disulfiram) can cause a reaction that is serious combined with alcohol. Pose a question to your pharmacist or doctor about using this product properly.
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Before having surgery, tell your doctor or dentist about all the products you utilize (including prescription drugs, nonprescription drugs, and organic services and products).
Older grownups may be more sensitive to the relative side effects of this drug, especially bleeding and QT prolongation (see above). Older adults may also be more likely to develop low sodium in the blood, especially if they're taking "water pills" (diuretics).
During pregnancy, this medication should be used only whenever plainly required. It may damage an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle tissue stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly.
Since untreated mental/mood problems (such as depression, anxiety attacks, obsessive disorder that is compulsive can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor.
This medication may pass into breast milk and may have effects that are undesirable a nursing infant. Consult your doctor before breast-feeding.
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