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Precautions

Do NOT use Fluoxetine if:

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• you're allergic to the ingredient in Fluoxetine

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• you consider or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within the past 14 days

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• you are taking a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, a serotonin-norepinephrine reuptake inhibitor (SNRI) (eg, venlafaxine), another SSRI (eg, paroxetine), sibutramine, thioridazine, or tryptophan.

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Contact a medical expert or health care provider right away if some of these apply to you.

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Some medical ailments may talk with Fluoxetine. Tell your medical professional or pharmacist when you have any health conditions, in particular when any in the following apply to you:

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• if you might be pregnant, likely to become pregnant, or are breast-feeding

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• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• in case you have allergies to medicines, foods, or another substances

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• if you or possibly a loved one has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse

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• for those who have a reputation seizures, heart problems, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems

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• if you happen to be dehydrated, have low blood sodium levels, or are drinking alcoholic beverages

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• if you may be having electroconvulsive therapy (ECT).

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Some medicines may talk with Fluoxetine. Tell your health care provider if you are taking any other medicines, especially any in the following:

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• 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), St. John's wort, trazodone, or tryptophan because severe side effects, like a reaction that could include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur

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• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that probability of bleeding, including stomach bleeding, could possibly be increased

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• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that likelihood of low blood sodium levels might be increased

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• Tramadol since the probability of seizures may be increased

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• Cyclobenzaprine or H₁ antagonists (eg, astemizole, terfenadine) because severe heart related illnesses, including irregular heartbeat, may occur

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• HIV protease inhibitors (eg, ritonavir) given that they may increase the likelihood of Fluoxetine's side effects

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• Cyproheptadine given it may decrease Fluoxetine's effectiveness

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• Aripiprazole, benzodiazepines (eg, alprazolam), beta-blockers (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 as the chance of their unwanted side effects could possibly be increased by Fluoxetine.

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This is probably not a complete report on all interactions which could occur. Ask your health care provider if Fluoxetine may talk with other medicines that you just take. Check with your doctor before starting, stop, or change the dose of the medicine.

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Important safety information:

• Fluoxetine may cause drowsiness or dizziness. These effects could possibly be worse if you go with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks and soon you discover how you react to it.

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• Check with your doctor prior to deciding to are drinking alcohol or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you consider Fluoxetine; it may increase their effects. Ask the pharmacist in case you have questions regarding which medicines may cause drowsiness.

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• Several weeks may pass before your symptoms improve. Do NOT take a lot more than the recommended dose, improve your dose, or take Fluoxetine more than prescribed without checking together with your doctor.

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• Children and teenagers taking Fluoxetine could be at increased risk for suicidal thoughts or actions. Adults can also be affected. The risk may be greater in patients who have had suicidal thoughts or actions inside the past. The risk are often greater in patients who've had bipolar (manic-depressive) illness, or if their family members also have it. Watch patients having Fluoxetine closely. Contact your physician at once if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any indications of suicidal thoughts or actions occur.

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• Diabetes patients - Fluoxetine may affect your blood sugar. Check blood sugar levels levels closely. Ask your doctor when you affect the dose of one's diabetes medicine.

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• Serotonin syndrome is really a possibly fatal syndrome which can be caused by Fluoxetine. Your risk might be greater if you take Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms may include agitation; coma; confusion; sweating; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your medical professional at once when you have these symptoms.

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• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome that could be brought on by Fluoxetine. Symptoms can include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor immediately when you have any of these symptoms.

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• If a medical expert tells you to stop taking Fluoxetine, you simply must await several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your medical professional when you start to take your new medicines after you might have stopped taking Fluoxetine.

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• Fluoxetine may rarely spark a prolonged, painful erection. This could happen even when you're not having sexual intercourse. If this is not treated right away, it could possibly result in permanent sexual problems including impotence. Contact your medical professional immediately take place.

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• Fluoxetine contains some from the same ingredients as Prozac, medicine used to treat depression along with other mental problems, and Symbyax, medicine used to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you happen to be also taking Prozac or Symbyax. Discuss any queries or concerns along with your doctor.

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• Use Fluoxetine with caution inside elderly; they could be more responsive to its effects, especially low blood sodium levels.

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• Caution is advised when working with Fluoxetine in youngsters; they may be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.

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• Fluoxetine needs to be used with extreme caution in youngsters; safety and effectiveness in youngsters are not confirmed.

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• Fluoxetine could cause weight changes. Children and teenagers might need regular weight and growth checks when they take Fluoxetine.

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• Pregnancy and breast-feeding: Fluoxetine could cause injury to the fetus if it is utilized over the last 3 months of childbearing. If you become pregnant, speak to your doctor. You will need to discuss the rewards and risks of using Fluoxetine while you might be pregnant. Fluoxetine can be found in breast milk. Do not breastfeed while you take Fluoxetine.

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