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Precautions

Do NOT use Fluoxetine if:

• you might be allergic to the ingredient in Fluoxetine
• you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within the past 14 days
• 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.

Contact your doctor or health care provider right away if any of these sign up for you.

Some medical ailments may interact with Fluoxetine. Tell your doctor or pharmacist in case you have any medical conditions, especially if any in the following sign up for you:

• if you are pregnant, likely to conceive, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, and other substances
• if you or possibly a loved one has a reputation bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• in case you have a reputation seizures, heart problems, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or are drinking alcohol
• if you will end up having electroconvulsive therapy (ECT).

Some medicines may communicate with Fluoxetine. Tell your health care provider if you consider every other medicines, especially any with 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), St. John's wort, trazodone, or tryptophan because severe negative effects, say for example a reaction that will include fever, rigid muscles, hypertension changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, could possibly be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood sodium levels could possibly be increased
• Tramadol for the reason that risk of seizures might be increased
• Cyclobenzaprine or H₁ antagonists (eg, astemizole, terfenadine) because severe heart problems, including irregular heartbeat, may occur
• HIV protease inhibitors (eg, ritonavir) given that they may increase the likelihood of Fluoxetine's side effects
• Cyproheptadine since it may decrease Fluoxetine's effectiveness
• 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 be increased by Fluoxetine.

This may not be a whole set of all interactions which could occur. Ask your health care provider if Fluoxetine may connect to other medicines that you simply take. Check with your health care provider prior to starting, stop, or alter the dose from a medicine.

Important safety information:

• Fluoxetine could cause drowsiness or dizziness. These effects could be worse if you take it with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks and soon you recognize how you react to it.
• Check using your doctor when you are drinking alcoholic beverages or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you take Fluoxetine; it may well help to increase their effects. Ask your pharmacist for those who have questions about which medicines could potentially cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take a lot more than the recommended dose, make positive changes to dose, or take Fluoxetine for over prescribed without checking together with your doctor.
• Children and teenagers who take Fluoxetine could be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk might be greater in patients who may have had suicidal thoughts or actions within the past. The risk can be greater in patients who've had bipolar (manic-depressive) illness, or if themselves members experienced it. Watch patients taking Fluoxetine closely. Contact your physician at the same time if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual alteration of mood or behavior occur. Contact a doctor straight away if any indications of suicidal thoughts or actions occur.
• Diabetes patients - Fluoxetine may affect your blood sugar levels. Check blood sugar levels closely. Ask a medical expert before you change the dose of your respective diabetes medicine.
• Serotonin syndrome can be a possibly fatal syndrome that can be a result of Fluoxetine. Your risk might be greater for Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms can sometimes include agitation; coma; confusion; sweating in excess; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact a medical expert at the same time if you have all of these symptoms.
• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome which can be brought on by Fluoxetine. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have these symptoms.
• If a medical expert notifys you to avoid taking Fluoxetine, you simply must loose time waiting for many weeks before you begin to look at certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your doctor ought to start to consider your medicines after you've got stopped taking Fluoxetine.
• Fluoxetine may rarely spark a prolonged, painful erection. This could happen even when you might be not having sexual intercourse. If this is not treated immediately, it could possibly cause permanent sexual dysfunctions including impotence. Contact your medical professional right away take place.
• Fluoxetine contains some of the same ingredients as Prozac, medication utilized to treat depression and also other mental problems, and Symbyax, medicines employed to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you are also taking Prozac or Symbyax. Discuss questions or concerns using your doctor.
• Use Fluoxetine with caution inside the elderly; they might be more understanding of its effects, especially low blood sodium levels.
• Caution is required when utilizing Fluoxetine in kids; they could be more understanding of its effects, especially increased probability of suicidal thoughts or actions.
• Fluoxetine must be in combination with extreme caution in youngsters; safety and effectiveness in children are not confirmed.
• Fluoxetine could potentially cause weight changes. Children and teenagers may require regular weight and growth checks when they take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine could cause problems for the fetus if it is utilized over the past a few months of childbearing. If you get pregnant, speak to your doctor. You will need to discuss the advantages and perils associated with using Fluoxetine while you might be pregnant. Fluoxetine is situated in breast milk. Do not breastfeed while you are taking Fluoxetine.