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Everyone feels down or unhappy once in a while, those emotions are part of human nature. But for some people this feeling can take over their lives and interfere with their daily functioning. If you feel the dark cloud above your head getting bigger every day, you may need a little medical help to lift your spirits. Fluoxetine is one of the most popular and well-known anti-depressants in the world. It has been approved for the treatment of severe depression, obsessive compulsive disorder, bulimia nervosa and panic disorder, and is still helping millions of people every day. Fluoxetine can help you find the way to a happier life.
Disponibilidad:
Disponible
Fabricante:
Cipla, Intas
Tiempo Promedio de Entrega:
8 días
For the treatment of severe depression, OCD, bulimia and panic disorder
Can improve outlook, energy levels and sleeping pattern in depressive patients
One of the most popular anti-depressants in the world
Can be used to treat depression in adolescents and children
Can be taken with or without food
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Descripción del Producto
Información de Seguridad
Efectos Secundarios
Preguntas Frecuentes
How to use
Fluoxetine should be taken orally, usually once a day, with or without food. This medication may make you either sleepy or more awake, so depending on the effect this medication has on you, your doctor may advise you to take the full dosage either in the morning or the evening. Follow the instructions of your doctor carefully, even if they differ from the usually recommended dosage. Read the label thoroughly. To obtain maxium benefits of Fluoxetine, you should take The capsules regularly, at approximately the same time every day. It should become part of your daily routine.
It is important to keep taking Fluoxetine, even if you feel well, unless otherwise directed by your doctor. If you suddenly stop taking this medication, some conditions may become worse. You need to be gradually weaned off the capsules.
Overdose
Common potential symptoms of a Fluoxetine overdose include:
Seizures
Drowsiness
Nausea
Fast heart rate (tachycardia)
Vomiting
Other, less frequent, overdose symptoms include, but are not limited to:
Coma
Irregular heart rhythm (arrhythmia)
High blood pressure (hypertension)
Low blood pressure (hypotension)
Fever
Fainting
Loss of life
An overdose of this medication can be fatal. Combining Fluoxetine with certain other medicines can cause symptoms of an overdose. If you suspect you have taken too much of this medication, contact your loval poison control center or the emergency medical services immediately.
Missed dose
If you forget to take a dosage of Fluoxetine, then take the missed dose as soon as you remember. If it is close to your next scheduled dosage, just skip the missed dose and take the next one instead. Do not double up on this medication to make up for a missed dose.
Notes
While under treatment with Fluoxetine, you should make regular appointments for medical or psychiatric tests and check-ups. This way, your doctor can chart your progress and check for any side effects. Make sure not to miss any of these appointments.
Do not share this medication with others, as they may have a condition that is not effectively treated by Fluoxetine.
Storage
Store Fluoxetine at room temperature between 59 and 86 degrees F (15-30 degrees C) and away from light and moisture. KEEP THIS AND ALL MEDICATIONS OUT OF REACH OF CHILDREN.
Important note
The above information is intended to supplement, not substitute for, the expertise and judgement of your physician, pharmacist or other healthcare professional. It should not be construed that the taking of this medication is safe, appropriate or effective for you.
* Illustrations are for graphic purposes only and the ordered medication may differ in appearance.
Precautions
Before using Fluoxetine, you should inform your doctor of all other conditions your suffer or ever have suffered from, including:
Personal or family history of bipolar/manic-depressive disorder
Personal or family history of suicide attempts
Liver problems
Diabetes
Low sodium in the blood
Severe loss of body water (dehydration)
Seizures
Stomach or intestinal ulcers
If you have any of the above conditions, you may not be able to take Fluoxetine or you may need a dosage adjustment.
Fluoxetine may make you dizzy or drowsy. Avoid driving or any other activities that require alterness, until you are sure you can safely do so.
If you are diabetic, this medication may affect your blood sugar levels. You should monitor your blood sugar levels regularly and discuss the results with your doctor. Based on those results, he may decide to adjust your medication, diet or amount of exercise. Liquid forms of Fluoxetine may contain sugar or alcohol. Caution is advised if you have diabetes, alcohol dependence or a liver disease. For this reason you should also limit your alcohol intake while taking this medication.
Caution is advised when Fluoxetine is taken by an elderly person as they may be more sensitive to certain side effects of this medication. People of this age group are more likely to lose too much salt (hyponatremia), especially if they are also taking diuretics.
Fluoxetine is classed as Pregnancy Category C, which means it is not sure whether this medication could be harmful to an unborn baby. It is generally accepted that these capsules are relatively safe to use during pregnancy and that the benefits and risks of taking them should be weighed against each other. Discuss the use of this medication with your doctor if you are pregnant or planning to become pregnant during treatment.
Fluoxetine passes through breast milk and may be harmful to a nursing infant. It is not recommended to breastfeed while taking this medication. Discuss the risks of benefits with your doctor.
Drug Interactions
Before taking Fluoxetine, inform your doctor of all other medication you are currently taking:
MAO inhibitors (Furazolidone, Isocarboxazid, Linezolid, Moclobemide, Phenelzine, Procarbazine, Rasagiline, Selegiline, Tranylcypromine) with fluoxetine for 2 weeks before, during treatment, and at least 5 weeks after your last dose
Pimozide
Sibutramine
Thioridazine
Carbamazepine
Cimetidine
Phenytoin
Vinblastine
Medication for anxiety such as Alprazolam and Diazepam
Antipsychotics such as Aripiprazole, Clozapine, Haloperidol, Perphenazine
Antiarrhythmics such as Propafenone and Flecainide
TCA antidepressants such as Desipramine or Imipramine
Fosamprenavir
Ritonavir
Metoprolol
Diuretics such as Furosemide
Medication that can cause bleeding or bruising (including aspirin, antiplatelet drugs such as Clopidogrel, NSAIDs such as Ibuprofen, blood thinners such as Heparin and Warfarin
Bromocriptine
Buspirone
Dextromethorphan
Lithium
Meperidine
Propoxyphene
Phentermine
SSRIs
SNRIs
Tryptophan
St. John's wort
Medication used to treat migraines such as triptans and dihydroergotamine
Street drugs such as MDMA or ecstasy
Amphetamine
Certain antihistamines including diphenhydramine
Anti-seizure drugs (such as Carbamazepine)
Medicine for sleep or anxiety such as Lorazepam, Zolpidem
Muscle relaxants
Narcotic pain relievers (such as Codeine)
Psychiatric medicines (such as Chlorpromazine, Quetiapine, Nortriptyline, Trazodone)
Cimetidine
Cough-and-cold medication containing ingredients that cause drowsiness
Fluoxetine may stay in your body for several weeks after treatment and could interact with other medications. Before taking any other medication you should tell your doctor if you have taken Fluoxetine in the past 5 weeks.
This is only a partial list and there may be other medications which interact with Fluoxetine. Inform your doctor of all other prescription and non-prescription medication you use, including dietary supplements, vitamins, herbal pills and medication prescribed by other doctors. Do not start or stop taking any medication without discussing it with your doctor first.
Common potential side effects of Fluoxetine include:
Nausea
Drowsiness
Dizziness
Anxiety
Trouble sleeping
Loss of appetite
Weakness
Tiredness
Sweating
Yawning
If any of the above side effects persist or worsen, you should notify your doctor immediately.
Inform your doctor straightaway if you experience any of the following unlikely but serious side effects:
Unusual or severe mental or mood changes (such as agitation, unusual high energy or excitement, thoughts of suicide)
Uncontrolled movements (for example, movements of the lips or tongue)
Shakiness (tremor)
Restlessness
Inability to keep still
Decreased interest in sex
Changes in sexual ability
Blurred vision
Numbness tingling
Tell your doctor immediately if you experience any of the following rare but very serious side effects:
Bloody, black or tarry stools
Vomit that looks like coffee grounds
Easy bruising or bleeding
Fainting
Fast or irregular heartbeat
Muscle weakness or spasm
Seizures
Change in amount of urine
In very rare cases, Fluoxetine may cause a serious condition called serotonin syndrome. This risk increases when used in combination with other medication, such as:
Triptans for the treatment of migraine headaches (e.g. sumatriptan and eletriptan)
Certain antidepressants including other SSRIs (such as Citalopram and Paroxetine) and SNRIs (such as Duloxetine, Venlafaxine)
Lithium
Tramadol
Tryptophan
Certain drug to treat obesity (Sibutramine)
Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. Seek immediate medical attention if you develop some of the following symptoms:
Hallucinations
Unusual restlessness
Loss of coordination
Fast heartbeat
Severe dizziness
Unexplained fever
Severe nausea, vomiting or diarrhea
Twitchy muscles
In very rare cases, you may experience a severe allergic reaction to this medication. Seek emergency medical attention if you notice any of the following symptoms:
Rash
Itching or swelling (especially of the face, tongue or throat)
Severe dizziness
Trouble breathing
Rarely, men who use Fluoxetine may suffer from a painful or prolonged erection (that lasts longer than 4 hours). If this happens, seek immediate medical attention.
Studies have shown that a small number of people taking antidepressants for any condition (especially people under 25) may experience worsening depression, other mental or mood symptoms or suicidal thoughts or attempts. Discuss the risks and benefits of taking antidepressants with your doctor, especially if you are under 25. Inform your doctor straightaway if you notice any of the following symptoms:
Worsening depression or other psychiatric conditions
Unusual behaviour changes (including possible suicidal thoughts or attempts)
New or worsening anxiety
Panic attacks
Trouble sleeping
Irritability
Hostile or angry feelings
Impulsive actions
Severe restlessness
Very rapid speech
This is only a partial list and other side effects may occur. Inform your doctor straightaway if you experience any side effects other than the ones mentioned above, epecially if they are bothersome.
How does Fluoxetine work?
The exact mechanism of how antidepressants work is still not entirely clear. Fluoxetine belongs to the family of Selective Serotonin Reuptake Inhibitors (SSRIs). It works against depression and anxiety by blocking the natural reabsorption of a chemical called serotonin in the brain. This increases the amount of serotonin, which has a positive effect on the mood.
Can I drink alcohol while taking Fluoxetine?
Alcohol and Fluoxetine both act upon similar chemicals in the brain. These capsules may intensify the effects of alcohol and in turn alcohol may increase the risk of side effects of this medication. It is recommended to limit your alcohol intake while taking Fluoxetine.
How long does it usually take for Fluoxetine to start working?
It typically takes Fluoxetine about 3-5 weeks to start working, depending on the severity of your condition and symptoms.
Is it safe to use Fluoxetine when pregnant or breastfeeding?
Fluoxetine is classed as Pregnancy Category C, which means it is not sure whether this medication could be harmful to an unborn baby. It is generally accepted that these capsules are relatively safe to use during pregnancy and that the benefits and risks of taking them should be weighed against each other. Discuss the use of this medication with your doctor if you are pregnant or planning to become pregnant during treatment.
Fluoxetine passes through breast milk and may be harmful to a nursing infant. It is not recommended to breastfeed while taking this medication. Discuss the risks of benefits with your doctor.
What is the recommended dosage of Fluoxetine?
The recommended starting dosage of Fluoxetine for adults is 20mg. This may be increased to up to 80mg during the course of treatment.
The recommended dosage of Fluoxetine for treating depression in children is 10-20mg.
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