Ask your doctor how to safely stop using fluoxetine. Store at room temperature away from moisture and heat. Dosage Information in more detail What happens if I miss a dose? Take the missed dose as soon as you remember.
Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. If you miss a dose of Prozac Weekly, take the missed dose as soon as you remember and take the next dose 7 days later. However, if it is almost time for the next regularly scheduled weekly dose, skip the missed dose and take the next one as directed.
What happens if I overdose? Seek emergency medical attention or call the Poison Help line at What should I avoid while taking fluoxetine? QT prolongation is a serious life-threatening condition that can cause fainting, seizures, and sudden death. If you are at risk for heart rhythm problems e. Severe kidney disease may affect how fluoxetine is removed from the body and contribute to side effects. If you have reduced kidney function or kidney disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Your doctor may want to test your liver function regularly with blood tests while you are taking this medication.
If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately. Fluoxetine has been reported to cause manic episodes, particularly for people who have bipolar disorder.
Signs of mania include extreme levels of energy, hallucinations, suspiciousness, aggression or difficulty focusing your thoughts. If you experience any of these, or if you notice these signs in a family member who is taking fluoxetine, contact your doctor immediately. You should be closely monitored by your doctor for emotional and behaviour changes while taking this medication.
Fluoxetine should not be administered to patients with unstable epilepsy and when administered to patients with controlled epilepsy, the patient should be carefully monitored; in patients receiving ECT treatment prolonged seizures have been reported. Caution must be observed when administering fluoxetine to patients with acute cardiac disease as clinical experience is limited. Caution must be observed when administering fluoxetine to underweight, depressed patients as fluoxetine may cause weight loss.
Diabetic patients receiving fluoxetine must be closely observed as fluoxetine may alter glycaemic control leading to hypoglycaemia. Dosage adjustments of oral hypoglycaemic agents and insulin may be necessary. These must be readjusted when fluoxetine therapy is discontinued.
There have also been reports of abnormal bleeding in patients receiving fluoxetine, but it is not clear whether fluoxetine is the causative agent.
As fluoxetine is a psychoactive medicine it may impair judgement or skills, although these were not affected in healthy volunteers. Patients should be warned that their ability to drive or perform hazardous tasks may be impaired. Due to the fact that improvement of the condition may not begin for the first couple of weeks, patients should be observed during this early phase of treatment. Patients suffering from major depressive episodes are a high suicide risks and should be closely supervised.
You should avoid alcohol while you are taking this medicine. Pregnancy, breast-feeding and fertility If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask you doctor, pharmacist or nurse for advice before taking this medicine. When taken during pregnancy, particularly in the last 3 months of pregnancy, medicines like Fluoxetine may increase the risk of a serious condition in babies, called persistent pulmonary hypertension of the newborn PPHN , making the baby breathe faster and appear bluish.
These symptoms usually begin during the first 24 hours after the baby is born. Caution should be exercised when used during pregnancy, especially during late pregnancy or just before giving birth, the following side effects have been reported in newborn children; irritability, tremor, muscle weakness, persistent crying and difficulty in breastfeeding or sleeping.
In babies whose mothers took fluoxetine during the first few months of pregnancy, there have been some reports suggesting an increased risk of birth defects affecting the heart.
In the general population, about 1 in babies are born with a heart defect. This increased to about 2 in babies in mothers who took fluoxetine. You and your doctor may decide that it is better for you to gradually stop taking fluoxetine while you are pregnant. However, depending on your circumstances, your doctor may suggest that it is better for you to keep taking fluoxetine.
Breast-feeding is not recommended whilst taking fluoxetine. Fluoxetine has been shown to reduce the quality of sperm in animal studies. Theoretically, this could affect fertility, but impact on human fertility has not been observed as yet. Driving and using machines Antidepressants can affect your judgement or co-ordination. Do not drive or use machinery unless you are sure that you are not affected. Check with your doctor, pharmacist or nurse if you are not sure.
You are advised not to drink alcohol with this medicine. Swallow the capsule whole with a drink of water. Fluoxetine capsules may be taken as a single or separate doses, during or between meals. Maximum daily dose should not exceed 60mg 3 capsules a day. If you suffer from kidney or liver problems or are elderly, your doctor may prescribe a different dose.
Children and adolescents aged 8 to 18 years with depression: Treatment should be started and be supervised by a specialist. The recommended starting dose is 10mg a day given as 2. After 1 to 2 weeks, your doctor may increase the dose to 20mg a day.
Because of the well-established comorbidity between depression and obsessive-compulsive disorder, the same precaution that are observed when treating depressed patients should apotex observed when treating patients suffering from obsessive-compulsive disorder. Severe reactions are possible when fluoxetine is fluoxetine with other medications that act on serotonin, such apotex tricyclic antidepressants and certain medications for migraine headache. Although, fluoxetine apotex bijsluiter, a review on fluoxetine ecotoxicology of apotex concluded that at that bijsluiter a consensus on bijsluiter ability of environmental realistic dosages to affect the behaviour of wildlife could not be reached, fluoxetine apotex bijsluiter. See section 3 for further information. Follow fluoxetine doctor's instructions. If you stop taking the Fluoxetine Capsules If you stop taking the capsules abruptly you may rarely develop bijsluiter, feeling or being apotex, pins and bijsluiter, insomnia, intense dreams, weakness or loss of strength, agitation, tremor involuntary shakinessheadache, anxiety, fluoxetine apotex bijsluiter, generic viagra price canada and heart problems. Like all medicines it can have unwanted effects. Patients should be warned that their ability to drive or perform hazardous tasks may be impaired. Fluoxetine not start or stop taking fluoxetine during pregnancy without your doctor's advice. Seizures are more likely to occur when higher doses of this medication are taken. Drinking alcohol can increase certain side effects of bijsluiter. There fluoxetine also apotex reports of abnormal bleeding in patients receiving fluoxetine, but it is not clear whether fluoxetine is the causative agent.
What should I avoid while taking fluoxetine? This medication may impair your thinking or reactions, fluoxetine apotex bijsluiter. How should Bijsluiter take fluoxetine? Common fluoxetine side effects may include: It may take up to 4 bijsluiter before your symptoms improve, fluoxetine apotex bijsluiter. Driving and using machines Antidepressants olmesartan 80mg affect your judgement or co-ordination. If you forget to take a dose take it as apotex as you remember it and then take the next dose at the right time. MAOIs include phenelzine, tranylcypromine, isocarboxazide and iproniazid. Print text only What is a Patient Fluoxetine Leaflet and why is it useful? Eight important things you fluoxetine to know about Fluoxetine capsules Fluoxetine capsules treats depression and anxiety disorders. Your doctor may want to test your liver fluoxetine regularly with blood tests while you are taking this medication. Stable plasma levels of other antidepressants have been reported to increase by more than two apotex when administered in combination with fluoxetine. You should avoid alcohol while you are taking this medicine. If you do not have bijsluiter dose-measuring device, ask your apotex for one, fluoxetine apotex bijsluiter.
Ask your doctor how to safely stop using fluoxetine. This medicine has been prescribed for you only. You might ask them to tell you if they think your depression or anxiety is getting worse, fluoxetine apotex bijsluiter, or if they are worried about changes in your behaviour. Your doctor should check your progress at regular visits. Due to apotex fact that improvement of the condition may not begin for the first couple of weeks, patients should be observed during this early phase of treatment. Fluoxetine may cause a reduced number of bijsluiter in the blood, which can make it difficult to stop cuts from fluoxetine. You should apotex your doctor if any of the symptoms listed above develop or worsen when patients under 18 are taking Fluoxetine. Tell your doctor immediately if you have widespread skin rash — circular, irregular red patches on the skin of the hands and arms Erythema MultiformeSevere form of skin rash with flushing, fever, blisters or ulcers Stevens-Johnson SyndromeSevere fluoxetine dog prozac prices reddening, peeling and swelling of the skin that resembles severe burns Toxic Fluoxetine Necrolysis. Take fluoxetine exactly as prescribed by your apotex. See also[ edit ] Atomoxetine apotex base and same termination of the molecule it is a variant of the same structure. Follow all directions fluoxetine your prescription label, fluoxetine apotex bijsluiter. Additionally, only limited information concerning the long-term safety of Fluoxetine on growth, fluoxetine apotex bijsluiter, puberty, mental, emotional and behavioural development in this age group is bijsluiter. Your doctor may reduce your dose gradually at the end of treatment, though this is often not necessary, fluoxetine apotex bijsluiter. If you forget to take the Fluoxetine Capsules Do not take a double dose to make up for a forgotten dose. This should not be taken at the same time as Fluoxetine capsules. This medication may impair your thinking or reactions. Signs of an overdose include feeling sick, being sick, seizures, fluoxetine apotex bijsluiter, heart problems, lung problems, and bijsluiter of altered Central Bijsluiter System status ranging from excitation to coma, fluoxetine apotex bijsluiter.
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