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Fluoxetine is utilized to treat depression, panic attacks, obsessive compulsive disorder, a specific eating disorder (bulimia), and a serious 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 may additionally reduce the urge to do repeated tasks (compulsions such as 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 purging behaviors in bulimia.
OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that are recommended by your health care professional. Make use of this drug for a disorder that is listed in this section only if it has been therefore prescribed by the wellness care pro.
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This drug can also be 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 before you start using fluoxetine and each time you get a refill. If you have any relevant concerns, pose a question to your doctor or pharmacist.
Take this medicine by lips as directed by your doctor, frequently once daily each day. If you are taking this medication twice a day, your doctor may direct you to take it in the morning and at noon.
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 help you remember, mark your calendar.
If you are using the liquid form of this medication, measure 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 medicine regularly getting the most benefit from it. To help you remember, take it at the same time each day.
It's important to carry on taking this medication as prescribed even if you feel great. Never stop taking this medicine without first consulting your doctor. Some conditions may become worse when the drug is abruptly stopped. Your dose may gradually need to be decreased.
You should see some improvement in 1 to 2 weeks. It may take 4 to 5 weeks before you feel the full benefit.
Tell your physician when your condition doesn't enhance or if it worsens.
See section that is also warning.
Nausea, drowsiness, dizziness, anxiety, trouble sleeping, loss in appetite, tiredness, perspiring, or yawning may take place. If some of these effects persist or worsen, tell your physician immediately.
Keep in mind that the medical practitioner has prescribed this medication 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.
Tell your medical practitioner right away if any of these unlikely but side that is serious occur: unusual or serious mental/mood changes (such as agitation, unusual high energy/excitement, ideas of suicide), simple bruising/bleeding, muscle weakness/spasm, shakiness (tremor), reduced interest in sex, changes in intimate ability, uncommon weight loss, big students.
Get medical help straight away for those who have any extremely severe part effects, including: bloody/black/tarry stools, vomit that looks like coffee grounds, fast/irregular heartbeat, fainting, seizures, change in amount of urine, eye pain/swelling/redness, eyesight changes (such as for example seeing rainbows around lights at evening, blurred vision).
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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 might need to regulate your medication, diet, and exercise when you start or stop fluoxetine.
This medication may increase serotonin and rarely cause an extremely condition that is serious serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take (see Drug Interactions section). Get medical help appropriate away if you develop a few of the next symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual 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 help that is medical away, or permanent dilemmas could occur.
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An extremely severe allergic reaction to this drug is rare. However, get help that is medical away if you see any observeable symptoms of a significant allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty respiration.
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It is not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
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In the US -
Call your medical practitioner for medical advice about negative effects. You'll report effects that are side Food And Drug Administration at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Phone your physician for medical advice about unwanted effects. You may report effects that are side Health Canada at 1-866-234-2345.
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Before taking fluoxetine, tell your physician or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergies or other problems. Confer with your pharmacist for lots more details.
Before making use of 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, diabetic issues, low sodium in the blood (such as may possibly occur while taking "water pills" - diuretics), severe loss of body water (dehydration), seizures, stomach/intestinal ulcers, personal or family history of glaucoma (angle-closure type).
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This drug may 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 beverages that are alcoholic.
Fluoxetine may cause an ailment that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other signs (such as for instance serious dizziness, fainting) that require medical attention appropriate away.
The possibility of QT prolongation may be increased if you have certain medical conditions or are taking other medications that may cause QT prolongation. Before using fluoxetine, tell your doctor or pharmacist of all of the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of specific heart problems (QT prolongation in the EKG, sudden cardiac death).
Low levels of potassium or magnesium in the blood may increase your risk also 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. Communicate with your doctor about making use of this medication safely.
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 liquor. Ask your doctor or pharmacist about using this product safely.
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Older grownups may be more sensitive to your 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 bloodstream, especially if they truly are using "water pills" (diuretics).
During pregnancy, this medicine should be used only whenever obviously 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 stiffness, or constant crying. If you observe any one of these symptoms in your newborn, promptly tell the doctor.
Since untreated mental/mood problems (such as depression, panic disorder, obsessive disorder that is compulsive can be a serious condition, do not stop taking this medication unless directed by your doctor. You may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor if you are planning pregnancy, become pregnant, or think.
This drug may pass into breast milk and could have undesirable effects on a nursing infant. Consult your medical professional before breast-feeding.
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