 | Prozac® is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, bulimia, obsessive compulsive disorders (OCD) and severe symptoms of premenstrual syndrome (PMDD). This medication works by helping to restore the balance of certain natu
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for prescription depression medications like Prozac.
Prozac also treats bulimia, obsessive compulsive
disorders (OCD) and severe symptoms of premenstrual
syndrome (PMDD).
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Common Brand Name(s)
Prozac, Sarafem
Uses
Fluoxetine is used to treat depression, bulimia
(an eating disorder), obsessive compulsive disorders
(OCD), and severe symptoms of premenstrual syndrome
(premenstrual dysphoric disorder-PMDD). This medication
works by helping to restore the balance of certain
natural chemicals in the brain.
Other Uses
This medication has also been used to treat panic
attacks, obesity, and alcoholism.
How to Use
Take this medication by mouth usually once daily
in the morning, with or without food; or as directed
by your doctor. The dosage is based on your medical
condition and response to therapy. Some medical
conditions may require a different dosing schedule
(e.g., twice daily in the morning and at noon) as
determined by your doctor. Take this medication
exactly as prescribed. It is important to continue
taking this medication even if you feel well. Also,
do not stop taking this medication without consulting
your doctor. It may take up to 4 weeks before the
full benefit of this drug takes effect.
Side Effects
Nausea, headache, trouble sleeping, dry mouth, drowsiness,
sweating, or upset stomach may occur. If any of
these effects persist or worsen, notify your doctor
promptly. Tell your doctor immediately if any of
these serious side effects occur: loss of appetite,
unusual weight loss, unusual or severe mental/mood
changes, uncontrolled movements (tremor), decreased
interest in sex, flu-like symptoms (e.g., chills,
fever, muscle aches, weakness). Tell your doctor
immediately if any of these unlikely but serious
side effects occur: vision changes, trouble swallowing,
swelling or white spots on the mouth and/or tongue,
changes in sexual ability, painful and/or prolonged
erection. Tell your doctor immediately if any of
these highly unlikely but very serious side effects
occur: fainting, irregular/fast heartbeat. An allergic
reaction to this drug is unlikely, but seek immediate
medical attention if it occurs. Symptoms of an allergic
reaction include: rash, itching, swelling, dizziness,
trouble breathing. If you notice other effects not
listed above, contact your doctor or pharmacist.
Precautions
Tell your doctor your medical history, especially
of: liver problems, kidney disease, seizures, heart
problems, diabetes, any allergies. This drug may
make you dizzy or drowsy; use caution engaging in
activities requiring alertness such as driving or
using machinery. Limit alcoholic beverages. Liquid
preparations of this product may contain sugar and/or
small amounts of alcohol. Caution is advised if
you have diabetes, alcohol dependence, or liver
disease. Ask your doctor or pharmacist about the
safe use of this product. Caution is advised when
using this product in the elderly because they may
be more sensitive to the effects of the drug. This
medication should be used only when clearly needed
during pregnancy. Discuss the risks and benefits
with your doctor. This drug passes into breast milk.
Because of the potential risk to the infant, breast-feeding
while using this drug is not recommended. Consult
your doctor before breast-feeding.
Drug Interactions
Certain medications taken with this product could
result in serious, even fatal, drug interactions.
Avoid taking MAO inhibitors (e.g., furazolidone,
isocarboxazid, linezolid, moclobemide, phenelzine,
procarbazine, selegiline, tranylcypromine) within
2 weeks, and avoid taking thioridazine within 5
weeks, before or after treatment with this medication.
Consult your doctor or pharmacist for additional
information. This drug is not recommended for use
with: weight loss medicine (e.g., sibutramine, phentermine),
thioridazine, terfenadine, astemizole. Ask your
doctor or pharmacist for more details. Tell your
doctor of all prescription and nonprescription medication
you may use, especially: other SSRI antidepressants
(e.g., citalopram, sertraline), nefazodone, trazodone,
venlafaxine, "triptan" migraine drugs (e.g., sumatriptan,
zolmitriptan), tramadol, tricyclic antidepressants
(e.g., amitriptyline, nortriptyline), flecainide,
propafenone, haloperidol, clozapine, lithium, tryptophan,
"blood thinners" (e.g., warfarin), anti-seizure
drugs (e.g., carbamazepine, phenytoin/hydantoins),
herbal/natural products (e.g., St John's wort, ayahuasca).
Tell your doctor if you take any drugs that cause
drowsiness such as: medicine for sleep, tranquilizers,
anti-anxiety drugs (e.g., alprazolam), narcotic
pain relievers (e.g., codeine), muscle relaxants,
psychiatric medicine (e.g., phenothiazines such
as chlorpromazine), certain antihistamines (e.g.,
diphenhydramine). Check the labels on all your medicines
(e.g., cough-and-cold products) because they may
contain drowsiness-causing ingredients. Ask your
pharmacist about the safe use of these products.
Report other drugs which affect the heart rhythm
(QTc prolongation), such as: dofetilide, pimozide,
sotalol, quinidine, procainamide, sparfloxacin,
"water pills" (diuretics such as furosemide or hydrochlorothiazide).
Ask your doctor or pharmacist for more details.
Fluoxetine may affect the amount of glucose (sugar)
in your blood. If you take any anti-diabetes medication
(e.g., glipizide, glyburide, metformin), your dosage
of these drugs may need to be adjusted when fluoxetine
is started or discontinued. Consult your doctor.
Do not start or stop any medicine without doctor
or pharmacist approval.
Overdose
If overdose is suspected, contact your local poison
control center or emergency room immediately. Symptoms
of overdose may include: irregular heartbeat, fainting,
severe dizziness or lightheadedness.
Notes
Do not share this medication with others. Laboratory
and/or medical tests may be performed to monitor
your progress.
Missed Dose
If you miss a dose, use it as soon as you remember.
If it is near the time of the next dose, skip the
missed dose and resume your usual dosing schedule.
Do not double the dose to catch up.
Storage
Store at room temperature between 59 and 86 degrees
F (15 and 30 degrees C) away from light and moisture.
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