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fluoxetine package insert
(flew OX e teen)

Prozac, Prozac Weekly, Sarafem

What is the most important information I should know about fluoxetine?
• Do not stop taking fluoxetine without first talking to your doctor fluoxetine package insert. Itmay take several weeks before you to start feeling better fluoxetine package insert.


What is fluoxetine?
• Fluoxetine is in a class of drugs called selective serotonin reuptakeinhibitors fluoxetine package insert. Fluoxetine affects chemicals in the brain that may become unbalancedand cause depression or mood disturbances, eating disorders, or obsessive orcompulsive symptoms fluoxetine package insert.
• Fluoxetine is used to treat depression, obsessive-compulsive disorders,panic disorder, and bulimia (binge eating and purging) fluoxetine package insert. Fluoxetine is also usedto treat premenstrual dysphoric disorder (PMDD), symptoms of which occur inthe week or two before a woman's menstrual period and commonly include irritability,mood swings, and tension as well as the physical symptoms of bloating and breasttenderness fluoxetine package insert.
• Fluoxetine may also be used for purposes other than those listed in thismedication guide fluoxetine package insert.


What should I discuss with my healthcare provider before taking fluoxetine?
• Do not take fluoxetine if you have taken a monoamine oxidase inhibitor(MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine(Parnate) during the last 2 weeks fluoxetine package insert. Serious, and sometimes fatal, reactions haveoccurred when these medicines have been used together fluoxetine package insert. Also, do not take fluoxetineif you are taking thioridazine (Mellaril) fluoxetine package insert. Dangerous, even fatal irregular heartbeatsmay occur if these medicines are taken together fluoxetine package insert. You must wait 5 weeks afterstopping fluoxetine before taking thioridazine (Mellaril) fluoxetine package insert.
• Before taking fluoxetine, tell your doctor if you
· have liver disease;
· have kidney disease;
· have diabetes;
· suffer from seizures; or
· suffer from mania or have suicidal thoughts fluoxetine package insert.
• You may not be able to take fluoxetine, or you may need a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove fluoxetine package insert.
• Fluoxetine is in the FDA pregnancy category C fluoxetine package insert. This means that it isnot known whether fluoxetine will be harmful to an unborn baby fluoxetine package insert. Do not takefluoxetine without first talking to your doctor if you are pregnant or couldbecome pregnant during treatment fluoxetine package insert.
• Fluoxetine passes into breast milk and may affect a nursing infant fluoxetine package insert. Donot take fluoxetine without first talking to your doctor if you are breast-feedinga baby fluoxetine package insert.


How should I take fluoxetine?
• Take fluoxetine exactly as directed by your doctor fluoxetine package insert. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou fluoxetine package insert.
• Take each dose with water fluoxetine package insert.
• To ensure that you get the correct dose, measure the oral solution witha dose-measuring cup or spoon, not with a regular table spoon fluoxetine package insert. If you do nothave a dose-measuring device, ask your pharmacist for one fluoxetine package insert.
• Fluoxetine may be taken with or without food fluoxetine package insert.
• Try to take fluoxetine at the same time each day fluoxetine package insert.
• Take Prozac Weekly on the same day each week as directed by your doctor fluoxetine package insert.
• Do not stop taking fluoxetine without first talking to your doctor fluoxetine package insert. Itmay take several weeks before you to start feeling better fluoxetine package insert.
• Your doctor may want to perform tests or schedule appointments to monitoryour treatment with fluoxetine fluoxetine package insert.
• Store fluoxetine at room temperature away from moisture and heat fluoxetine package insert.


What happens if I miss a dose?
• Take the missed dose as soon as you remember fluoxetine package insert. However, if it is almosttime for the next regularly scheduled dose, skip the missed dose and take thenext one as directed fluoxetine package insert. Do not take a double dose of this medication unless otherwisedirected by your doctor fluoxetine package insert.


What happens if I overdose?
• Seek emergency medical attention fluoxetine package insert.
• Symptoms of a fluoxetine overdose include nausea, vomiting, tremor, agitation,seizures, drowsiness, hyperactivity, and enlarged pupils fluoxetine package insert.


What should I avoid while taking fluoxetine?
• Use caution when driving, operating machinery, or performing other hazardousactivities fluoxetine package insert. Fluoxetine may cause dizziness or drowsiness fluoxetine package insert. If you experiencedizziness or drowsiness, avoid these activities fluoxetine package insert.
• Use alcohol cautiously fluoxetine package insert. Alcohol may increase drowsiness or dizzinesswhile taking fluoxetine fluoxetine package insert.


What are the possible side effects of fluoxetine?
• If you experience any of the following serious side effects, stop takingfluoxetine and contact your doctor immediately or seek emergency medical treatment:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives);
· an irregular heartbeat or pulse;
· low blood pressure (dizziness, weakness);
· high blood pressure (severe headache, blurred vision);
· chills or fever;
· unusual bleeding or bruising;
· a rash or hives fluoxetine package insert.
• If you experience any of the following less serious side effects, continuetaking fluoxetine and talk to your doctor:
· headache, tremor, nervousness, or anxiety;
· difficulty concentrating;
· nausea, diarrhea, dry mouth, or changes in appetite or weight;
· weakness;
· increased sweating;
· sleepiness or insomnia; or
· decreased sex drive, impotence, or difficulty having an orgasm fluoxetine package insert.
• Side effects other than those listed here may also occur fluoxetine package insert. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome fluoxetine package insert.


What other drugs will affect fluoxetine?
• Do not take fluoxetine if you have taken a monoamine oxidase inhibitor(MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine(Parnate) during the last 2 weeks fluoxetine package insert. Serious, and sometimes fatal, reactions haveoccurred when these medicines have been used together fluoxetine package insert. Also, do not take fluoxetineif you are taking thioridazine (Mellaril) fluoxetine package insert. Dangerous, even fatal irregular heartbeatsmay occur if these medicines are taken together fluoxetine package insert. You must wait 5 weeks afterstopping fluoxetine before taking thioridazine (Mellaril) fluoxetine package insert.
• Before taking fluoxetine, tell your doctor if you are taking any of thefollowing medicines:
· a benzodiazepine such as diazepam (Valium), alprazolam (Xanax), chlordiazepoxide(Librium), clorazepate (Tranxene), temazepam (Restoril), triazolam (Halcion),and others;
· a tricyclic antidepressant such as amitriptyline (Elavil), imipramine(Tofranil), doxepin (Sinequan), nortriptyline (Pamelor), and others;
· St fluoxetine package insert. John's wort;
· a phenothiazine such as chlorpromazine (Thorazine), fluphenazine (Prolixin),mesoridazine (Serentil), perphenazine (Trilafon), prochlorperazine (Compazine),and others;
· lithium (Lithobid, Eskalith, others) or haloperidol (Haldol);
· almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan(Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig);
· carbamazepine (Tegretol) or phenytoin (Dilantin);
· warfarin (Coumadin); or
· digoxin (Lanoxin) fluoxetine package insert.
• You may not be able to take fluoxetine, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the medicineslisted above fluoxetine package insert.
• Drugs other than those listed here may also interact with fluoxetine fluoxetine package insert. Talk to your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products fluoxetine package insert.


Where can I get more information?
• Your pharmacist has additional information about fluoxetine written forhealth professionals that you may read fluoxetine package insert.


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