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


What is fluoxetine?
• Fluoxetine is in a class of drugs called selective serotonin reuptakeinhibitors fluoxetine urinary. Fluoxetine affects chemicals in the brain that may become unbalancedand cause depression or mood disturbances, eating disorders, or obsessive orcompulsive symptoms fluoxetine urinary.
• Fluoxetine is used to treat depression, obsessive-compulsive disorders,panic disorder, and bulimia (binge eating and purging) fluoxetine urinary. 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 urinary.
• Fluoxetine may also be used for purposes other than those listed in thismedication guide fluoxetine urinary.


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 urinary. Serious, and sometimes fatal, reactions haveoccurred when these medicines have been used together fluoxetine urinary. Also, do not take fluoxetineif you are taking thioridazine (Mellaril) fluoxetine urinary. Dangerous, even fatal irregular heartbeatsmay occur if these medicines are taken together fluoxetine urinary. You must wait 5 weeks afterstopping fluoxetine before taking thioridazine (Mellaril) fluoxetine urinary.
• 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 urinary.
• 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 urinary.
• Fluoxetine is in the FDA pregnancy category C fluoxetine urinary. This means that it isnot known whether fluoxetine will be harmful to an unborn baby fluoxetine urinary. Do not takefluoxetine without first talking to your doctor if you are pregnant or couldbecome pregnant during treatment fluoxetine urinary.
• Fluoxetine passes into breast milk and may affect a nursing infant fluoxetine urinary. Donot take fluoxetine without first talking to your doctor if you are breast-feedinga baby fluoxetine urinary.


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


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


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


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


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 urinary.
• 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 urinary.
• Side effects other than those listed here may also occur fluoxetine urinary. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome fluoxetine urinary.


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 urinary. Serious, and sometimes fatal, reactions haveoccurred when these medicines have been used together fluoxetine urinary. Also, do not take fluoxetineif you are taking thioridazine (Mellaril) fluoxetine urinary. Dangerous, even fatal irregular heartbeatsmay occur if these medicines are taken together fluoxetine urinary. You must wait 5 weeks afterstopping fluoxetine before taking thioridazine (Mellaril) fluoxetine urinary.
• 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 urinary. 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 urinary.
• 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 urinary.
• Drugs other than those listed here may also interact with fluoxetine fluoxetine urinary. Talk to your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products fluoxetine urinary.


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


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