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Fluoxetine 20mg 40mg
Fluoxetine Capsules (Prozac) are used to treat depression, obsessive-compulsive disorder, some eating disorders, panic attacks, the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating and breast tenderness. Fluoxetine is in a class of medications called selective serotonin reuptake inhibitors (SSRIs).
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Important Warning about Antidepressant Use from the FDA
Fluoxetine Uses
Fluoxetine 20mg 40mg Capsules are used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Fluoxetine is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Fluoxetine is in a class of medications called selective serotonin reuptake inhibitors (SSRIs). They work by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.
Dosage
Depression in adults is treated with 20-80mg of fluoxetine daily. After 13 weeks of daily administration, once weekly dosing may be effective in some patients. Bulimia is treated with 60mg of fluoxetine daily. Long-term treatment for up to 52 weeks has been shown to be beneficial in maintaining remission. Obsessive-compulsive disorder in adults is treated with 20-60mg daily and panic disorder is managed with 10-60mg daily. The recommended regimen for PMDD is 20mg administered every day of the menstrual cycle or daily for 14 days prior to the onset of menstruation through the first day of menses.
Fluoxetine Precautions
Before taking fluoxetine, tell your doctor and pharmacist if you are allergic to fluoxetine or any other medications. Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking fluoxetine, call your doctor. You should know that fluoxetine may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you. remember that alcohol can add to the drowsiness caused by this medication.
Fluoxetine Side Effects
Fluoxetine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: nervousness, nausea, dry mouth, sore throat, drowsiness, weakness, uncontrollable shaking of a part of the body, loss of appetite, weight loss, changes in sex drive or ability or excessive sweating. Some side effects can be serious. If you experience any of the following symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately: rash, hives, fever, joint pain, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs, difficulty breathing or swallowing, seeing things or hearing voices that do not exist (hallucinating), seizures. Fluoxetine may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
Fluoxetine Drug Interactions
Fluoxetine should not be taken with any of the monoamine oxidase inhibitor (MAOI) class of antidepressants [for example, isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), selegiline (Eldepryl), and procarbazine (Matulane)] or other drugs that inhibit monoamine oxidase [for example, linezolid (Zyvox)]. Such combinations may lead to confusion, high blood pressure, tremor, hyperactivity, coma, and death. Administration of fluoxetine and MAOIs should be separated by 14 days. Similar reactions occur when fluoxetine is combined with other drugs [for example, tryptophan, St. John's wort, meperidine (Demerol), tramadol (Ultram)] that increase serotonin in the brain. Fluoxetine may increase the effect of warfarin (Coumadin), leading to excessive bleeding. Warfarin therapy should be monitored more frequently in patients who are also taking fluoxetine. Combining SSRIs with aspirin, nonsteroidal anti-inflammatory drugs or other drugs that affect bleeding may increase the likelihood of upper gastrointestinal bleeding.
Missed Dose
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one
Fluoxetine Overdose
In case of overdose, call your local poison control center on 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services on 911.
Symptoms of overdose may include: unsteadiness, confusion, unresponsiveness, nervousness, uncontrollable shaking of a part of the body, dizziness, rapid, irregular or pounding heartbeat, seeing things or hearing voices that do not exist (hallucinating), fever, fainting or coma (loss of consciousness for a period of time)
Medical Disclaimer: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. This antidepressant information should not be construed so as to indicate that use of this antidepressant or anti-anxiety medication is safe, appropriate, or effective for you. Please consult your healthcare professional before using this or any other prescription or non-prescription antidepressant medication.
