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. Fluoxetine may cause a condition that affects the heart rhythm QT prolongation. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation.
Before using fluoxetine, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation.
Talk to your doctor about using 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 serious reaction when combined with alcohol. 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 adults may be more sensitive to the 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 blood, especially if they are taking "water pills" diuretics.
During pregnancy , this medication should be used only when clearly needed. It may harm an unborn baby. If you notice any of these symptoms in your newborn , tell the doctor promptly. If you are planning pregnancy, become pregnant , or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor. This drug may pass into breast milk and could have undesirable effects on a nursing infant. Consult your doctor before breast -feeding.
What should I know regarding pregnancy, nursing and administering Fluoxetine HCL to children or the elderly? Call your doctor for medical advice about side effects. Do not take fluoxetine together with pimozide Orap , thioridazine Mellaril , or a monoamine oxidase inhibitor MAOI such as furazolidone Furoxone , isocarboxazid Marplan , phenelzine Nardil , rasagiline Azilect , selegiline Eldepryl, Emsam, Zelapar , or tranylcypromine Parnate.
A dangerous drug interaction could occur, leading to serious side effects. You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. There have been rare reports of prolonged seizures in patients taking fluoxetine who are also receiving electroconvulsive therapy treatment.
Significant weight loss, especially in underweight depressed or bulimic patients, may be an undesirable result of treatment with fluoxetine. Rarely have patients discontinued treatment with fluoxetine because of anorexia or weight loss. Weight change should be monitored during therapy. Concomitant use of aspirin, nonsteroidal anti-inflammatory drugs, warfarin, and other anti-coagulants may add to this risk. The pupillary dilation that occurs following use of many antidepressant drugs including fluoxetine may trigger an angle closure attack in a patient with anatomically narrow angles who does not have a patent iridectomy.
Elderly patients and patients taking diuretics or who are otherwise volume-depleted may be at greater risk.
Discontinuation of fluoxetine should be considered in patients with symptomatic hyponatremia and appropriate medical intervention should be instituted. Postmarketing cases of QT interval prolongation and ventricular arrhythmia including Torsades de Pointes have been reported in patients treated with fluoxetine. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use.
Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. What should I watch for while using this medicine? Tell your doctor if your symptoms do not get better or if they get worse.
Visit your doctor or health care professional for regular checks on your progress. Patients and their families should watch out for new or worsening thoughts of suicide or depression. It is not recommended to combine fluoxetine with a reversible MAOI e.
Treatment with fluoxetine can be started the following day after ending of a reversible MAOI. These may be increased when first starting antidepressants, since these medicines all take time to work, usually about two weeks but sometimes longer.
You may be more likely to think like this: If you have previously had thoughts about killing or harming yourself. If you are a young adult. Information from clinical trials has shown an increased risk of suicidal behaviour in adults aged less than 25 years with psychiatric conditions who were treated with an antidepressant. If you have thoughts of harming or killing yourself at any time, contact your doctor or go to a hospital straight away. You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder, and ask them to read this leaflet.
You might ask them to tell you if they think your depression or anxiety is getting worse, or if they are worried about changes in your behaviour. The use of fluoxetine has been associated with the development of akathisia, characterised by a subjectively unpleasant or distressing restlessness and need to move often accompanied by an inability to sit or stand still. This is most likely to occur within the first few weeks of treatment. In patients who develop these symptoms, increasing the dose may be detrimental.
Withdrawal symptoms seen on discontinuation of SSRI treatment: Withdrawal symptoms are common when treatment is discontinued, particularly if discontinuation is abrupt see How to take Fluoxetine 60 mg Hard Capsules. The risk of withdrawal symptoms may be dependent on several factors, including the length of treatment, the prescribed dose and how quickly the dose is reduced.
Generally, these symptoms are mild to moderate; however, sometimes they may be more intense. They usually occur within the first few days of stopping treatment and usually disappear within 2 weeks, but in some people they may last for months or more. Other medicines and Fluoxetine 60 mg Hard Capsules Please tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines, up to five weeks ago including medicines obtained without prescription.
This medicine may affect the way some other medicines work interaction. You must not take fluoxetine together with Irreversible, non-selective MAO-inhibitors e. MAO inhibitors type B selegeline can be used with Fluoxetine 60 mg Hard Capsules provided that your doctor monitors you closely. Metoprolol used to treat cardiac failure: Since fluoxetine may slow down metabolism of metoprolol and increase the risk of side effects of Metoprolol including pronounced slowing of the heartbeat.
Not recommended is a combination of fluoxetine with Tamoxifen used to treat breast cancer: Since fluoxetine may influence blood levels of of tamoxifen and lower its efficacy. MAO inhibitors type A linezolid, methylthioninium chloride methylene blue as the risk of developing a serotonin syndrome arises. When fluoxetine is used in combination with one of these drugs your doctor will carry out more frequent check-ups.
Any recommendations on what I might do prozac stop or at least minimize these terrible dreams? For some people, this effect does go away after a period of time when the drug levels become more level in the body. Do not flush medications capsule the toilet or pour them into a drain unless instructed to do so. 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. Prozac fluoxetine can have an affect on weight changes. Reported clinical findings have included respiratory distress, cyanosis, apnea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycemia, hypotonia, prozac 60mg capsules, hypertonia, hyperreflexia, prozac 60mg capsules, capsule, jitteriness, irritability, and constant crying. One of the side effects of 60mg is drowsiness and so this may be what is causing you to be tired in the capsule. However, you may have prozac relapse of depression if you stop taking your antidepressant, prozac 60mg capsules. If you are elderly, your doctor will 60mg the dose with more caution and the daily dose should generally not exceed 40 mg. It is in the class of medications called selective serotonin reuptake inhibitors SSRIs and works by bringing a balance to serotonin in the brain that prozac be the 60mg of symptoms.
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© Copyright 2017 Prozac 60mg capsules / Fluoxetine, also known by trade names Prozac and Sarafem among others, is an antidepressant of the selective serotonin reuptake inhibitor (60–80 mg). This..