Do not crush, chew, break, or open a delayed-release capsule.
Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. To treat premenstrual dysphoric disorder, the usual dose of fluoxetine is once daily while you are having your period, or 14 days before you expect your period to start.
Follow your doctor's instructions.
It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.
Do 10mg stop using fluoxetine suddenly, or you could fluoxetine unpleasant withdrawal symptoms. Ask your doctor how to safely stop using fluoxetine. Store at room temperature away from 20mg and heat.
Dosage Information in more detail What happens fluoxetine I miss a dose? You may have thoughts about suicide when you first start 10mg an antidepressant, especially if you are younger 20mg 24 years old.
Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. Tell your doctor right away if you become pregnant while taking this medication.
Fluoxetine may cause heart defects or serious lung problems in a newborn if you take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant, fluoxetine 10mg vs 20mg. Before using fluoxetine, tell your doctor or pharmacist of all the drugs you take and if you have any of fluoxetine following conditions: Low levels of potassium or magnesium in the blood may also increase your risk of 20mg prolongation. Talk 10mg your doctor about using this medication safely.
The liquid form of this medication contains alcohol. Caution is advised if you have 10mgalcohol dependenceor liver disease. Some medications such as metronidazolefluoxetine 10mg vs 20mg, disulfiram can cause a serious reaction when combined with alcohol. Whether any of the symptoms described for clinical worsening fluoxetine suicide risk represent such a conversion is unknown.
However, prior to initiating treatment with an antidepressant, patients with depressive symptoms should be adequately screened to determine if they price of ambien at walmart at risk for Bipolar Disorder; such screening should include a detailed psychiatric history, including a family history of suicide, Bipolar Disorder, and depression.
Seizures In US placebo-controlled clinical trials for Major Depressive Disorder, fluoxetine 10mg vs 20mg, convulsions or reactions described as possibly having been seizures 20mg reported in 0. The percentage appears to be similar to that associated with other marketed drugs effective in the treatment of Major Depressive Disorder.
Weight loss was reported in 1. 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. Case reports and epidemiological studies case-control and cohort design have demonstrated an association between use of drugs that interfere with serotonin reuptake and the occurrence of gastrointestinal bleeding.
Angle-Closure Glaucoma Angle-Closure Glaucoma The pupillary dilation that occurs following use of many antidepressant drugs including Prozac may trigger an angle closure attack in a patient with anatomically narrow angles who does not have a patent iridectomy. In many cases, fluoxetine 10mg vs 20mg, this hyponatremia appears to be the result of the syndrome of inappropriate antidiuretic hormone secretion SIADH. Also, patients taking diuretics or who are otherwise volume depleted may be at greater risk [see Use In Specific Populations].
Discontinuation of PROZAC should be considered in patients with symptomatic hyponatremia and appropriate medical intervention should be instituted. Signs and symptoms of hyponatremia include headache, difficulty concentratingmemory impairment, confusionweaknessand unsteadinesswhich may lead to falls. PROZAC should be used with caution in patients with congenital long QT syndrome ; a previous history of QT prolongation; a family history of long QT syndrome or sudden cardiac death; fluoxetine other conditions that predispose to QT prolongation and ventricular arrhythmia.
Such conditions include concomitant use of drugs that prolong the QT 20mg hypokalemia or hypomagnesemia ; recent myocardial infarctionuncompensated heart failurebactrim 200 40mg posologia, and other significant arrhythmias; and conditions that predispose to 10mg fluoxetine exposure overdose, hepatic impairment, use of CYP2D6 inhibitors, CYP2D6 poor metabolizer status, or use of other highly protein-bound drugs.
Avoid the concomitant use of drugs known to prolong the QT interval. These include specific antipsychotics e.
Consider discontinuing PROZAC and fluoxetine a 20mg evaluation if patients develop signs or symptoms consistent with ventricular arrhythmia. 10mg is advisable in using PROZAC in patients with diseases or conditions that could affect metabolism or hemodynamic responses, fluoxetine 10mg vs 20mg. Cardiovascular Fluoxetine has not been evaluated or used to any appreciable extent in patients with a recent history of myocardial infarction or unstable heart disease. However, the electrocardiograms of patients who received PROZAC in double-blind trials were retrospectively evaluated; no conduction abnormalities that resulted in heart block were observed.
Hypoglycemia has occurred fluoxetine therapy with PROZAC, and hyperglycemia has developed following discontinuation of the drug. Patients should be cautioned about 10mg hazardous machinery, including automobiles, until they are reasonably certain that the drug treatment does 10mg affect them adversely.
Long Elimination Half-Life Because of fluoxetine long elimination half-lives of the parent drug and its major active metabolite, 20mg in dose will not be fully reflected in plasma for several weeks, affecting both strategies for titration to final dose and withdrawal from treatment.
While these reactions are generally self-limiting, fluoxetine 10mg vs 20mg, there have been reports of serious discontinuation symptoms. A gradual reduction in the dose rather than 20mg cessation is recommended whenever possible.
If intolerable symptoms occur following a decrease in the dose or upon discontinuation of treatment, then resuming fluoxetine previously prescribed dose may be considered. Subsequently, the physician may continue decreasing the dose but at a more gradual rate. Plasma fluoxetine and norfluoxetine concentration decrease gradually at the conclusion of therapy which may minimize the risk of discontinuation symptoms with this drug.
Patients should be advised of the following issues and asked to alert their prescriber if these occur while taking Fluoxetine as monotherapy or in combination with olanzapine. General Information Healthcare providers should instruct their patients to read the Medication Guide before starting therapy with PROZAC and to reread it each time the prescription is renewed. Healthcare providers should inform patients, their families, and their caregivers about the benefits and risks ritalin 40mg packungsgröße with treatment with PROZAC and should counsel them in its appropriate use.
Healthcare providers should instruct patients, their families, and their caregivers to read the Medication Guide and should assist them in understanding its contents. Patients should be given the opportunity to discuss the contents of the Medication Guide and to obtain answers to any questions they may have.
Patients should be advised of the following issues and asked to alert their healthcare provider 20mg these occur while taking PROZAC. Suicidal Thoughts And Behaviors In Children, Adolescents, And Young Adults Patients, fluoxetine 10mg vs 20mg, their families, and their caregivers should be encouraged to be alert to the emergence of anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia psychomotor restlessnesshypomania, mania, other unusual changes in behavior, worsening of depression, and suicidal ideation, especially 10mg during antidepressant treatment and when the 20mg is 10mg up or down.
Families and caregivers of patients should be advised to look for the emergence of such symptoms on a day-to-day basis, since changes may be abrupt, fluoxetine 10mg vs 20mg.
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