Prozac Safety Questions, Prozac Answers
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Prozac Safety Reports
Total Prozac reports: 283.Prozac FDA safety alerts: 2004 2005 2006 .
Reported deaths: 47 Reported hospitalizations: 137.
Take Prozac Side Effects Survey or Share Your Prozac Story.
Reported Prozac Side Effects: suicidal ideation, depression, completed suicide, fall, loss of consciousness, homicide, suicide attempt, pain in extremity, agitation, aggression, nausea.
Prozac Usage.
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Prozac Side Effects Report #5344233-9Physician from FRANCE reported PROZAC problem on May 22, 2007. Female patient, weighting 8.77 lb, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: anorectal agenesis, jaundice neonatal. PROZAC dosage: unknown. Patient recovered.
Prozac Side Effects Report #5344280-7
PROZAC problem was reported by a Physician from FRANCE on May 23, 2007. Male patient, 59 years of age, was diagnosed with depression, hypertension, lipid metabolism disorder, thrombosis and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: agitation, anorexia, asthenia, aversion, confusional state, diarrhoea, hyponatraemia, mania. PROZAC dosage: unknown. During the same period patient was treated with COAPROVEL, INDAPAMIDE, TAHOR, PLAVIX, XANAX. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5344299-6
Physician from FRANCE reported PROZAC problem on May 24, 2007. Male patient, 86 years of age, was diagnosed with hypertension and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: anaemia, haematoma. PROZAC dosage: 20 MG, DAILY (1/D). During the same period patient was treated with KARDEGIC, LOVENOX, PRETERAX, CORDARONE, ADANCOR, NEXIUM. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5346005-8
PROZAC problem was reported by a Consumer or non-health professional from CANADA on May 24, 2007. Male patient, 23 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: aggression, attention deficit/hyperactivity disorder. PROZAC dosage: unknown. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5352029-7
Consumer or non-health professional from UNITED STATES reported PROZAC problem on June 07, 2007. Female patient, 17 years of age, weighting 116.0 lb, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: anxiety, malaise. PROZAC dosage: 30 MG ONE TAB PO DAILY. Patient recovered.
Prozac Side Effects Report #5352762-7
PROZAC problem was reported by a Consumer or non-health professional from UNITED STATES on May 29, 2007. Female patient, 58 years of age, was diagnosed with depression, diabetic neuropathy and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: arrhythmia, decreased appetite, hernia repair, pelvic mass, rhabdomyolysis, vascular bypass graft. PROZAC dosage: 40 MG, UNK. During the same period patient was treated with CYMBALTA, METFORMIN, BYETTA, THYROID, HUMULIN, HUMALOG, LOVASTATIN, LEXAPRO. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5356092-9
Consumer or non-health professional from UNITED STATES reported PROZAC problem on May 30, 2007. Female patient, 50 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: gastric bypass, retching, weight decreased. PROZAC dosage: 40 MG, DAILY (1/D). During the same period patient was treated with ENABLEX, LOTREL, ANALGESIC. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5356098-X
PROZAC problem was reported by a Physician from NETHERLANDS on May 30, 2007. Male patient, 76 years of age, weighting 191.8 lb, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: pneumonia, pulmonary fibrosis. PROZAC dosage: unknown. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5357079-2
Physician from UNITED STATES reported PROZAC problem on June 12, 2007. Female patient was diagnosed with major depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: diarrhoea, gastrointestinal disorder. PROZAC dosage: 20MG 1 AM PO. Patient recovered.
Prozac Side Effects Report #5358261-0
PROZAC problem was reported by a Health Professional from UNITED STATES on June 13, 2007. Female patient, weighting 204.0 lb, was diagnosed with anxiety and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: nausea, syncope, vomiting. PROZAC dosage: 20MG QAM ORAL (PO). Patient recovered.
Prozac Side Effects Report #5361819-6
Consumer or non-health professional from UNITED STATES reported PROZAC problem on June 05, 2007. Female patient, 41 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: accident, haemoptysis, vomiting. PROZAC dosage: unknown. Patient died on 08/22/2004.
Prozac Side Effects Report #5363740-6
PROZAC problem was reported by a Consumer or non-health professional from UNITED STATES on June 18, 2007. Male patient, 22 years of age, weighting 170.0 lb, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: gun shot wound. PROZAC dosage: unknown. Patient died on 01/02/2007.
Prozac Side Effects Report #5363943-0
Consumer or non-health professional from UNITED STATES reported PROZAC problem on June 08, 2007. Male patient, 35 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: depression. PROZAC dosage: 40 MG, DAILY (1/D). During the same period patient was treated with ZYPREXA. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5364001-1
PROZAC problem was reported by a Physician from FRANCE on June 11, 2007. Female patient, 60 years of age, was diagnosed with depression, non-small cell lung cancer, back pain and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: gait disturbance, grand mal convulsion, renal failure, sciatica. PROZAC dosage: unknown. During the same period patient was treated with GEMZAR, CISPLATIN, VALIUM, STILNOX, XANAX, VOLTAREN, DAFALGAN. Patient was hospitalized. Patient died on 05/08/2007.
Prozac Side Effects Report #5365752-5
Consumer or non-health professional from UNITED STATES reported PROZAC problem on June 11, 2007. Female patient, weighting 134.0 lb, was diagnosed with insomnia and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: abnormal sleep-related event, amnesia, back pain, balance disorder, cerebrovascular accident, dysuria, haematoma, lethargy, pharyngolaryngeal pain. PROZAC dosage: unknown. During the same period patient was treated with LISINOPRIL, PROTONIX, LEXAPRO, ASPIRIN, NORVASC, COUMADIN, AMBIEN. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5366276-1
PROZAC problem was reported by a Consumer or non-health professional from UNITED STATES on June 19, 2007. Female patient, 44 years of age, weighting 155.0 lb, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: crying, depression, feeling abnormal, screaming. PROZAC dosage: unknown. During the same period patient was treated with WELLBUTRIN. Patient recovered.
Prozac Side Effects Report #5374955-5
Physician from FRANCE reported PROZAC problem on June 22, 2007. Female patient, 60 years of age, was diagnosed with depression, non-small cell lung cancer, back pain and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: gait disturbance, grand mal convulsion, renal failure, sciatica. PROZAC dosage: unknown. During the same period patient was treated with GEMZAR, CISPLATIN, VALIUM, STILNOX, XANAX, VOLTAREN, DAFALGAN. Patient was hospitalized. Patient died on 05/08/2007.
Prozac Side Effects Report #5374956-7
PROZAC problem was reported by a Physician from UNITED STATES on June 18, 2007. Female patient, 63 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: obesity. PROZAC dosage: 20 MG, DAILY (1/D). Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5045054-7
Consumer or non-health professional from UNITED STATES reported PROZAC problem on June 12, 2006. Female patient, 84 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: incorrect dose administered, myocardial infarction. PROZAC dosage: unknown. During the same period patient was treated with REMERON. Patient died on 03/19/2005.
Prozac Side Effects Report #5045087-0
PROZAC problem was reported by a Consumer or non-health professional from UNITED STATES on June 12, 2006. Female patient, 57 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: mental disorder. PROZAC dosage: unknown. During the same period patient was treated with ADVAIR DISKUS, LORAZEPAM. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5048455-6
Consumer or non-health professional from UNITED STATES reported PROZAC problem on June 13, 2006. Female patient was treated with PROZAC. PROZAC dosage: unknown. Patient died.
Prozac Side Effects Report #5052101-5
PROZAC problem was reported by a Health Professional from FRANCE on June 21, 2006. Male patient, 47 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: status epilepticus. PROZAC dosage: 20 MG, DAILY (1/D), ORAL. During the same period patient was treated with LEPTIUR, KALETRA, ABACAVIR, LEXOMIL, DITROPAN, PRAXILENE, MOPRAL. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5052976-X
Physician from FRANCE reported PROZAC problem on June 16, 2006. Male patient, 45 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: caustic injury, glossodynia. PROZAC dosage: 20 MG DAILY (1/D) ORAL. Patient recovered.
Prozac Side Effects Report #5052982-5
PROZAC problem was reported by a Physician from FRANCE on June 19, 2006. Female patient, 33 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: aggression, coma, confusional state, disorientation, encephalitis, gastrointestinal disorder, hallucination, hyperthermia. PROZAC dosage: 20 MG DAILY (1/D) ORAL. During the same period patient was treated with PAROXETINE HYDROCHLORIDE, ATARAX, RAMIPRIL. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5052985-0
Pharmacist from FRANCE reported PROZAC problem on June 19, 2006. Female patient, 78 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: haemodialysis, haemolytic uraemic syndrome, renal failure, thrombotic microangiopathy. PROZAC dosage: 20 MG DAILY (1/D) ORAL. During the same period patient was treated with ARTOTEC, BECONASE, COZAAR, OROCAL, FENOFIBRATE, OMEPRAZOLE, VALIUM, PRAXILENE. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5053140-0
PROZAC problem was reported by a Pharmacist from UNITED STATES on June 22, 2006. Male patient was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: dialysis, living in residential institution, renal failure chronic. PROZAC dosage: 10 MG, 3/D, UNK. Patient recovered.
Prozac Side Effects Report #5053141-2
Consumer or non-health professional from UNITED STATES reported PROZAC problem on June 21, 2006. Male patient, 13 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: myocarditis bacterial, pharyngitis streptococcal. PROZAC dosage: 20 MG, DAILY (1/D), ORAL. During the same period patient was treated with ELSPAR, CLONIDINE. Patient died on 03/26/2006.
Prozac Side Effects Report #5053501-X
PROZAC problem was reported by a Consumer or non-health professional from FRANCE on June 22, 2006. Female patient, 78 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: blood immunoglobulin e increased, blood lactate dehydrogenase increased, eczema, gamma-glutamyltransferase increased, hypoproteinaemia, iron deficiency, mycosis fungoides, neuropathy. PROZAC dosage: 20 MG, 2/D, ORAL. During the same period patient was treated with TEMESTA, LEVOTHYROXINE. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5053870-0
Physician from FRANCE reported PROZAC problem on June 22, 2006. Female patient, 39 years of age, weighting 121.3 lb, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: agitation, confusional state, suicidal ideation, suicide attempt. PROZAC dosage: 20 MG, DAILY (1/D), ORAL; SEE IMAGE. During the same period patient was treated with CLONAZEPAM, DIPIPERON, VALPROATE, MEPRONIZINE, THERALENE, PHENERGAN, ANAFRANIL. Patient was hospitalized. Patient died on 06/20/1997.
Prozac Side Effects Report #5053883-9
PROZAC problem was reported by a Physician from FRANCE on June 22, 2006. Female patient, 39 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: completed suicide. PROZAC dosage: 20 MG, DAILY (1/D), ORAL; SEE IMAGE. During the same period patient was treated with PIPAMPERONE. Patient was hospitalized. Patient died on 01/01/1997.
Prozac Side Effects Report #5053900-6
Physician from FRANCE reported PROZAC problem on June 22, 2006. Male patient, 45 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: caustic injury, tongue injury. PROZAC dosage: 20 MG DAILY (1/D), ORAL. Patient recovered.
Prozac Side Effects Report #5053903-1
PROZAC problem was reported by a Physician from FRANCE on June 22, 2006. Female patient, 39 years of age, weighting 143.3 lb, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: angioneurotic oedema. PROZAC dosage: 20 MG, DAILY (1/D/), ORAL. During the same period patient was treated with DAFLON. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5059171-9
Physician from UNITED STATES reported PROZAC problem on June 27, 2006. Female patient, 58 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: gastric bypass. PROZAC dosage: unknown. Patient recovered.
Prozac Side Effects Report #5062527-1
PROZAC problem was reported by a Consumer or non-health professional from CHINA on July 04, 2006. Female patient, 64 years of age, weighting 165.3 lb, was diagnosed with major depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: fatigue, vascular purpura. PROZAC dosage: 20 MG, DAILY (1/D), ORAL. During the same period patient was treated with ZYPREXA, INDAPAMIDE, ACENTERINE. Patient recovered.
Prozac Side Effects Report #5063957-4
Physician from UNITED STATES reported PROZAC problem on July 05, 2006. Female patient, 47 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: cardiac disorder, chest pain, coronary artery occlusion. PROZAC dosage: 20 MG, DAILY6 (1/D), ORAL. Patient recovered.
Prozac Side Effects Report #5067575-3
PROZAC problem was reported by a Consumer or non-health professional from UNITED STATES on July 11, 2006. Female patient, 29 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: blister, confusional state, dental operation, device migration, emotional distress, erythema, exophthalmos, jaw fracture. PROZAC dosage: 20 MG, DAILY (1/D), ORAL. During the same period patient was treated with VITAMIN A, VITAMIN B CAP, ASCORBIC ACID, VITAMIN E. Patient recovered.
Prozac Side Effects Report #5067667-9
Consumer or non-health professional from CANADA reported PROZAC problem on July 11, 2006. Male patient, child 3 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: poisoning deliberate. PROZAC dosage: unknown. During the same period patient was treated with AMITRIPTYLINE. Patient recovered.
Prozac Side Effects Report #5071487-9
PROZAC problem was reported by a Physician from UNITED STATES on Aug 03, 2006. Female patient, weighting 7.44 lb, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: blood ph decreased, cardiac murmur, cyanosis neonatal, heart disease congenital, neonatal disorder, pco2 increased, persistent foetal circulation, po2 decreased. PROZAC dosage: 20 MGRS DAILY PO. Patient recovered.
Prozac Side Effects Report #5072938-6
Physician from ARGENTINA reported PROZAC problem on July 17, 2006. Female patient, 66 years of age, was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: eye movement disorder, serotonin syndrome. PROZAC dosage: 60 MG, ORAL. During the same period patient was treated with TRANYLCYPROMINE SULPHATE, TRIFLUOPERAZINE, LORAZEPAM, PANCURONIUM. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5073095-2
PROZAC problem was reported by a Consumer or non-health professional from UNITED STATES on July 12, 2006. Female patient, child 12 years of age, was treated with PROZAC. PROZAC dosage: unknown. Patient died.
Prozac Side Effects Report #5073223-9
Consumer or non-health professional from UNITED STATES reported PROZAC problem on July 12, 2006. Female patient, 15 years of age, was treated with PROZAC. PROZAC dosage: unknown. Patient died.
Prozac Side Effects Report #5074199-0
PROZAC problem was reported by a Consumer or non-health professional from FRANCE on July 18, 2006. Female patient, 78 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: blood lactate dehydrogenase increased, eczema, gamma-glutamyltransferase increased, iron deficiency, lymphoma cutis, normochromic normocytic anaemia, prurigo, renal failure. PROZAC dosage: 20 MG, 2/D, ORAL. During the same period patient was treated with LORAZEPAM, LEVOTHYROXINE. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5074353-8
Consumer or non-health professional from CANADA reported PROZAC problem on July 18, 2006. Female patient was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: arthritis, dystonia, hip arthroplasty, speech disorder. PROZAC dosage: 20 MG, DAILY (1/D). Patient recovered.
Prozac Side Effects Report #5074354-X
PROZAC problem was reported by a Consumer or non-health professional from FRANCE on July 18, 2006. Female patient was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: hypospadias. PROZAC dosage: unknown. During the same period patient was treated with EUPHYTOSE. Patient recovered.
Prozac Side Effects Report #5074406-4
Consumer or non-health professional from FRANCE reported PROZAC problem on July 18, 2006. Female patient was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: gastroschisis. PROZAC dosage: unknown. Patient recovered.
Prozac Side Effects Report #5074682-8
PROZAC problem was reported by a Consumer or non-health professional from UNITED STATES on July 26, 2006. Male patient, 45 years of age, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: bipolar disorder, delusion, homicide, major depression, suicidal ideation. PROZAC dosage: unknown. During the same period patient was treated with ESZOPICLONE, PAXIL. Patient recovered.
Prozac Side Effects Report #5074736-6
Health Professional from FRANCE reported PROZAC problem on July 25, 2006. Female patient was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: caesarean section, hypothermia neonatal, somnolence neonatal. PROZAC dosage: 40 MG DAILY (1/D) TRANSPLACENTAL. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5074773-1
PROZAC problem was reported by a Physician from NETHERLANDS on July 25, 2006. Male patient, 76 years of age, weighting 191.8 lb, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: pneumonia, pulmonary fibrosis. PROZAC dosage: 20 MG, ORAL. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5076218-4
Physician from UNITED STATES reported PROZAC problem on July 24, 2006. Female patient, 47 years of age, weighting 142.0 lb, was diagnosed with depression and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: arteriospasm coronary, cardiac disorder, coronary artery occlusion. PROZAC dosage: 20 MG, DAILY (1/D), ORAL. Patient was hospitalized. Patient recovered.
Prozac Side Effects Report #5076221-4
PROZAC problem was reported by a Consumer or non-health professional from UNITED STATES on July 19, 2006. Female patient, 74 years of age, was diagnosed with sleep disorder, osteopenia and was treated with PROZAC. After drug was administered, patient experienced the following problems/side effects: loss of consciousness, malignant neoplasm progression. PROZAC dosage: unknown. During the same period patient was treated with EVISTA. Patient died on 04/16/2006.
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Drug Information: Fluoxetine
URL of this page: http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a689006.html
(floo ox' e teen)IMPORTANT WARNING:
| A small number of children, teenagers, and young adults (up to 24 years of age) who took antidepressants ('mood elevators') such as fluoxetine during clinical studies became suicidal (thinking about harming or killing oneself or planning or trying to do so). Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. However, experts are not sure about how great this risk is and how much it should be considered in deciding whether a child or teenager should take an antidepressant.You should know that your mental health may change in unexpected ways when you take fluoxetine or other antidepressants even if you are an adult over age 24. You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: new or worsening depression; thinking about harming or killing yourself, or planning or trying to do so; extreme worry; agitation; panic attacks; difficulty falling asleep or staying asleep; aggressive behavior; irritability; acting without thinking; severe restlessness; and frenzied abnormal excitement. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor when you are unable to seek treatment on your own.Your healthcare provider will want to see you often while you are taking fluoxetine, especially at the beginning of your treatment. Be sure to keep all appointments for office visits with your doctor.The doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with fluoxetine. Read the information carefully and ask your doctor or pharmacist if you have any questions. You also can obtain the Medication Guide from the FDA website: http://www.fda.gov/cder/drug/antidepressants/antidepressants_MG_2007.pdf.No matter your age, before you take an antidepressant, you, your parent, or your caregiver should talk to your doctor about the risks and benefits of treating your condition with an antidepressant or with other treatments. You should also talk about the risks and benefits of not treating your condition. You should know that having depression or another mental illness greatly increases the risk that you will become suicidal. This risk is higher if you or anyone in your family has or has ever had bipolar disorder (mood that changes from depressed to abnormally excited) or mania (frenzied, abnormally excited mood) or has thought about or attempted suicide. Talk to your doctor about your condition, symptoms, and personal and family medical history. You and your doctor will decide what type of treatment is right for you. |
Why is this medication prescribed?
Fluoxetine (Prozac) is 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 (Sarafem) is 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). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.
How should this medicine be used?
Fluoxetine (Prozac) comes as a capsule, a tablet, a delayed-release (long-acting) capsule, and a solution (liquid) to take by mouth. Fluoxetine may be taken with or without food. Fluoxetine (Sarafem) comes as a capsule to take by mouth. Fluoxetine (Prozac) capsules, tablets, and liquid are usually taken once a day in the morning or twice a day, in the morning and at noon. Fluoxetine delayed-released capsules are usually taken once a week. Fluoxetine (Sarafem) is usually taken once a day, either every day of the month or on certain days of the month. Take fluoxetine at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take fluoxetine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Your doctor may start you on a low dose of fluoxetine and gradually increase your dose.
It may take 4 to 5 weeks or longer before you feel the full benefit of fluoxetine. Continue to take fluoxetine even if you feel well. Do not stop taking fluoxetine without talking to your doctor. If you suddenly stop taking fluoxetine, you may experience withdrawal symptoms such as mood changes, irritability, agitation, dizziness, numbness or tingling in the hands or feet, anxiety, confusion, headache, tiredness, and difficulty falling asleep or staying asleep. Your doctor will probably decrease your dose gradually.
Other uses for this medicine
Fluoxetine is also sometimes used to treat alcoholism, attention-deficit disorder, borderline personality disorder, sleep disorders, headaches, mental illness, posttraumatic stress disorder, Tourette's syndrome, obesity, sexual problems, and phobias. Talk to your doctor about the possible risks of using this medication for your condition.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before taking fluoxetine,
- tell your doctor and pharmacist if you are allergic to fluoxetine or any other medications.
- tell your doctor if you are taking pimozide (Orap),thioridazine or monoamine oxidase (MAO) inhibitors such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), or if you have stopped taking a monoamine oxidase inhibitor within the past 2 weeks. Your doctor will probably tell you that you should not take fluoxetine. If you stop taking fluoxetine, you should wait at least 5 weeks before you begin to take thioridazine or a monoamine oxidase inhibitor.
- tell your doctor and pharmacist what other prescription and nonprescription medications and vitamins you are taking or plan to take. Be sure to mention any of the following: alprazolam (Xanax); anticoagulants ('blood thinners') such as warfarin (Coumadin); antidepressants (mood elevators) such as amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil); aspirin and other nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen (Advil, Motrin), and naproxen (Aleve, Naprosyn); diazepam (Valium); digoxin (Lanoxin); diuretics (water pills), flecainide (Tambocor); insulin or oral medications for diabetes; lithium (Eskalith, Lithobid); medications for anxiety and Parkinson's disease; medications for mental illness such as clozapine (Clozaril), haloperidol (Haldol), and pimozide (Orap); medications for migraine headaches such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), and zolmitriptan (Zomig); medications for seizures such as carbamazepine (Tegretol) and phenytoin (Dilantin); sedatives; sibutramine (Meridia); sleeping pills; tramadol (Ultram); tranquilizers; and vinblastine (Velban). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor what nutritional supplements you are taking, especially products that contain St. John's wort or tryptophan.
- tell your doctor if you are being treated with electroshock therapy (procedure in which small electric shocks are administered to the brain to treat certain mental illnesses), if you have recently had a heart attack and if you have or have ever had diabetes, seizures, or liver or heart disease.
- 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.
What should I do if I forget a 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.
What side effects can this medication cause?
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
- 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.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/MedWatch/index.html] or by phone [1-800-332-1088].
What storage conditions are needed for this medicine?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
In case of emergency/overdose
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 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
- coma (loss of consciousness for a period of time)
What other information should I know?
Keep all appointments with your doctor.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
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