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20/4/2016 Fluoxetine:Patientdruginformation

OfficialreprintfromUpToDate
www.uptodate.com2016UpToDate

ThecontentontheUpToDatewebsiteisnotintendednorrecommendedasasubstituteformedicaladvice,
diagnosis,ortreatment.Alwaysseektheadviceofyourownphysicianorotherqualifiedhealthcare
professionalregardinganymedicalquestionsorconditions.Theuseofthiswebsiteisgovernedbythe
UpToDateTermsofUse2016UpToDate,Inc.

Fluoxetine:Patientdruginformation

Copyright19782016Lexicomp,Inc.Allrightsreserved.

(Foradditionalinformationsee"Fluoxetine:Druginformation"andsee"Fluoxetine:Pediatricdruginformation")

BrandNames:US PROzacPROzacWeeklySarafem
BrandNames:Canada ApoFluoxetineAvaFluoxetineCOFluoxetineDomFluoxetineFluoxetine
CapsulesBPFXT40GenFluoxetineJAMPFluoxetineMintFluoxetineMylanFluoxetineNovoFluoxetine
NuFluoxetinePHLFluoxetinePMSFluoxetinePROFluoxetineProzacQFluoxetineratioFluoxetine
RivaFluoxetineSandozFluoxetineTevaFluoxetineZYMFluoxetine

Warning
Childrenandteenswhotakethisdrugmaybeatagreaterriskofhavingthoughtsoractionsofsuicide.
Adultsmayalsobeatrisk.Theriskmaybegreaterinpeoplewhohavehadthesethoughtsoractions
inthepast.Watchpeoplewhotakethisdrugclosely.Callthedoctorrightawayifsignslikelowmood
(depression),nervousness,restlessness,grouchiness,panicattacks,orchangesinmoodoractions
areneworworse.Callthedoctorrightawayifanythoughtsoractionsofsuicideoccur.
Thisdrugisnotapprovedforuseinallchildren.Talkwiththedoctortobesurethatthisdrugisrightfor
yourchild.

Whatisthisdrugusedfor?
Itisusedtotreatlowmood(depression).
Itisusedtotreatobsessivecompulsiveproblems.
Itisusedtotreatmoodproblemscausedbymonthlyperiods.
Itisusedtotreateatingproblems.
Itisusedtotreatpanicattacks.
Itmaybegiventoyouforotherreasons.Talkwiththedoctor.

WhatdoIneedtotellmydoctorBEFOREItakethisdrug?
Ifyouhaveanallergytofluoxetineoranyotherpartofthisdrug.
Ifyouareallergictoanydrugslikethisone,anyotherdrugs,foods,orothersubstances.Tellyour
doctorabouttheallergyandwhatsignsyouhad,likerashhivesitchingshortnessofbreath
wheezingcoughswellingofface,lips,tongue,orthroatoranyothersigns.
Ifyouaretakinganyofthesedrugs:Linezolidormethyleneblue.
Ifyouaretakingpimozide.
Ifyouaretakingthioridazine.
Ifyouhavetakencertaindrugsusedforlowmood(depression)likeisocarboxazid,phenelzine,or
tranylcypromineordrugsusedforParkinson'sdiseaselikeselegilineorrasagilineinthelast14days.
Takingthisdrugwithin14daysofthosedrugscancauseverybadhighbloodpressure.Talkwithyour
doctor.
Thisisnotalistofalldrugsorhealthproblemsthatinteractwiththisdrug.

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20/4/2016 Fluoxetine:Patientdruginformation

Tellyourdoctorandpharmacistaboutallofyourdrugs(prescriptionorOTC,naturalproducts,vitamins)
andhealthproblems.Youmustchecktomakesurethatitissafeforyoutotakethisdrugwithallof
yourdrugsandhealthproblems.Donotstart,stop,orchangethedoseofanydrugwithoutchecking
withyourdoctor.

WhataresomethingsIneedtoknowordowhileItakethisdrug?
Tellallofyourhealthcareprovidersthatyoutakethisdrug.Thisincludesyourdoctors,nurses,
pharmacists,anddentists.
Avoiddrivinganddoingothertasksoractionsthatcallforyoutobealertuntilyouseehowthisdrug
affectsyou.
Donotstoptakingthisdrugallofasuddenwithoutcallingyourdoctor.Youmayhaveagreaterriskof
sideeffects.Ifyouneedtostopthisdrug,youwillwanttoslowlystopitasorderedbyyourdoctor.
Avoiddrinkingalcoholwhiletakingthisdrug.
Talkwithyourdoctorbeforeyouuseotherdrugsandnaturalproductsthatslowyouractions.
Ifyouhavehighbloodsugar(diabetes),youwillneedtowatchyourbloodsugarclosely.
Itmaytakeseveralweekstoseethefulleffects.
Thisdrugmayraisethechanceofbleeding.Sometimes,bleedingcanbelifethreatening.Talkwiththe
doctor.
Verybadandsometimesdeadlyreactionsalongwitharashhaverarelyhappenedwiththisdrug.Lung,
kidney,orliverproblemshavealsohappened.Callyourdoctorrightawayifyouhaveachangeinthe
amountofurinepassed,darkurine,nothungry,upsetstomachorstomachpain,lightcoloredstools,
throwingup,yellowskinoreyes,orshortnessofbreath.
Somepeoplemayhaveahigherchanceofeyeproblemswiththisdrug.Yourdoctormaywantyouto
haveaneyeexamtoseeifyouhaveahigherchanceoftheseeyeproblems.Callyourdoctorright
awayifyouhaveeyepain,changeineyesight,orswellingorrednessinoraroundtheeye.
Usewithcareinchildren.Talkwiththedoctor.
Thisdrugmayaffectgrowthinchildrenandteensinsomecases.Theymayneedregulargrowth
checks.Talkwiththedoctor.
Ifyouare65orolder,usethisdrugwithcare.Youcouldhavemoresideeffects.
Tellyourdoctorifyouarepregnantorplanongettingpregnant.Youwillneedtotalkaboutthebenefits
andrisksofusingthisdrugwhileyouarepregnant.
Takingthisdruginthethirdtrimesterofpregnancymayleadtosomehealthproblemsinthenewborn.
Talkwiththedoctor.
Tellyourdoctorifyouarebreastfeeding.Youwillneedtotalkaboutanyriskstoyourbaby.

WhataresomesideeffectsthatIneedtocallmydoctoraboutrightaway?
WARNING/CAUTION:Eventhoughitmayberare,somepeoplemayhaveverybadandsometimes
deadlysideeffectswhentakingadrug.Tellyourdoctororgetmedicalhelprightawayifyouhaveany
ofthefollowingsignsorsymptomsthatmayberelatedtoaverybadsideeffect:
Signsofanallergicreaction,likerashhivesitchingred,swollen,blistered,orpeelingskinwithor
withoutfeverwheezingtightnessinthechestorthroattroublebreathingortalkingunusual
hoarsenessorswellingofthemouth,face,lips,tongue,orthroat.
Signsoflowsodiumlevelslikeheadache,troublefocusing,memoryproblems,changeinthinking
clearlyandwithlogic,weakness,seizures,orchangeinbalance.
Signsofbleedinglikethrowingupbloodorthrowupthatlookslikecoffeegroundscoughingupblood
bloodintheurineblack,red,ortarrystoolsbleedingfromthegumsvaginalbleedingthatisnot
normalbruiseswithoutareasonorthatgetbiggeroranybleedingthatisverybadorthatyoucannot
stop.
Verybaddizzinessorpassingout.
Abigweightgainorloss.
Changeinsexability.
Loweredinterestinsex.
Averybadandsometimesdeadlyhealthproblemcalledserotoninsyndromemayhappen.Therisk
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20/4/2016 Fluoxetine:Patientdruginformation

maybegreaterifyoutakethisdrugwithdrugsfordepression,migraines,orcertainotherdrugs.Call
yourdoctorrightawayifyouhaveagitationchangeinbalanceconfusionhallucinationsfeverfastor
abnormalheartbeatflushingmuscletwitchingorstiffnessseizuresshiveringorshakingsweatinga
lotverybaddiarrhea,upsetstomach,orthrowinguporverybadheadache.
Callyourdoctorrightawayifyouhaveapainfulerection(hardpenis)oranerectionthatlastsforlonger
than4hours.Thismayhappenevenwhenyouarenothavingsex.Ifthisisnottreatedrightaway,it
mayleadtolastingsexproblemsandyoumaynotbeabletohavesex.

Whataresomeothersideeffectsofthisdrug?
Alldrugsmaycausesideeffects.However,manypeoplehavenosideeffectsoronlyhaveminorside
effects.Callyourdoctororgetmedicalhelpifanyofthesesideeffectsoranyothersideeffectsbother
youordonotgoaway:
Upsetstomach.
Drymouth.
Feelingsleepy.
Dizziness.
Loosestools(diarrhea).
Baddreams.
Notabletosleep.
Feelingtiredorweak.
Flulikesigns.
Yawning.
Thesearenotallofthesideeffectsthatmayoccur.Ifyouhavequestionsaboutsideeffects,callyour
doctor.Callyourdoctorformedicaladviceaboutsideeffects.
Youmayreportsideeffectstoyournationalhealthagency.

Howisthisdrugbesttaken?
Usethisdrugasorderedbyyourdoctor.Readallinformationgiventoyou.Followallinstructions
closely.
Allproducts:
Togainthemostbenefit,donotmissdoses.
Keeptakingthisdrugasyouhavebeentoldbyyourdoctororotherhealthcareprovider,evenifyou
feelwell.
Takewithorwithoutfood.
Longactingproducts:
Swallowwhole.Donotchew,break,orcrush.
Liquid(solution):
Measureliquiddosescarefully.Usethemeasuringdevicethatcomeswiththisdrug.Ifthereisnone,
askthepharmacistforadevicetomeasurethisdrug.

WhatdoIdoifImissadose?
Takeamisseddoseassoonasyouthinkaboutit.
Ifitisclosetothetimeforyournextdose,skipthemisseddoseandgobacktoyournormaltime.
Donottake2dosesatthesametimeorextradoses.

HowdoIstoreand/orthrowoutthisdrug?
Storeatroomtemperature.Donotfreeze.
Protectfromlight.

http://www.uptodate.com/contents/fluoxetinepatientdruginformation?topicKey=DRUG_PTI%2F12486&elapsedTimeMs=4&source=search_result&search 3/4
20/4/2016 Fluoxetine:Patientdruginformation

Storeinadryplace.Donotstoreinabathroom.
Keepalldrugsinasafeplace.Keepalldrugsoutofthereachofchildrenandpets.
Checkwithyourpharmacistabouthowtothrowoutunuseddrugs.

Generaldrugfacts
Ifyoursymptomsorhealthproblemsdonotgetbetteroriftheybecomeworse,callyourdoctor.
Donotshareyourdrugswithothersanddonottakeanyoneelse'sdrugs.
Keepalistofallyourdrugs(prescription,naturalproducts,vitamins,OTC)withyou.Givethislistto
yourdoctor.
Talkwiththedoctorbeforestartinganynewdrug,includingprescriptionorOTC,naturalproducts,or
vitamins.
Somedrugsmayhaveanotherpatientinformationleaflet.Ifyouhaveanyquestionsaboutthisdrug,
pleasetalkwithyourdoctor,nurse,pharmacist,orotherhealthcareprovider.
Ifyouthinktherehasbeenanoverdose,callyourpoisoncontrolcenterorgetmedicalcarerightaway.
Bereadytotellorshowwhatwastaken,howmuch,andwhenithappened.

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Topic12486Version147.0

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