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Precautions

Do NOT use Fluoxetine if:

• you're allergic to any ingredient in Fluoxetine
• you take or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in the last 14 days
• you take a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, a serotonin-norepinephrine reuptake inhibitor (SNRI) (eg, venlafaxine), another SSRI (eg, paroxetine), sibutramine, thioridazine, or tryptophan.

Contact a medical expert or health care provider without delay if these connect with you.

Some medical conditions may talk with Fluoxetine. Tell your physician or pharmacist in case you have any health concerns, particularly when any in the following sign up for you:

• if you're pregnant, intending to get pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you or even a loved one includes a good bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• for those who have a history of seizures, cardiovascular disease, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
• if you might be dehydrated, have low blood sodium levels, or are drinking alcohol
• if you'll be having electroconvulsive therapy (ECT).

Some medicines may talk with Fluoxetine. Tell your medical provider if you take every other medicines, especially any of the following:

• Anorexiants (eg, phentermine), fenfluramine derivatives (eg, dexfenfluramine), linezolid, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, SNRIs (eg, venlafaxine), St. John's wort, trazodone, or tryptophan because severe unwanted side effects, such as a reaction that will include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that probability of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the risk of low blood sodium levels might be increased
• Tramadol since the probability of seizures might be increased
• Cyclobenzaprine or H₁ antagonists (eg, astemizole, terfenadine) because severe heart disease, including irregular heartbeat, may occur
• HIV protease inhibitors (eg, ritonavir) given that they may increase the risk of Fluoxetine's negative effects
• Cyproheptadine as it may decrease Fluoxetine's effectiveness
• Aripiprazole, benzodiazepines (eg, alprazolam), beta-blockers (eg, propranolol), carbamazepine, clozapine, dextromethorphan, digoxin, flecainide, haloperidol, hydantoins (eg, phenytoin), lithium, norepinephrine reuptake inhibitors (eg, atomoxetine), phenothiazines (eg, chlorpromazine, thioridazine), pimozide, propafenone, risperidone, tricyclic antidepressants (eg, amitriptyline), or vinblastine for the reason that likelihood of their unwanted effects might be increased by Fluoxetine.

This might not be a complete set of all interactions that could occur. Ask your doctor if Fluoxetine may interact with other medicines that you just take. Check together with your physician prior to starting, stop, or affect the dose of the medicine.

Important safety information:

• Fluoxetine could potentially cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks until you know how you respond to it.
• Check along with your doctor before you consume alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you take Fluoxetine; it could add to their effects. Ask your pharmacist in case you have questions on which medicines could cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, make positive changes to dose, or take Fluoxetine more than prescribed without checking with your doctor.
• Children and teenagers having Fluoxetine might be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk may be greater in patients who may have had suicidal thoughts or actions within the past. The risk can also be greater in patients who may have had bipolar (manic-depressive) illness, or if their family members experienced it. Watch patients who take Fluoxetine closely. Contact the physician simultaneously if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual difference in mood or behavior occur. Contact the doctor immediately if any signs and symptoms of suicidal thoughts or actions occur.
• Diabetes patients - Fluoxetine may affect your blood sugar. Check blood sugar levels levels closely. Ask a medical expert before you decide to customize the dose of your diabetes medicine.
• Serotonin syndrome is really a possibly fatal syndrome that could be caused by Fluoxetine. Your risk could possibly be greater if you take Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms can sometimes include agitation; coma; confusion; excessive sweating; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your doctor simultaneously if you have all of these symptoms.
• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that could be due to Fluoxetine. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your physician immediately for those who have these symptoms.
• If your doctor notifys you to prevent taking Fluoxetine, you will need to loose time waiting for a few months before beginning to adopt certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your doctor when you start to adopt your medicines after you might have stopped taking Fluoxetine.
• Fluoxetine may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated immediately, it could result in permanent sexual difficulties like impotence. Contact your physician straight away if this happens.
• Fluoxetine contains some in the same ingredients as Prozac, medicines employed to treat depression and other mental problems, and Symbyax, medicine accustomed to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you happen to be also taking Prozac or Symbyax. Discuss questions or concerns along with your doctor.
• Use Fluoxetine with caution inside elderly; they could possibly be more sensitive to its effects, especially low blood sodium levels.
• Caution is required when working with Fluoxetine in children; they could possibly be more understanding of its effects, especially increased risk of suicidal thoughts or actions.
• Fluoxetine must be used in combination with warning in youngsters; safety and effectiveness in kids are not confirmed.
• Fluoxetine could potentially cause weight changes. Children and teenagers may require regular weight and growth checks since they take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine may cause injury to the fetus if it can be used over the past a couple of months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the advantages and risks of using Fluoxetine while you happen to be pregnant. Fluoxetine is located in breast milk. Do not breastfeed while you consider Fluoxetine.