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Prozac® is a selective serotonin reuptake inhibitor
(SSRI) used to treat depression, bulimia, obsessive
compulsive disorders (OCD) and severe symptoms
of premenstrual syndrome (PMDD). Prozac
works by helping to restore the balance of certain
natural chemicals in the brain.
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Prozac®
Important Note about Prozac:
The following information is intended to supplement,
not substitute for, the expertise and judgment of your
physician, pharmacist or other healthcare professional.
It should not be construed to indicate that use of the
drug is safe, appropriate, or effective for you. Consult
your healthcare professional before using Prozac.
Prozac Uses:
Fluoxetine is used to treat depression, bulimia (an
eating disorder), obsessive compulsive disorders (OCD),
and severe symptoms of premenstrual syndrome (premenstrual
dysphoric disorder-PMDD). Prozac works by helping
to restore the balance of certain natural chemicals
in the brain.
Other Uses of Prozac:
Prozac has also been used to treat panic attacks,
obesity, and alcoholism.
How to Use Prozac:
Take Prozac by mouth usually once daily in
the morning, with or without food; or as directed by
your doctor. The dosage is based on your medical condition
and response to therapy. Some medical conditions may
require a different Prozac dosing schedule (e.g., twice daily
in the morning and at noon) as determined by your doctor.
Take Prozac exactly as prescribed. It is important
to continue taking Prozac even if you feel
well. Also, do not stop taking Prozac without
consulting your doctor. It may take up to 4 weeks before
the full benefit of Prozac takes effect.
Prozac Side Effects:
Side effects of Prozac may include, nausea, headache, trouble sleeping, dry mouth, drowsiness,
sweating, or upset stomach may occur. If any of these
effects persist or worsen, notify your doctor promptly.
Tell your doctor immediately if any of these serious
side effects occur: loss of appetite, unusual weight
loss, unusual or severe mental/mood changes, uncontrolled
movements (tremor), decreased interest in sex, flu-like
symptoms (e.g., chills, fever, muscle aches, weakness).
Tell your doctor immediately if any of these unlikely
but serious side effects occur with Prozac treatment: vision changes, trouble
swallowing, swelling or white spots on the mouth and/or
tongue, changes in sexual ability, painful and/or prolonged
erection. Tell your doctor immediately if any of these
highly unlikely but very serious side effects occur:
fainting, irregular/fast heartbeat. An allergic reaction
to Prozac is unlikely, but seek immediate medical
attention if it occurs. Symptoms of an allergic reaction
include: rash, itching, swelling, dizziness, trouble
breathing. If you notice other effects not listed above,
while taking Prozac, contact your doctor or pharmacist.
Precautions of Prozac:
Tell your doctor your medical history,
especially of: liver problems, kidney disease, seizures, heart
problems, diabetes, any allergies. Prozac may make you dizzy or drowsy;
use caution engaging in activities requiring alertness such as driving
or using machinery. Limit alcoholic beverages. Liquid preparations of
Prozac may contain sugar and/or small amounts of alcohol. Caution is
advised if you have diabetes, alcohol dependence, or liver disease. Ask
your doctor or pharmacist about the safe use of Prozac. Caution is
advised when using Prozac in the elderly because they may be more
sensitive to the effects of the drug. Prozac should be used only when
clearly needed during pregnancy. Discuss the risks and benefits with
your doctor. Prozac passes into breast milk. Because of the potential
risk to the infant, breast-feeding while using Prozac is not
recommended. Consult your doctor before breast-feeding.
Prozac Drug Interactions:
Certain medications taken with Prozac could
result in serious, even fatal, drug interactions. Avoid taking MAO
inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide,
phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks,
and avoid taking thioridazine within 5 weeks, before or after treatment
with Prozac. Consult your doctor or pharmacist for additional
information. Prozac is not recommended for use with: weight loss
medicine (e.g., sibutramine, phentermine), thioridazine, terfenadine,
astemizole. Ask your doctor or pharmacist for more details. Tell your
doctor of all prescription and nonprescription medication you may use,
especially: other SSRI antidepressants (e.g., citalopram, sertraline),
nefazodone, trazodone, venlafaxine, "triptan" migraine drugs (e.g.,
sumatriptan, zolmitriptan), tramadol, tricyclic antidepressants (e.g.,
amitriptyline, nortriptyline), flecainide, propafenone, haloperidol,
clozapine, lithium, tryptophan, "blood thinners" (e.g., warfarin),
anti-seizure drugs (e.g., carbamazepine, phenytoin/hydantoins),
herbal/natural products (e.g., St John's wort, ayahuasca). Tell your
doctor if you take any drugs that cause drowsiness such as: medicine
for sleep, tranquilizers, anti-anxiety drugs (e.g., alprazolam),
narcotic pain relievers (e.g., codeine), muscle relaxants, psychiatric
medicine (e.g., phenothiazines such as chlorpromazine), certain
antihistamines (e.g., diphenhydramine). Check the labels on all your
medicines (e.g., cough-and-cold products) because they may contain
drowsiness-causing ingredients. Ask your pharmacist about the safe use
of these products. Report other drugs which affect the heart rhythm
(QTc prolongation), such as: dofetilide, pimozide, sotalol, quinidine,
procainamide, sparfloxacin, "water pills" (diuretics such as furosemide
or hydrochlorothiazide). Ask your doctor or pharmacist for more
details. Fluoxetine may affect the amount of glucose (sugar) in your
blood. If you take any anti-diabetes medication (e.g., glipizide,
glyburide, metformin), your dosage of these drugs may need to be
adjusted when fluoxetine is started or discontinued. Consult your
doctor. Do not start or stop any medicine without doctor or pharmacist
approval.
Prozac Overdose:
If overdose of Prozac is suspected, contact your local poison
control center or emergency room immediately. Symptoms
of Prozac overdose may include: irregular heartbeat, fainting,
severe dizziness or lightheadedness.
Notes on Prozac:
Do not share Prozac with others. Laboratory
and/or medical tests may be performed to monitor your
progress.
Missed Dose of Prozac:
If you miss a Prozac dose, use it as soon as you remember.
If it is near the time of the next dose, skip the missed
dose and resume your usual Prozac dosing schedule. Do not double
the dose to catch up.
Storage of Prozac:
Store Prozac at room temperature between 59 and 86 degrees
F (15 and 30 degrees C) away from light and moisture.
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