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Precautions

Do NOT use Fluoxetine if:

• you happen to be allergic to any ingredient in Fluoxetine
• you take or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within 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 physician without delay if some of these apply to you.

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

• if you're pregnant, likely to conceive, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• if you or possibly a member of the family features a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you 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 alcoholic beverages
• if you may be having electroconvulsive therapy (ECT).

Some medicines may connect to Fluoxetine. Tell your doctor if you take another medicines, especially any from 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, for instance 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) because the likelihood of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the probability of low blood sodium levels might be increased
• Tramadol for the reason that chance of seizures could possibly be increased
• Cyclobenzaprine or H₁ antagonists (eg, astemizole, terfenadine) because severe cardiovascular disease, including irregular heartbeat, may occur
• HIV protease inhibitors (eg, ritonavir) since they could raise the risk of Fluoxetine's side 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 because the probability of their side effects could be increased by Fluoxetine.

This will not be an entire list of all interactions that could occur. Ask your health care provider if Fluoxetine may communicate with other medicines that you simply take. Check along with your doctor before starting, stop, or affect the dose associated with a medicine.

Important safety information:

• Fluoxetine might cause drowsiness or dizziness. These effects could 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 understand how you answer it.
• Check with your doctor prior to deciding to are drinking alcoholic beverages or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you consider Fluoxetine; it may help to increase their effects. Ask the pharmacist for those who have questions regarding which medicines could potentially 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 for over prescribed without checking using your doctor.
• Children and teenagers who take Fluoxetine may be at increased risk for suicidal thoughts or actions. Adults can be affected. The risk may be greater in patients who may have had suicidal thoughts or actions inside past. The risk can be greater in patients who may have had bipolar (manic-depressive) illness, or if themselves members have experienced it. Watch patients taking Fluoxetine closely. Contact a doctor at the same time if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual difference in mood or behavior occur. Contact your physician right away if any signs and symptoms of suicidal thoughts or actions occur.
• Diabetes patients - Fluoxetine may affect your blood glucose. Check blood sugar levels levels closely. Ask a medical expert prior to deciding to affect the dose of your diabetes medicine.
• Serotonin syndrome is really a possibly fatal syndrome that may be caused by Fluoxetine. Your risk may be greater with Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms can include agitation; coma; confusion; excessive sweating; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your doctor simultaneously when you have some of these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome that can be a result of Fluoxetine. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your medical professional at once in case you have all of these symptoms.
• If your physician notifys you to avoid taking Fluoxetine, you simply must loose time waiting for weeks before commencing to look at certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your physician when you ought to start to consider your brand-new medicines after you've stopped taking Fluoxetine.
• Fluoxetine may rarely cause a prolonged, painful erection. This could happen even when you happen to be not having sex. If this is not treated straight away, it might cause permanent sexual problems like impotence. Contact your physician right away in such a circumstance.
• Fluoxetine contains some from the same ingredients as Prozac, medicine utilized to treat depression and also other mental problems, and Symbyax, medicines accustomed to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you are also taking Prozac or Symbyax. Discuss any questions or concerns with your doctor.
• Use Fluoxetine with caution inside elderly; they might be more sensitive to its effects, especially low blood sodium levels.
• Caution is required when utilizing Fluoxetine in youngsters; they could be more understanding of its effects, especially increased likelihood of suicidal thoughts or actions.
• Fluoxetine must be combined with extreme care in children; safety and effectiveness in children have not been confirmed.
• Fluoxetine may cause weight changes. Children and teenagers might require regular weight and growth checks when they take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine could cause problems for the fetus if it is utilized throughout the last a couple of months of being pregnant. If you get pregnant, speak to your doctor. You will need to discuss the rewards and perils associated with using Fluoxetine while you happen to be pregnant. Fluoxetine is situated in breast milk. Do not breastfeed while you consider Fluoxetine.