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Precautions

Do NOT use Fluoxetine if:

• you are allergic to any ingredient in Fluoxetine
• you are taking or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during 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 immediately if these connect with you.

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

• if you are pregnant, intending to get pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, and other substances
• if you or possibly a member of the family carries a good reputation for bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• in case you have a good seizures, heart problems, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
• if you happen to be dehydrated, have low blood sodium levels, or are drinking alcohol
• if you will end up having electroconvulsive therapy (ECT).

Some medicines may connect to Fluoxetine. Tell your doctor if you are taking 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 negative effects, such as a reaction that may 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 risk of bleeding, including stomach bleeding, could possibly be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the probability of low blood sodium levels could possibly be increased
• Tramadol as the risk of seizures may be increased
• Cyclobenzaprine or H₁ antagonists (eg, astemizole, terfenadine) because severe heart related illnesses, including irregular heartbeat, may occur
• HIV protease inhibitors (eg, ritonavir) because they may increase the likelihood of Fluoxetine's unwanted side effects
• Cyproheptadine given 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 risk of their side effects could possibly be increased by Fluoxetine.

This is probably not an entire listing of all interactions which could occur. Ask your health care provider if Fluoxetine may talk with other medicines that you take. Check together with your physician before you begin, stop, or customize the dose from a medicine.

Important safety information:

• Fluoxetine might cause drowsiness or dizziness. These effects could be worse if you go with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks until you recognize how you react to it.
• Check using your doctor when you are drinking alcoholic beverages or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you consider Fluoxetine; it may well add to their effects. Ask the pharmacist when you have queries about 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 longer than prescribed without checking together with your doctor.
• Children and teenagers taking Fluoxetine could be at increased risk for suicidal thoughts or actions. Adults are often affected. The risk could be greater in patients who may have had suicidal thoughts or actions inside the past. The risk can be greater in patients who've had bipolar (manic-depressive) illness, or if their loved ones members also have it. Watch patients having Fluoxetine closely. Contact the doctor immediately if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual alternation in mood or behavior occur. Contact your physician right away if any indications of suicidal thoughts or actions occur.
• Diabetes patients - Fluoxetine may affect your blood sugar. Check blood sugar levels closely. Ask your doctor prior to deciding to affect the dose of the diabetes medicine.
• Serotonin syndrome is really a possibly fatal syndrome that can be brought on by Fluoxetine. Your risk might be greater for Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms might include agitation; coma; confusion; hyperhidrosis; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact a medical expert at the same time for those who have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) can be a possibly fatal syndrome that may be brought on by Fluoxetine. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your physician at once if you have any of these symptoms.
• If a medical expert notifys you to prevent taking Fluoxetine, you will have to wait for weeks before commencing to take certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your doctor when you should start to consider your new 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 problems for example impotence. Contact your doctor immediately should this happen.
• Fluoxetine contains some of the same ingredients as Prozac, a medicine employed to treat depression as well as other mental problems, and Symbyax, medication used to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you might be also taking Prozac or Symbyax. Discuss questions or concerns with your doctor.
• Use Fluoxetine with caution inside the elderly; they could be more responsive to its effects, especially low blood sodium levels.
• Caution is advised when you use Fluoxetine in children; they could possibly be more responsive to its effects, especially increased chance of suicidal thoughts or actions.
• Fluoxetine needs to be in combination with extreme caution in children; safety and effectiveness in youngsters haven't been confirmed.
• Fluoxetine may cause weight changes. Children and teenagers may require regular weight and growth checks while they take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine may cause trouble for the fetus if it is used over the past a couple of months of being pregnant. If you get pregnant, speak to your doctor. You will need to discuss the rewards and perils of using Fluoxetine while you're pregnant. Fluoxetine can be found in breast milk. Do not breastfeed while you consider Fluoxetine.