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Precautions

Do NOT use Fluoxetine if:

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• you are allergic to your ingredient in Fluoxetine

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• you are taking or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during the last 14 days

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• 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.

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Contact a medical expert or physician right away if any of these connect with you.

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Some medical ailments may interact with Fluoxetine. Tell your physician or pharmacist if you have any medical conditions, particularly if any in the following affect you:

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• if you happen to be pregnant, planning to conceive, or are breast-feeding

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• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• for those who have allergies to medicines, foods, or another substances

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• if you or perhaps a member of the family features a reputation bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse

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• for those who have a history of seizures, heart related illnesses, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems

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Some medicines may talk with Fluoxetine. Tell your doctor if you take some other medicines, especially any in the following:

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• 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 could include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur

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• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) since the risk of bleeding, including stomach bleeding, might be increased

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• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that likelihood of low blood sodium levels could be increased

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• Tramadol as the probability of seizures may be increased

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• Cyclobenzaprine or H₁ antagonists (eg, astemizole, terfenadine) because severe heart problems, including irregular heartbeat, may occur
• HIV protease inhibitors (eg, ritonavir) since they could raise the chance of Fluoxetine's unwanted side effects

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• Cyproheptadine because it may decrease Fluoxetine's effectiveness

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• 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 since the risk of their side effects might be increased by Fluoxetine.

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This is probably not a complete report on all interactions that may occur. Ask your health care provider if Fluoxetine may interact with other medicines that you simply take. Check along with your physician before you begin, stop, or alter the dose of any medicine.

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Important safety information:

• Fluoxetine could potentially cause drowsiness or dizziness. These effects might be worse if you go on 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.

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• Check along with your doctor before you are drinking alcohol or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you are taking Fluoxetine; it could increase their effects. Ask your friendly phamacist in case you have questions regarding which medicines could potentially cause drowsiness.

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• Several weeks may pass before your symptoms improve. Do NOT take a lot more than the recommended dose, change your dose, or take Fluoxetine for more than prescribed without checking along with your doctor.

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• Children and teenagers having Fluoxetine could be at increased risk for suicidal thoughts or actions. Adults can also be affected. The risk might be greater in patients who've had suicidal thoughts or actions within the past. The risk are often greater in patients who have had bipolar (manic-depressive) illness, or if their family members also have it. Watch patients taking Fluoxetine closely. Contact the physician at once if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual alteration of mood or behavior occur. Contact your physician straight away if any indications of suicidal thoughts or actions occur.

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• Diabetes patients - Fluoxetine may affect your blood glucose. Check blood glucose levels levels closely. Ask your medical professional when you change the dose of the diabetes medicine.

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• Serotonin syndrome is often a possibly fatal syndrome which can be brought on by Fluoxetine. Your risk could possibly be greater invest the 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 medical professional at the same time if you have some of these symptoms.

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• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome which can be due to Fluoxetine. Symptoms can include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert immediately when you have all of these symptoms.

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• If your medical professional notifys you to prevent taking Fluoxetine, you need to await many weeks before commencing to adopt certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your medical professional when you start to look at your brand-new medicines after you might have stopped taking Fluoxetine.

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• Fluoxetine may rarely result in a prolonged, painful erection. This could happen even when you happen to be not having sex. If this is not treated without delay, it might result in permanent sexual dysfunctions for example impotence. Contact your medical professional right away take place.

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• Fluoxetine contains some with the same ingredients as Prozac, medication accustomed to treat depression and other mental problems, and Symbyax, a medicine 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 using your doctor.

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• Caution is recommended when using Fluoxetine in kids; they might be more understanding of its effects, especially increased probability of suicidal thoughts or actions.

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• Fluoxetine ought to be used with extreme care in kids; safety and effectiveness in kids are not confirmed.

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• Fluoxetine could potentially cause weight changes. Children and teenagers may require regular weight and growth checks since they take Fluoxetine.

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• Pregnancy and breast-feeding: Fluoxetine could cause problems for the fetus if it is used over the past 3 months of childbearing. If you conceive, get hold of your doctor. You will need to discuss the rewards and risks of using Fluoxetine while you might be pregnant. Fluoxetine is situated in breast milk. Do not breastfeed while you consider Fluoxetine.

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