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Precautions

Do NOT use Fluoxetine if:

• you are allergic to your ingredient in Fluoxetine
• you are taking 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 your physician or physician right away if all of these affect you.

Some medical conditions may connect to Fluoxetine. Tell your medical professional or pharmacist if you have any medical ailments, especially if any in the following sign up for you:

• if you happen to be pregnant, likely 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 perhaps a family member 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 reputation seizures, heart disease, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
• if you're dehydrated, have low blood sodium levels, or consume alcohol
• if you will end up having electroconvulsive therapy (ECT).

Some medicines may communicate with Fluoxetine. Tell your medical provider if you consider some other medicines, especially any with 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 side effects, such as a reaction that will include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) since the risk of bleeding, including stomach bleeding, might be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) as the chance of low blood sodium levels might be increased
• Tramadol as the likelihood of seizures could possibly 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 likelihood of Fluoxetine's side effects
• Cyproheptadine since 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 unwanted effects could be increased by Fluoxetine.

This may not be an entire list of all interactions that will occur. Ask your health care provider if Fluoxetine may talk with other medicines which you take. Check with your health care provider before you start, stop, or change the dose of the medicine.

Important safety information:

• Fluoxetine may cause drowsiness or dizziness. These effects could possibly be worse if you go with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks unless you know how you react to it.
• Check along with your doctor prior to deciding to are drinking alcohol or use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you consider Fluoxetine; it could add to their effects. Ask your friendly phamacist for those who have questions on which medicines could cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take greater than the recommended dose, alter your dose, or take Fluoxetine for over prescribed without checking along with your doctor.
• Children and teenagers taking Fluoxetine could be at increased risk for suicidal thoughts or actions. Adults can also be affected. The risk may be greater in patients who have had suicidal thoughts or actions within the past. The risk can be greater in patients who've had bipolar (manic-depressive) illness, or if their family members have experienced it. Watch patients taking Fluoxetine closely. Contact the physician simultaneously if new, worsened, or sudden symptoms including depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual alternation in mood or behavior occur. Contact the physician right away if any indications of suicidal thoughts or actions occur.
• Diabetes patients - Fluoxetine may affect your blood glucose. Check blood sugar levels closely. Ask a medical expert when you alter the dose of one's diabetes medicine.
• Serotonin syndrome is often a possibly fatal syndrome which can be due to Fluoxetine. Your risk could be greater with Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms might include agitation; coma; confusion; sweating; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your medical professional at once when you have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that may be a result of Fluoxetine. Symptoms might 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.
• If your physician notifys you to prevent taking Fluoxetine, you simply must wait for many weeks before commencing to consider certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your doctor ought to start to consider a new medicines after you might have stopped taking Fluoxetine.
• Fluoxetine may rarely cause a prolonged, painful erection. This could happen even when you're not making love. If this is not treated without delay, it could lead to permanent sexual dysfunctions like impotence. Contact your doctor without delay in such a circumstance.
• Fluoxetine contains some of the same ingredients as Prozac, a medicine accustomed to treat depression and other mental problems, and Symbyax, medicines employed to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you happen to be also taking Prozac or Symbyax. Discuss any queries or concerns together with your doctor.
• Use Fluoxetine with caution in the elderly; they could possibly be more understanding of its effects, especially low blood sodium levels.
• Caution is suggested when working with Fluoxetine in youngsters; they may be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.
• Fluoxetine ought to be in combination with careful attention in kids; safety and effectiveness in youngsters are not confirmed.
• Fluoxetine could potentially cause weight changes. Children and teenagers may require regular weight and growth checks as they definitely take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine could potentially cause problems for the fetus if it is used throughout the last a few months of childbearing. If you get pregnant, get hold of your doctor. You will need to discuss the rewards and risks of using Fluoxetine while you happen to be pregnant. Fluoxetine is found in breast milk. Do not breastfeed while you are taking Fluoxetine.