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Precautions

Do NOT use Fluoxetine if:

• you might be allergic to the ingredient in Fluoxetine
• you take or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in 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 any of these affect you.

Some health concerns may interact with Fluoxetine. Tell your physician or pharmacist if you have any medical ailments, in particular when any from the following connect with you:

• if you are pregnant, intending to become pregnant, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or other substances
• if you or perhaps a member of the family has a good bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• for those who have a reputation seizures, cardiovascular disease, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or consume alcohol
• if you will be having electroconvulsive therapy (ECT).

Some medicines may talk with Fluoxetine. Tell your doctor if you take any 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 unwanted effects, such as a reaction that will include fever, rigid muscles, hypertension changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that chance of bleeding, including stomach bleeding, might be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) because the probability of low blood sodium levels could be increased
• Tramadol for the reason that risk of seizures could 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 could raise the probability of Fluoxetine's unwanted 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 possibly be increased by Fluoxetine.

This is probably not an entire set of all interactions that will occur. Ask your medical provider if Fluoxetine may connect to other medicines that you simply take. Check with your doctor before you begin, stop, or change the dose associated with a medicine.

Important safety information:

• Fluoxetine could potentially cause drowsiness or dizziness. These effects may be worse if you get it with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks until you recognize how you answer it.
• Check with your doctor before you decide to drink alcohol or use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you take Fluoxetine; it may help to increase their effects. Ask your friendly phamacist when you have questions on which medicines may cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dose, or take Fluoxetine more than prescribed without checking with your doctor.
• Children and teenagers who take Fluoxetine might be at increased risk for suicidal thoughts or actions. Adults can also be affected. The risk may be greater in patients who may have had suicidal thoughts or actions inside the past. The risk are often greater in patients who may have had bipolar (manic-depressive) illness, or if themselves members have experienced it. Watch patients having 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 difference in mood or behavior occur. Contact a doctor straight away if any signs of suicidal thoughts or actions occur.
• Diabetes patients - Fluoxetine may affect your blood glucose levels. Check blood sugar levels closely. Ask a medical expert before you change the dose of the diabetes medicine.
• Serotonin syndrome is a possibly fatal syndrome that can be a result of Fluoxetine. Your risk might 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 medical professional at once in case you have all of these symptoms.
• Neuroleptic malignant syndrome (NMS) can be a possibly fatal syndrome that could be brought on by Fluoxetine. Symptoms can include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your physician immediately for those who have all of these symptoms.
• If your medical professional informs you to halt taking Fluoxetine, you need to wait for several weeks before you begin to adopt certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your doctor when you ought to start to look at your new medicines after you have stopped taking Fluoxetine.
• Fluoxetine may rarely result in a prolonged, painful erection. This could happen even when you happen to be not making love. If this is not treated straight away, it could lead to permanent sexual difficulties such as impotence. Contact your medical professional without delay take place.
• Fluoxetine contains some of the same ingredients as Prozac, medication used to treat depression as well as other mental problems, and Symbyax, a medicine employed to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you're also taking Prozac or Symbyax. Discuss any queries or concerns along with your doctor.
• Use Fluoxetine with caution within the elderly; they might be more responsive to 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 likelihood of suicidal thoughts or actions.
• Fluoxetine should be in combination with extreme caution in youngsters; safety and effectiveness in youngsters haven't been confirmed.
• Fluoxetine could potentially cause weight changes. Children and teenagers might require regular weight and growth checks as they definitely take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine could cause problems for the fetus if it can be used over the past 3 months of childbearing. If you get pregnant, contact your doctor. You will need to discuss the huge benefits and perils associated with using Fluoxetine while you are pregnant. Fluoxetine can be found in breast milk. Do not breastfeed while you take Fluoxetine.