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Precautions

Do NOT use Fluoxetine if:

• you are allergic to your ingredient in Fluoxetine
• you consider or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within the last 14 days
• you consider 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 medical professional or health care provider immediately if all of these connect with you.

Some medical conditions may talk with Fluoxetine. Tell your medical professional or pharmacist when you have any health conditions, particularly if any with the following affect you:

• if you might be pregnant, planning to become pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, and other substances
• if you or even a member of the family has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• for those who have a good reputation for seizures, heart disease, 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 alcoholic beverages
• if you'll be having electroconvulsive therapy (ECT).

Some medicines may interact with Fluoxetine. Tell your medical provider if you are taking 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, such as a reaction that could 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, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that probability of low blood sodium levels could possibly be increased
• Tramadol because the probability of seizures may 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 might increase the risk of Fluoxetine's side effects
• Cyproheptadine because 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 since the chance of their negative effects could possibly be increased by Fluoxetine.

This will not be a whole list of all interactions that may occur. Ask your health care provider if Fluoxetine may connect to other medicines that you simply take. Check using your physician before starting, stop, or change the dose from a medicine.

Important safety information:

• Fluoxetine could potentially cause drowsiness or dizziness. These effects could possibly be worse if you get it with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks before you recognize how you respond to it.
• Check along with your doctor before you decide to consume alcohol or use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you take Fluoxetine; it may add to their effects. Ask your pharmacist 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, improve your dose, or take Fluoxetine for more than prescribed without checking together with your doctor.
• Children and teenagers who take Fluoxetine could be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk may be greater in patients who've had suicidal thoughts or actions in the past. The risk can also be greater in patients who may have had bipolar (manic-depressive) illness, or if themselves members have had it. Watch patients who take Fluoxetine closely. Contact the doctor immediately if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual alternation in mood or behavior occur. Contact your physician right 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 your medical professional before you decide to change the dose of your respective diabetes medicine.
• Serotonin syndrome is a possibly fatal syndrome that can be a result of 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 physician at the same time for those who have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome that can be caused by Fluoxetine. Symptoms can include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor immediately when you have any of these symptoms.
• If your doctor tells you to prevent taking Fluoxetine, you will need to watch for many weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your physician ought to start to consider your medicines after you have stopped taking Fluoxetine.
• Fluoxetine may rarely spark a prolonged, painful erection. This could happen even when you are not having sexual intercourse. If this is not treated right away, it may bring about permanent sexual problems for example impotence. Contact your medical professional straight away should this happen.
• Fluoxetine contains some from the same ingredients as Prozac, medicine accustomed to treat depression and also other mental problems, and Symbyax, a medicine utilized to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you happen to be also taking Prozac or Symbyax. Discuss any questions or concerns with your doctor.
• Use Fluoxetine with caution within the elderly; they could possibly be more understanding of its effects, especially low blood sodium levels.
• Caution is required when using Fluoxetine in youngsters; they could possibly be more responsive to its effects, especially increased likelihood of suicidal thoughts or actions.
• Fluoxetine should be used in combination with extreme caution in kids; safety and effectiveness in kids have not been confirmed.
• Fluoxetine could potentially cause weight changes. Children and teenagers may require regular weight and growth checks when they take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine could cause trouble for the fetus if it is utilized throughout the last three months of being pregnant. If you get pregnant, speak to your doctor. You will need to discuss the huge benefits and risks of using Fluoxetine while you're pregnant. Fluoxetine is located in breast milk. Do not breastfeed while you take Fluoxetine.