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Precautions

Do NOT use Fluoxetine if:

• you happen to be allergic to the 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 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 medical professional or health care provider right away if any of these connect with you.

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

• if you happen to be pregnant, intending to become pregnant, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or any other substances
• if you or even 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
• when you have a good reputation for 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 are drinking alcoholic beverages
• if you'll be having electroconvulsive therapy (ECT).

Some medicines may connect to Fluoxetine. Tell your medical provider if you consider any other medicines, especially any in 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, say for example 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) as the likelihood of bleeding, including stomach bleeding, could possibly be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that risk of low blood sodium levels could possibly be increased
• Tramadol since the risk of seizures might 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 might increase the likelihood of Fluoxetine's side effects
• Cyproheptadine as 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 unwanted side effects could possibly be increased by Fluoxetine.

This might not be a whole list of all interactions that could occur. Ask your health care provider if Fluoxetine may interact with other medicines that you simply take. Check using your doctor before starting, stop, or alter the dose of any medicine.

Important safety information:

• Fluoxetine may 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 discover how you answer it.
• Check together with your doctor prior to deciding to consume alcohol or use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you are taking Fluoxetine; it may well add to their effects. Ask the pharmacist in case you have questions on which medicines could 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 over prescribed without checking using your doctor.
• Children and teenagers who take Fluoxetine could be at increased risk for suicidal thoughts or actions. Adults can also be affected. The risk might be greater in patients who have had suicidal thoughts or actions inside past. The risk can be greater in patients who may have had bipolar (manic-depressive) illness, or if themselves members also have it. Watch patients who take Fluoxetine closely. Contact the doctor at the same time if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual alteration of mood or behavior occur. Contact the doctor without delay if any indications of suicidal thoughts or actions occur.
• Diabetes patients - Fluoxetine may affect your blood sugar. Check blood sugar levels closely. Ask your physician before you alter the dose of the diabetes medicine.
• Serotonin syndrome is really a possibly fatal syndrome that may be caused by Fluoxetine. Your risk could be greater invest the Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms might include agitation; coma; confusion; excessive sweating; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact a medical expert at once if you have these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome that could be due to Fluoxetine. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your medical professional at once for those who have these symptoms.
• If your doctor notifys you to halt taking Fluoxetine, you will need to wait for several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your doctor when you start to look at your medicines after you've stopped taking Fluoxetine.
• Fluoxetine may rarely cause a prolonged, painful erection. This could happen even when you are not having sexual intercourse. If this is not treated straight away, it may lead to permanent sexual problems for example impotence. Contact your doctor right away if this happens.
• Fluoxetine contains some in the same ingredients as Prozac, a medicine accustomed to treat depression along with other mental problems, and Symbyax, medicines utilized to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you're also taking Prozac or Symbyax. Discuss questions or concerns using your doctor.
• Use Fluoxetine with caution inside the elderly; they may be more responsive to its effects, especially low blood sodium levels.
• Caution is recommended when utilizing Fluoxetine in children; they could be more responsive to its effects, especially increased chance of suicidal thoughts or actions.
• Fluoxetine should be used in combination with extreme care in youngsters; safety and effectiveness in children have not been confirmed.
• Fluoxetine could potentially cause weight changes. Children and teenagers might require regular weight and growth checks when they take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine may cause harm to the fetus if it is used during the last a couple of months of childbearing. If you conceive, contact your doctor. You will need to discuss the benefits and perils of using Fluoxetine while you happen to be pregnant. Fluoxetine is located in breast milk. Do not breastfeed while you take Fluoxetine.