Drug Name - Fluoxetine
Brand Name - Prozac

WARNING: While antidepressants can provide great benefits, a small
percentage of children/teenagers taking these medications for various
psychiatric conditions have had a worsening of depression/other symptoms,
including suicidal thoughts/attempts. However, depression itself can
sometimes lead to suicidal thoughts/attempts as well, in both children and
adults. Therefore, when medications to treat depression/other psychiatric
conditions (antidepressants) are used (especially in children/teenagers)
the benefits and risks must be discussed with the doctor. Though there are
no similar study results for adults, this warning information applies to
adults taking these medications as well.
Tell the doctor immediately if you notice a worsening of
depression/other psychiatric symptoms, unusual changes in behavior
(including possible suicidal thoughts/attempts) or other mental/mood
changes (such as new/worsening anxiety, agitation, panic attacks, trouble
sleeping, irritability, hostile/angry feelings, impulsive actions, severe
restlessness, very rapid speech). Watch for these symptoms especially at a
time of antidepressant dosage change, or when antidepressant medicine is
being started.

USES: Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to
treat depression, obsessive-compulsive disorder, panic attacks, certain
eating disorders (bulimia), and a severe form of premenstrual syndrome
(prementrual dysphoric disorder or PMDD).
This medication works by restoring the balance of natural substances
(neurotransmitters) in the brain, thereby improving mood and feelings of
well-being.

OTHER USES: This drug is also used to treat certain other eating disorders
(anorexia nervosa), obesity, and depression associated with bipolar
disorder.

HOW TO USE: Take this medication by mouth usually once a day in the
morning, with or without food, or as directied by your doctor. If your
doctor tells you to take this medication twice a day, take a dose in the
morning and at noon. Dosage is based on you medical condition and response
to therapy.
Use this medication regularly in order to get the most benefit from
it. Remember to use it at the same time(s) each day.
It is important to continue taking this medication even if you feel
well. Do not stop taking this medication without consulting your doctor.
Do not take more or less medication than prescribed. The maximum
recommended dose for adults treated for obsessive-compulsive disorder and
premenstrual dysphoric disorder is 80 mg per day. The maximum recommended
dose for children with attention-deficit hyperactivity disorder (ADHD)
treated for depression is 20 mg per day.
It may take 4 weeks or longer before the full benefit of this drug
takes effect. Inform your doctor if your condition persists or worsens.

SIDE EFFECTS: Nausea, loss of appetite, diarrhea, dry mouth, trouble
sleeping, dizziness, drowsiness, yawning, weakness, or sweating may occur.
If any of these effects persist or worsen, notify your doctor or pharmacist
promptly.
Tell you doctor immediately if any of these serious side effects
occur: unusual or severe mental/mood changes (e.g., anxiety, mania), weight
loss, change in sexual desire and ability, vision changes.
Tell you doctor immediatiely if any of these unlikely but serious side
effects occur: uncontrolled movements (tremor), fever/flu-like symptoms.
Tell your doctor immediately if any of these highly unlikely but very
serious side effects occur: unusual muscle stffness, fast/irregular
heartbeats, chest pain, black stools, vomit that looks like coffee grounds,
easy bruising/bleeding, unusual bleeding, seizures.
For males, in the very unlikely event you have a painful, prolonged
erection (lasting more than 4 hours), stop using this drug and seek
immediate medical attention or permanent problems could occur.
A serious allergic reaction to this drug is unlikely, but seek
immediatie medical attention if it occurs. Symptoms of a serious allergic
reaction include: rash, itching, swelling, severe dizziness, trouble
breating.



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