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USES
| INSTRUCTIONS
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| PRECAUTIONS
| INTERACTIONS
| STORAGE
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USES
The following Information is intended to supplement,
not substitute for, the expertise and judgment of your
physician, pharmacist or other healthcare professional.
It should not be construed to indicate that use of the
drug is safe, appropriate, or effective for you.
Consult your healthcare professional before
using any of our products.
Fluoxetine is used to treat depression, bulimia
(an eating disorder), obsessive compulsive disorders
(OCD), and severe symptoms of premenstrual syndrome
(premenstrual dysphoric disorder-PMDD). This medication
works by helping to restore the balance of certain natural
chemicals in the brain.
OTHER USES: This medication has also been used to treat
panic attacks, obesity, and alcoholism.
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HOW TO TAKE THIS MEDICATION
Take this medication by mouth usually once daily
in the morning, with or without food; or as directed
by your doctor. The dosage is based on your medical
condition and response to therapy. Some medical conditions
may require a different dosing schedule (e.g., twice
daily in the morning and at noon) as determined by your
doctor. Take this medication exactly as prescribed.
It is important to continue taking this medication even
if you feel well. Also, do not stop taking this medication
without consulting your doctor. It may take up to 4
weeks before the full benefit of this drug takes effect.
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SIDE EFFECTS
Nausea, headache, trouble sleeping, dry mouth,
drowsiness, sweating, or upset stomach may occur. If
any of these effects persist or worsen, notify your
doctor promptly. Tell your doctor immediately if any
of these serious side effects occur: loss of appetite,
unusual weight loss, unusual or severe mental/mood changes,
uncontrolled movements (tremor), decreased interest
in sex, flu-like symptoms (e.g., chills, fever, muscle
aches, weakness). Tell your doctor immediately if any
of these unlikely but serious side effects occur: vision
changes, trouble swallowing, swelling or white spots
on the mouth and/or tongue, changes in sexual ability,
painful and/or prolonged erection. Tell your doctor
immediately if any of these highly unlikely but very
serious side effects occur: fainting, irregular/fast
heartbeat. An allergic reaction to this drug is unlikely,
but seek immediate medical attention if it occurs. Symptoms
of an allergic reaction include: rash, itching, swelling,
dizziness, trouble breathing. If you notice other effects
not listed above, contact your doctor or pharmacist.
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PRECAUTIONS
Tell your doctor your complete medical history
especially if you have high blood pressure, an over-active
thyroid, glaucoma, diabetes or emotional problems. Consult
with your doctor if you think you are pregnant or before
breast-feeding. Alcohol can increase unwanted side effects
of dizziness. Limit alcohol use. This drug is not recommended
for use in children. Consult your doctor or pharmacist
for further information.
If you take
too much: If overdose is suspected, contact
your local poison control center or emergency room immediately.
Symptoms of overdose may include nausea, vomiting, seizures,
restlessness, fast or irregular heartbeat, and fainting
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DRUG INTERACTION
Certain medications taken with this product could
result in serious, even fatal, drug interactions. Avoid
taking MAO inhibitors (e.g., furazolidone, isocarboxazid,
linezolid, moclobemide, phenelzine, procarbazine, selegiline,
tranylcypromine) within 2 weeks, and avoid taking thioridazine
within 5 weeks, before or after treatment with this
medication. Consult your doctor or pharmacist for additional
information. This drug is not recommended for use with:
weight loss medicine (e.g., sibutramine, phentermine),
thioridazine, terfenadine, astemizole. Ask your doctor
or pharmacist for more details. Tell your doctor of
all prescription and nonprescription medication you
may use, especially: other SSRI antidepressants (e.g.,
citalopram, sertraline), nefazodone, trazodone, venlafaxine,
"triptan" migraine drugs (e.g., sumatriptan,
zolmitriptan), tramadol, tricyclic antidepressants (e.g.,
amitriptyline, nortriptyline), flecainide, propafenone,
haloperidol, clozapine, lithium, tryptophan, "blood
thinners" (e.g., warfarin), anti-seizure drugs
(e.g., carbamazepine, phenytoin/hydantoins), herbal/natural
products (e.g., St John's wort, ayahuasca). Tell your
doctor if you take any drugs that cause drowsiness such
as: medicine for sleep, tranquilizers, anti-anxiety
drugs (e.g., alprazolam), narcotic pain relievers (e.g.,
codeine), muscle relaxants, psychiatric medicine (e.g.,
phenothiazines such as chlorpromazine), certain antihistamines
(e.g., diphenhydramine). Check the labels on all your
medicines (e.g., cough-and-cold products) because they
may contain drowsiness-causing ingredients. Ask your
pharmacist about the safe use of these products. Report
other drugs which affect the heart rhythm (QTc prolongation),
such as: dofetilide, pimozide, sotalol, quinidine, procainamide,
sparfloxacin, "water pills" (diuretics such
as furosemide or hydrochlorothiazide). Ask your doctor
or pharmacist for more details. Fluoxetine may affect
the amount of glucose (sugar) in your blood. If you
take any anti-diabetes medication (e.g., glipizide,
glyburide, metformin), your dosage of these drugs may
need to be adjusted when fluoxetine is started or discontinued.
Consult your doctor. Do not start or stop any medicine
without doctor or pharmacist approval.
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MISSED DOSAGE
If you miss a dose, use it as soon as you remember.
If it is near the time of the next dose, skip the missed
dose and resume your usual dosing schedule. Do not double
the dose to catch up.
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STORAGE
Store at room temperature between 59 and 86 degrees
F (15-30 degrees C) away from light and moisture. Keep
this and all medications out of the reach of children.
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