how to buy fluoxetine online without prescription

Precautions

Do NOT use Fluoxetine if:

• you're 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 past 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 doctor or doctor right away if some of these apply to you.

Some medical ailments may connect to Fluoxetine. Tell your physician or pharmacist in case you have any health conditions, particularly when any of the following sign up for you:

• if you're pregnant, about to conceive, or are breast-feeding
• if you consider 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 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
• in case you have a good reputation for seizures, heart problems, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
• if you might be dehydrated, have low blood sodium levels, or drink alcohol
• if you may be having electroconvulsive therapy (ECT).

Some medicines may interact with Fluoxetine. Tell your doctor if you take every 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, 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) for the reason that likelihood of bleeding, including stomach bleeding, could be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that probability of low blood sodium levels could be increased
• Tramadol because the likelihood of seizures might be increased
• Cyclobenzaprine or H₁ antagonists (eg, astemizole, terfenadine) because severe cardiovascular disease, including irregular heartbeat, may occur
• HIV protease inhibitors (eg, ritonavir) because they might increase the likelihood of Fluoxetine's negative effects
• Cyproheptadine given 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 because the likelihood of their side effects could possibly be increased by Fluoxetine.

This may not be an entire report on all interactions that may occur. Ask your health care provider if Fluoxetine may connect to other medicines that you just take. Check along with your health care provider prior to starting, stop, or alter the dose from a medicine.

Important safety information:

• Fluoxetine could cause drowsiness or dizziness. These effects could be worse if you take it with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks and soon you understand how you react to it.
• Check with your doctor before you are drinking alcohol or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you consider Fluoxetine; it may well enhance their effects. Ask the pharmacist in case you have queries about which medicines could cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take greater than the recommended dose, improve your dose, or take Fluoxetine for longer 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 could possibly be greater in patients who may have had suicidal thoughts or actions in the past. The risk can also be greater in patients who have had bipolar (manic-depressive) illness, or if their family members have had it. Watch patients having Fluoxetine closely. Contact the doctor at once if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual alteration of 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 sugar levels. Check blood sugar levels closely. Ask your doctor before you decide to affect the dose of your diabetes medicine.
• Serotonin syndrome is really a possibly fatal syndrome that may be due to Fluoxetine. Your risk might be greater if you take 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 doctor at the same time for those who have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome that could be a result of Fluoxetine. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert at once in case you have all of these symptoms.
• If a medical expert informs you to avoid taking Fluoxetine, you will need to watch for several weeks before beginning to look at certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your physician when you ought to start to consider your new medicines after you have stopped taking Fluoxetine.
• Fluoxetine may rarely create a prolonged, painful erection. This could happen even when you happen to be not having sex. If this is not treated without delay, it may bring about permanent sexual difficulties for example impotence. Contact your medical professional without delay take place.
• Fluoxetine contains some with the same ingredients as Prozac, medicines utilized to treat depression as well as other mental problems, and Symbyax, medication accustomed to treat depression in patients with bipolar disorder. Do not take Fluoxetine if you might be also taking Prozac or Symbyax. Discuss any questions or concerns together with your doctor.
• Use Fluoxetine with caution inside the elderly; they could possibly be more responsive to its effects, especially low blood sodium levels.
• Caution is required when using Fluoxetine in children; they might be more sensitive to its effects, especially increased likelihood of suicidal thoughts or actions.
• Fluoxetine should be used in combination with warning in children; safety and effectiveness in kids haven't been confirmed.
• Fluoxetine could potentially cause weight changes. Children and teenagers might need regular weight and growth checks as they definitely take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine may cause injury to the fetus if it is employed over the last a few months of childbearing. If you get pregnant, speak to your doctor. You will need to discuss the benefits and perils of using Fluoxetine while you're pregnant. Fluoxetine is found in breast milk. Do not breastfeed while you are taking Fluoxetine.