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Precautions

Do NOT use Fluoxetine if:

• you are allergic to the ingredient in Fluoxetine
• you are taking 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 medical professional or physician immediately if all of these sign up for you.

Some health conditions may talk with Fluoxetine. Tell a medical expert or pharmacist for those who have any health concerns, particularly if any from the following sign up for you:

• if you are pregnant, intending to conceive, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or any other substances
• if you or possibly a member of the family has 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 history of seizures, cardiovascular disease, liver problems, severe kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
• if you might be dehydrated, have low blood sodium levels, or are drinking alcohol
• if you will end up having electroconvulsive therapy (ECT).

Some medicines may interact with Fluoxetine. Tell your doctor if you consider any 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, say for example a reaction which could include fever, rigid muscles, hypertension 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 likelihood of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) because the probability of low blood sodium levels could possibly be increased
• Tramadol as the likelihood of seizures could possibly be increased
• Cyclobenzaprine or H₁ antagonists (eg, astemizole, terfenadine) because severe heart related illnesses, including irregular heartbeat, may occur
• HIV protease inhibitors (eg, ritonavir) since they could raise the likelihood of Fluoxetine's negative effects
• Cyproheptadine since 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 for the reason that risk of their negative effects might be increased by Fluoxetine.

This is probably not a total report on all interactions which could occur. Ask your doctor if Fluoxetine may connect to other medicines that you take. Check using your doctor before you start, stop, or alter the dose associated with a medicine.

Important safety information:

• Fluoxetine could potentially cause drowsiness or dizziness. These effects could possibly be worse if you take it with alcohol or certain medicines. Take Fluoxetine with caution. Do not drive or perform other possible unsafe tasks unless you recognize how you reply to it.
• Check with your doctor before you decide to are drinking alcoholic beverages or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you take Fluoxetine; it may well help to increase their effects. Ask your pharmacist in case you have questions regarding which medicines might cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take a lot more than the recommended dose, improve your dose, or take Fluoxetine for over prescribed without checking with your doctor.
• Children and teenagers taking Fluoxetine may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk might be greater in patients who've had suicidal thoughts or actions within the past. The risk are often greater in patients who may have had bipolar (manic-depressive) illness, or if their family members have had it. Watch patients taking Fluoxetine closely. Contact the physician at the same time if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; panic disorder; or any unusual alteration of mood or behavior occur. Contact the physician straight 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 a medical expert before you decide to change the dose of your respective diabetes medicine.
• Serotonin syndrome can be a possibly fatal syndrome that could be brought on by Fluoxetine. Your risk could possibly be greater if you take Fluoxetine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms may include agitation; coma; confusion; hyperhidrosis; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your doctor at once when you have all of these symptoms.
• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome that can be a result of Fluoxetine. Symptoms can include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your physician immediately when you have any of these symptoms.
• If your doctor lets you know to avoid taking Fluoxetine, you will have to wait for many weeks before commencing to look at certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your physician when you start to take your medicines after you've got stopped taking Fluoxetine.
• Fluoxetine may rarely cause a prolonged, painful erection. This could happen even when you might be not having sex. If this is not treated straight away, it might cause permanent sexual difficulties like impotence. Contact a medical expert straight away if this happens.
• Fluoxetine contains some of the same ingredients as Prozac, a medicine employed to treat depression as well as other mental problems, and Symbyax, medicine employed 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 within the elderly; they could possibly be more responsive to its effects, especially low blood sodium levels.
• Caution is advised when utilizing Fluoxetine in children; they might be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.
• Fluoxetine ought to be used in combination with extreme caution in kids; safety and effectiveness in children are not confirmed.
• Fluoxetine might cause weight changes. Children and teenagers might need regular weight and growth checks as they definitely take Fluoxetine.
• Pregnancy and breast-feeding: Fluoxetine could potentially cause harm to the fetus if it is utilized during the last a few months of childbearing. If you conceive, contact your doctor. You will need to discuss the benefits and perils associated with using Fluoxetine while you're pregnant. Fluoxetine is found in breast milk. Do not breastfeed while you take Fluoxetine.