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Fluoxetine 20 mg capsules

What Fluoxetine is used for :
  • Fluoxetine is used to treat depression, obsessive compulsive disorder (OCD), bulimia nervosa (eating disorder), panic disorder and depression associated with dipolar disorder.

Do not take Fluoxetine :
  • If you’re allergic to the active substances or any other component of this medicine.
  • If you took within the past 2 weeks a monoamine oxidase inhibitor (MAOI).
  • If you are taking the medicines Pimozide or Thioridazine.


Warnings and precautions :
Talk to your doctor about all your medical conditions before taking this medicine including:
 
  • If you have liver or kidney problems.
  • If you have heart problems including QT interval prolongation.
  • If you have or had seizures or convulsions.
  • If you have bipolar disorder or mania.
  • If you have a history of a stroke.
  • If you have high blood pressure.
  • If you have or had bleeding problems.
  • If you have eye problems.
  • If you have abnormal levels of electrolytes in your blood (such as low sodium).
  • This medicine may cause suicidal thoughts or actions, especially in young patients, in the first few months of treatment.
  • Call your doctor if you experience such symptoms. 
  • Do not stop taking this medicine all of a sudden.
  • You might experience side effects. Talk to your doctor on how to discontinue Fluoxetine. 
Possible side effects :
  • Stop using this product and seek immediate medical help if you develop rash; hives; itching; red, swollen, blistered, or peeling skin; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.

Serious side effects:
  • Suicidal thoughts or actions, especially at the beginning
  • Serotonin syndrome: this condition may be life threatening, symptoms include agitation, hallucination, tremor, sweating, fever, dizziness and seizures
 
Allergic reactions :
  • Seizures and convulsions
  • Heart problems: irregular heartbeat 
  • Low sodium levels in the blood
  • Abnormal bleeding including gastric bleeding
  • Diarrhea
  • Insomnia 
  • Impotence
 
Other medicines and Fluoxetine :
  • Tell your doctor about all the medicines you are taking.
  • Do not take MAOIs within 5 weeks of stopping Fluoxetine and do not start Fluoxetine within 2 weeks of stopping MAOIs.
  • Do not take Thioridazine while or within 5 weeks of taking Fluoxetine.
  • Do not take Pimozide while taking Fluoxetine.

Other interactions include:
  • Linezolid, Triptans, medicines for anxiety and depression, Tramadol, Amphetamines, blood thinners, Phenytoin, and ETC treatment.

How to take Fluoxetine   :
  • This medicine is intended for adults over 18 years of age.
  • Your doctor might prescribe it to children aged 8 years and older if necessary.
  • Take as indicated by your doctor.
  • For depression and obsessive-compulsive disorder, the usual starting dose is 20 mg once daily.
  • For bulimia nervosa, the recommended dose is 60 mg once daily.
  • In children aged 8 years and older the initial dose is 10 – 20 mg once daily.

How to store Fluoxetine  :
  • Store at room temperature 68 to 77°F (20 to 25°C).
  • Protect from light.
  • Keep this medicine out of reach of children.
  • Do not use this medicine after the expiry date stated on the package.
  • The expiry date refers to the last day of that month.

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