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Prozac -
Sarafem - No Prescription Needed
Generic Name -
Fluoxetine (floo ox' e teen)
Why is this medication prescribed?
Fluoxetine (Prozac) is used to treat depression,
obsessive-compulsive disorder, some eating disorders, and panic attacks.
Fluoxetine (Sarafem) is used to relieve the symptoms of premenstrual dysphoric
disorder, including mood swings, irritability, bloating, and breast tenderness.
Fluoxetine is in a class of medications called selective serotonin reuptake
inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural
substance in the brain that helps maintain mental balance.
How should this medicine be used?
Fluoxetine (Prozac) comes as a capsule, a tablet, a
delayed-release (long-acting) capsule, and a solution (liquid) to take by mouth.
Fluoxetine may be taken with or without food. Fluoxetine (Sarafem) comes as a
capsule to take by mouth. Fluoxetine (Prozac) capsule, tablet, and liquid are
usually taken once a day in the morning or twice a day, in the morning and at
noon. Fluoxetine delayed-relayed capsule is usually taken once a week.
Fluoxetine (Sarafem) is usually taken once a day, either every day of the month
or on certain days of the month. To help you remember to take fluoxetine, take
it around the same time every day. Follow the directions on your prescription
label carefully, and ask your doctor or pharmacist to explain any part you do
not understand. Take fluoxetine exactly as directed. Do not take more or less of
it or take it more often than prescribed by your doctor.
Your doctor may start you on a low dose of
fluoxetine and gradually increase your dose.
It may take 4 to 5 weeks or longer before you feel
the full benefit of fluoxetine. Continue to take fluoxetine even if you feel
well. Do not stop taking fluoxetine without talking to your doctor. Your doctor
will probably decrease your dose gradually.
Other uses for this medicine
Fluoxetine is also sometimes used to treat
alcoholism, attention-deficit disorder, borderline personality disorder, sleep
disorders, headaches, mental illness, posttraumatic stress disorder, Tourette's
syndrome, obesity, sexual problems, and phobias. Talk to your doctor about the
possible risks of using this medication for your condition.
This medication may be prescribed for other uses;
ask your doctor or pharmacist for more information.
What special precautions should I
follow?
Before taking fluoxetine,
tell your doctor and pharmacist if you are allergic to fluoxetine or any other
medications.
do
not take fluoxetine if you are taking monoamine oxidase (MAO) inhibitors,
including phenelzine (Nardil) and tranylcypromine (Parnate), or have stopped
taking them within the past 2 weeks. Do not take fluoxetine with thioridazine
(Mellaril).
tell your doctor and pharmacist what other prescription and nonprescription
medications, vitamins, nutritional supplements, and herbal products you are
taking. Be sure to mention any of the following: alprazolam (Xanax);
anticoagulants ('blood thinners') such as warfarin (Coumadin); antidepressants
(mood elevators) such as amitriptyline (Elavil), amoxapine (Asendin),
clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan),
imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil),
and trimipramine (Surmontil); diazepam (Valium); digoxin (Lanoxin); flecainide
(Tambocor); insulin or oral medications for diabetes; lithium (Eskalith,
Lithobid); medications for anxiety and Parkinson's disease; medications for
mental illness such as clozapine (Clozaril), haloperidol (Haldol), and
pimozide (Orap); medications for seizures such as carbamazepine (Tegretol) and
phenytoin (Dilantin); sedatives; sleeping pills; sumatriptan (Imitrex);
tranquilizers; tryptophan; and vinblastine (Velban). Your doctor may need to
change the doses of your medications or monitor you carefully for side
effects.
tell your doctor if you have recently had a heart attack and if you have or
have ever had diabetes, seizures, bipolar disorder, or liver or heart disease.
tell your doctor if you are pregnant, plan to become pregnant, or are
breast-feeding. If you become pregnant while taking fluoxetine, call your
doctor.
you
should know that fluoxetine may make you drowsy. Do not drive a car or operate
machinery until you know how this medication affects you.
remember that alcohol can add to the drowsiness caused by this medication.
What should I do if I forget a dose?
Take the missed dose as soon as you remember it.
However, if it is almost time for the next dose, skip the missed dose and
continue your regular dosing schedule. Do not take a double dose to make up for
a missed one.
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