Prozac Information:
IMPORTANT
NOTE: 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 this drug.
FLUOXETINE - ORAL (flew-OX-eh-teen)
COMMON BRAND NAME(S): Prozac, Sarafem
USES: 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.
HOW TO USE: 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.
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.
PRECAUTIONS: Tell your doctor your medical history,
especially of: liver problems, kidney disease, seizures,
heart problems, diabetes, any allergies. This drug may
make you dizzy or drowsy; use caution engaging in activities
requiring alertness such as driving or using machinery.
Limit alcoholic beverages. Liquid preparations of this
product may contain sugar and/or small amounts of alcohol.
Caution is advised if you have diabetes, alcohol dependence,
or liver disease. Ask your doctor or pharmacist about
the safe use of this product. Caution is advised when
using this product in the elderly because they may be
more sensitive to the effects of the drug. This medication
should be used only when clearly needed during pregnancy.
Discuss the risks and benefits with your doctor. This
drug passes into breast milk. Because of the potential
risk to the infant, breast-feeding while using this
drug is not recommended. Consult your doctor before
breast-feeding.
DRUG INTERACTIONS: 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.
OVERDOSE: If overdose is suspected, contact your
local poison control center or emergency room immediately.
Symptoms of overdose may include: irregular heartbeat,
fainting, severe dizziness or lightheadedness.
NOTES: Do not share this medication with others.
Laboratory and/or medical tests may be performed to
monitor your progress.
MISSED DOSE: 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.
STORAGE: Store Prozac at room temperature between
59 and 86 degrees F (15 and 30 degrees C) away from
light and moisture.
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