Fluoxetine – A-Z Drugs


What’s Fluoxetine used for?

Fluoxetine is a oral remedy that’s accessible in tablets, capsules, and liquids. This drug is one kind of antidepressant drug, i.e. selective serotonin reuptake inhibitors (SSRI). This drug works by growing the quantity of serotonin within the mind with a view to assist keep psychological stability.

This drug can be utilized to deal with despair, panic assaults, obsessive compulsive dysfunction (obsessive-compulsive dysfunction), sure consuming problems (bulimia), and extreme situations in premenstrual syndrome (premenstrual dysphoric dysfunction).

Not solely that, this medication can enhance your temper, sleep, urge for food, and your vitality stage. As well as, fluoxetine may assist improve your enthusiasm and fervour for all times. This drug can scale back concern, nervousness, undesirable ideas, and panic assaults.

Fluoxetine may scale back PMS signs comparable to irritability, elevated urge for food, and despair. This drug can scale back meals selecting conduct in bulimia situations.

If you wish to purchase this medication, it’s essential to embrace a health care provider's prescription. So, you cannot get it freely on the pharmacy.

The right way to use fluoxetine?

Listed below are some issues it is best to know when utilizing fluoxetine, together with find out how to use it.

  • Take this remedy as directed by your physician, normally as soon as a day within the morning. In case you use this medication twice a day, your physician could suggest you employ it within the morning and within the afternoon.
  • In case you use fluoxetine for premenstrual issues, your physician could direct you to make use of it on daily basis once you menstruate each month or just for two weeks earlier than your interval begins. That will help you keep in mind, mark your calendar.
  • In case you use this medication in liquid type, rigorously measure the dose utilizing a particular measuring gadget / spoon. Don't use family spoons since you may not get the correct dose.
  • The dosage relies in your medical situation and response to remedy. To cut back the chance of uncomfortable side effects, your physician could direct you to begin utilizing this drug at low doses and progressively improve the dose. Comply with the physician's directions rigorously.
  • Use this medication usually to get the utmost profit. That will help you keep in mind, use it on the similar time on daily basis.
  • It is very important proceed taking this medication as prescribed even when you really feel higher. Don’t cease taking this medication with out consulting your physician.
  • You will notice a number of adjustments over the interval of 1 to 2 weeks. Nevertheless, it takes 4-5 weeks earlier than you are feeling the general advantages.
  • Inform your physician in case your situation doesn’t enhance or it will get worse.
  • Comply with the principles given by your physician or pharmacist earlier than beginning remedy. In case you have questions, seek the advice of your physician or pharmacist.

How is fluoxetine saved?

The process for storing fluoexetine is as follows:

  • This drug is greatest saved at room temperature, away from direct mild and damp locations.
  • Don’t retailer within the toilet and don’t freeze within the freezer.
  • Different manufacturers of this drug could have completely different storage guidelines.
  • Observe the storage directions on the product packaging or ask your pharmacist. Preserve all medicines out of the attain of kids and pets.

In the meantime, under are the correct procedures for eliminating fluoxetine:

  • Don’t flush medication in the bathroom or within the sewer until instructed. Discard this product when it has expired or whether it is not wanted.
  • Don’t combine this medication with different family waste.

Seek the advice of the pharmacist or an officer out of your native waste disposal company about find out how to safely eliminate your product.


The knowledge supplied is just not an alternative choice to medical recommendation. ALWAYS seek the advice of your physician or pharmacist earlier than beginning remedy.

What’s the dose of fluoxetine for adults?

Grownup dose for bulimia

Quick launch oral formulations

  • Advisable dosage: 60 mg orally as soon as a day.

Grownup dose for despair

Quick launch oral formulations

  • Preliminary dose: 20 mg orally as soon as a day, however may be elevated after just a few weeks if no vital adjustments happen.
  • Therapy dose: 20-60 mg orally per day.
  • Most dose: 80 mg orally per day.

Delayed launch of oral capsules

  • Preliminary dose: 90 mg orally as soon as every week, beginning seven days after the dose of the earlier 20 mg dose of fluoxetine.

Grownup dose for obsessive compulsive dysfunction

Quick launch oral formulations

  • Preliminary dose: 20 mg orally as soon as a day, growing after just a few weeks if no medical enchancment is seen.
  • Upkeep dose: 20-60 mg orally per day
  • Most dose: 80 mg orally per day

Grownup dose for panic dysfunction

Quick launch oral formulations

  • Preliminary dose: 10 mg orally as soon as a day, growing after one week to 20 mg orally as soon as a day
  • Upkeep dose: 20-60 mg orally per day
  • Most dose: 60 mg orally per day

Grownup dose for premenstrual dysphoric dysfunction

Quick launch oral formulations

  • Preliminary dose: 20 mg orally as soon as a day on every day of the menstrual cycle or as soon as a day beginning 14 days earlier than the beginning of menstruation till the primary day of menstruation, and repeated each new cycle.
  • Upkeep dose: 20-60 mg per day for each steady and intermittent use.
  • Most dose: 80 mg orally per day
  • Length: 20 mg each day dose has been confirmed efficient for as much as 6 months of remedy

What’s the dose of fluoxetine for kids?

Youngsters's dosage for despair

For ages 8-18 years:

  • Preliminary dose: 10 to 20 mg orally as soon as a day; 10 mg each day dose may be elevated after one week to 20 mg orally as soon as a day.
  • Preliminary dose: 10 mg orally as soon as a day, growing to 20 mg orally as soon as a day after a number of weeks if no medical enchancment is seen.
  • Upkeep dose: 10-20 mg orally as soon as a day.

Youngsters's doses for obsessive compulsive dysfunction

For ages 7 to 18 years:

  • Youngsters and kids with a better weight:
    • Preliminary dose: 10 mg orally as soon as a day, growing to 20 mg orally as soon as a day after 2 weeks
    • Upkeep dose: 20-60 mg orally per day
    • Most dose: 60 mg each day
  • Decrease weight youngsters:
    • Preliminary dose: 10 mg orally as soon as a day, growing after just a few weeks if no medical enchancment is seen
    • Upkeep dose: 20-30 mg orally as soon as a day
    • Most dose: 60 mg orally per day.

At what dose is fluoxetine accessible?

  • Capsules, Oral: 10 mg, 20 mg, 40 mg
  • Delayed capsules, Oral: 90 mg
  • Answer, Oral: 20 mg / 5 mL (5 mL, 120 mL)
  • Tablets, Oral: 10 mg, 20 mg, 60 mg

Unwanted effects

What uncomfortable side effects may be skilled on account of fluoxetine?

Using fluoxetine is identical as using different medication, as a result of it may additionally trigger signs of uncomfortable side effects. These signs embrace well being situations, starting from gentle to fairly critical.

Get emergency medical assist you probably have indicators of this allergic response: nausea, vomiting, sweating, itching, issue respiratory, swelling of the face, lips, tongue, or throat, or really feel like you’re about to faint.

Report any new signs or signs getting worse to your physician, comparable to adjustments in temper or conduct, nervousness, panic assaults, bother sleeping, or when you really feel impulsive, irritable, agitated, hostile, aggressive, hyperactive (psychological or bodily), extra depressed, or have ideas about suicide or self-harm.

Severe uncomfortable side effects which may happen when you use fluoxetine are:

  • very inflexible muscle tissues, excessive fever, sweating, quick or uneven heartbeat, tremors, overactive reflexes
  • nausea, vomiting, diarrhea, lack of urge for food, feeling unsteady, lack of coordination
  • headache, issue concentrating, reminiscence issues, weak spot, confusion, hallucinations, fainting, convulsions, shortness of breath or unable to breathe
  • extreme pores and skin reactions – fever, sore throat, swelling on the face or tongue, burning sensation in your eyes, pores and skin ache, adopted by a purple or purple pores and skin rash that spreads (particularly on the face or higher physique) and causes blisters and peeling.

In case you expertise any of the above uncomfortable side effects, inform your physician instantly and get medical remedy. In the meantime, uncomfortable side effects that aren’t so critical from utilizing fluoxetine are:

  • flu signs comparable to nasal congestion, sneezing, sore throat
  • sleepy, dizzy, feeling nervous
  • gentle nausea, abdomen ache, constipation
  • elevated urge for food, change in physique weight
  • sleep issues (insomnia)
  • decreased intercourse drive, impotence, or issue having an orgasm
  • dry mouth.

The uncomfortable side effects above are categorized as gentle and can disappear by itself, over time. Nevertheless, if these uncomfortable side effects don’t go away, contact your physician instantly.

Not everybody experiences the next uncomfortable side effects. There could also be some uncomfortable side effects not talked about above. In case you have issues about sure uncomfortable side effects which may happen once you use fluoxetine, it’s obligatory so that you can seek the advice of your physician or pharmacist.

Prevention & Warnings

What ought to be identified earlier than utilizing fluoxetine?

Earlier than utilizing fluoxetine, there are some things it is best to learn about, together with:

  • Telling your physician that you’re allergic to fluoxetine is a should.
  • inform your physician in case you are taking pimozide (Orap), thioridazine or monoamine oxidase (MAO) inhibitors comparable to isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), or in case you are already stopped utilizing monoamine oxidase inhibitors previously two weeks. In case you cease utilizing fluoxetine, it’s essential to wait at the very least 5 weeks earlier than you begin to use thioridazine or monoamine oxidase inhibitors.
  • inform your physician and pharmacist about prescribed drugs and non-prescription medication, nutritional vitamins, dietary dietary supplements, and natural merchandise that you just use or will use.
  • inform your physician about dietary dietary supplements and natural merchandise that you just use, particularly merchandise that comprise St. John's wort or tryptophan.
  • inform your physician in case you are being handled with electroshock remedy (a process the place a small electrical shock is given to the mind to deal with sure psychological diseases), you probably have not too long ago had a coronary heart assault and you probably have or have had diabetes, seizures, or liver illness or coronary heart illness.
  • inform your physician in case you are pregnant, particularly in case you are in the previous couple of months of your being pregnant, or when you plan to change into pregnant or breastfeeding. In case you change into pregnant whereas utilizing fluoxetine, contact your physician. Fluoxetine may cause issues in newborns after supply if used over the last months of being pregnant.
  • Speak to your physician concerning the dangers and advantages of utilizing fluoxetine on daily basis in case you are 65 years or older.
  • This medication may cause drowsiness. Don't do actions that require excessive focus when underneath the affect of fluoxetine.

Is fluoxetine secure for pregnant and breastfeeding ladies?

There is no such thing as a enough analysis on the dangers of utilizing this drug in pregnant or nursing ladies. At all times seek the advice of your physician to contemplate the potential advantages and dangers earlier than utilizing this medication. This drug is included within the class C being pregnant threat in line with the US Meals and Medicine Administration (FDA) in America or the equal of the Meals and Drug Supervisory Company (BPOM) in Indonesia. The next are references to being pregnant threat classes in line with the FDA:

  • A = No threat,
  • B = No threat in some research,
  • C = Perhaps dangerous,
  • D = There’s constructive proof of threat,
  • X = Contraindications,
  • N = Unknown

There are not any enough research in ladies to find out the chance to infants when utilizing this drug throughout breastfeeding. Think about the potential advantages and dangers earlier than utilizing this drug whereas breastfeeding.


What different medicines would possibly work together with fluoxetine?

Drug interactions can change the efficiency of your remedy or improve the chance of significant uncomfortable side effects. Not all potential drug interactions are listed on this article. Preserve a listing of all of the merchandise you employ (together with prescription / nonprescription medicines and natural merchandise) and seek the advice of your physician or pharmacist. Don’t begin, cease or change the dose of any drug with out the physician's approval.

Using this drug with different medication that make you sleepy can worsen this impact. Ask your physician earlier than utilizing fluoxetine with sleeping tablets, narcotic ache drugs, muscle relaxants, or drugs for nervousness, despair, or seizures.

Many medication can work together with fluoxetine. Not all interactions could also be listed right here. Inform your physician about all of the medicines you began utilizing and stopped utilizing throughout remedy. The next are medicines that may work together with fluoxetine, together with:

  • alprazolam (Xanax)
  • anticoagulants (‘blood thinners’) comparable to warfarin (Coumadin)
  • antidepressants (elevator temper) comparable to amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivil) and doipepine
  • aspirin and different nonsteroidal anti-inflammatory medication (NSAIDs) comparable to ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn)
  • clopidogrel (Plavix), clopidogrel (Plavix), diazepam (Valium)
  • digoxin (Lanoxin)
  • diuretic (‘water pill’)
  • Linezolid
  • flecainide (Tambocor)
  • insulin or oral remedy for diabetes
  • lithium (Eskalith, Lithobid)
  • treatment for nervousness and Parkinson's illness
  • methylene blue
  • medication for psychological diseases comparable to clozapine (Clozaril) and haloperidol (Haldol)
  • drugs for migraine complications comparable to almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), Naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), and zolmitriptan (Zomig)
  • drugs for seizures comparable to carbamazepine (Tegretol) and phenytoin (Dilantin); sedative
  • sibutramine (Meridia)
  • sleeping tablets
  • tramadol (Ultram)
  • Sedative
  • vinblastine (Velban)
  • St. John wort
  • tramadol
  • tryptophan (typically referred to as L-tryptophan)
  • remedy to deal with temper problems, considering problems, or psychological sickness – amitriptyline, desipramine, lithium, nortriptyline, and plenty of others
  • migraine medication – rizatriptan, sumatriptan, zolmitriptan
  • narcotic ache remedy – fentanyl, tramadol.

Can meals or alcohol work together with fluoxetine?

Sure medicines shouldn’t be used when consuming or when consuming sure meals as a result of drug interactions can happen. Consuming alcohol or tobacco with sure medication may trigger interactions to happen. Talk about your use of medication with meals, alcohol, or tobacco together with your well being care supplier.

What well being situations can work together with Fluoxetine?

Different well being issues in your physique can have an effect on using this drug. Inform your physician you probably have different well being issues. Listed below are well being issues that may work together with fluoxetine:

  • bipolar dysfunction (temper problems with mania and despair)
  • bleeding drawback
  • diabetes
  • glaucoma (closed angle kind)
  • hyponatremia (low sodium within the blood)
  • mania, together with its historical past
  • coronary heart assault or stroke, new or historic
  • coronary heart failure
  • coronary heart rhythm issues (for instance, QT extension), or historical past
  • hypokalemia (low potassium within the blood)
  • hypomagnesemia (low magnesium within the blood)
  • liver illness


What ought to I do in an emergency or overdose?

In circumstances of emergency or overdose, contact the native emergency companies supplier (112) or instantly to the closest hospital emergency division.

Signs of an overdose which will happen when utilizing fluoxetine are:

  • confusion
  • not responsive
  • nervous
  • shaking uncontrollably on part of the physique
  • dizzy
  • fast, irregular pounding heartbeats.
  • seeing issues or listening to voices that don't exist (hallucinating)
  • fever
  • handed out
  • coma (lack of consciousness for a sure time frame)

What ought to I do if I miss a dose?

In case you overlook one dose of this medication, take it as quickly as potential. However when it’s nearing the subsequent dose, skip the missed dose and return to the same old dosage schedule. Don’t double the dose.

Hi there Well being Group doesn’t present medical recommendation, analysis, or remedy.

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