For individuals with obsessive-compulsive disorder, the full effect may take as much as five weeks to appear. If you miss a dose of Prozac… Take the forgotten Prozac dosage as soon as you remember. If several hours have passed, skip the dose. Never try to catch up by doubling up on your doses. Storage instructions… Store at room temperature. PPHN occurs in 1 -2 per 1, live births in the general population and is associated with substantial neonatal morbidity and mortality.

Other studies do not show a significant statistical association. Physicians should also note the results of a prospective longitudinal study of pregnant women with a history of major depression , who were either on antidepressants or had received antidepressants less than 12 weeks prior to their last menstrual period , and were in remission. Women who discontinued antidepressant medication during pregnancy showed a significant increase in relapse of their major depression compared to those women who remained on antidepressant medication throughout pregnancy.

When treating a pregnant woman with PROZAC, the physician should carefully consider both the potential risks of taking an SSRI, along with the established benefits of treating depression with an antidepressant. Animal Data In embryo-fetal development studies in rats and rabbits, there was no evidence of teratogenicity following administration of fluoxetine at doses up to However, because fluoxetine crosses the placenta and because of the possibility that fluoxetine may have adverse effects on the newborn, fluoxetine should be used during labor and delivery only if the potential benefit justifies the potential risk to the fetus.

In one breast-milk sample, the concentration of fluoxetine plus norfluoxetine was No adverse effects on the infant were reported. In another case, an infant nursed by a mother on PROZAC developed crying, sleep disturbance, vomiting, and watery stools. Manic reaction, including mania and hypomania, was reported in 6 1 mania, 5 hypomania out of 2.

As with other SSRIs, decreased weight gain has been observed in association with the use of fluoxetine in children and adolescent patients. After 19 weeks of treatment in a clinical trial, pediatric subjects treated with fluoxetine gained an average of 1. In addition, fluoxetine treatment was associated with a decrease in alkaline phosphatase levels. The safety of fluoxetine treatment for pediatric patients has not been systematically assessed for chronic treatment longer than several months in duration.

In particular, there are no studies that directly evaluate the longer-term effects of fluoxetine on the growth, development and maturation of children and adolescent patients. Therefore, height and weight should be monitored periodically in pediatric patients receiving fluoxetine. Anyone considering the use of PROZAC in a child or adolescent must balance the potential risks with the clinical need.

Animal Data Significant toxicity on muscle tissue, neurobehavior, reproductive organs, and bone development has been observed following exposure of juvenile rats to fluoxetine from weaning through maturity. When animals were evaluated after a drug-free period up to 11 weeks after cessation of dosing , fluoxetine was associated with neurobehavioral abnormalities decreased reactivity at AUC as low as approximately 0.

In addition, the testicular and epididymal microscopic lesions and decreased sperm concentrations found in high dose group were also observed, indicating that the drug effects on reproductive organs are irreversible.

The reversibility of fluoxetine-induced muscle damage was not assessed. These fluoxetine toxicities in juvenile rats have not been observed in adult animals. Rat exposures to the major metabolite, norfluoxetine, are approximately 0. A specific effect on bone development was reported in juvenile mice administered fluoxetine by the intraperitoneal route to 4 week old mice for 4 weeks at doses 0. There was a decrease in bone mineralization and density at both doses, but the overall growth body weight gain or femur length was not affected.

Safety and effectiveness of PROZAC and olanzapine in combination in patients less than 10 years of age have not been established. The efficacy in geriatric patients has been established [see Clinical Studies ]. No overall differences in safety or effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out.

Hepatic Impairment In subjects with cirrhosis of the liver, the clearances of fluoxetine and its active metabolite, norfluoxetine, were decreased, thus increasing the elimination half-lives of these substances. Withdrawal symptoms such as mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness may occur.

For more information visit the Everyday Health Depression Center at: I recently read that medications can cause bad dreams. I take a low dose of Prozac every other day to help with a mild case of anxiety. Since my Mom passed away five years ago, I have had many upsetting dreams about her being sick. She had a terrible fall and I watched her die in ICU in the hospital. She and I were very close and while I manage my grief well, I still regularly feel sad and upset about what happened to my Mom.

Any idea that the medication could be contributing to the bad dreams? I never used to have disturbing dreams. Any recommendations on what I might do to stop or at least minimize these terrible dreams?

Prozac fluoxetine is a selective serotonin reuptake inhibitor agent prescribed for the treatment of depression, obsessive compulsive disorder, panic disorder and premenstrual dysphoric disorder. A search of the prescribing literature lists abnormal dreams as a common side effect and recommends that if this side effect becomes bothersome, medical intervention is recommended.

How does bourbon interact with Prozac? Can it cause excessive bruising? Prozac fluoxetine is in a class of drugs called selective serotonin reuptake inhibitors SSRIs. Prozac is used to treat depression, obsessive-compulsive disorder, certain eating disorders, and panic attacks. Prozac works by increasing the amount of serotonin in the brain.

Serotonin is a natural chemical that assists in maintaining mental balance. No significant interactions between Prozac and bourbon specifically were identified; however, this does not necessarily mean no interactions exist. However, according to Prozac Q: I am one of the slow reactors to the benefits of Prozac. And I do drink coffee - maybe 6 cups a day. Can it interfere with Prozac taking effect? Prozac fluoxetine is classified as a selective serotonin reuptake inhibitor SSRI antidepressant.

Prozac is approved for the treatment of depression, binge-eating, and vomiting in patients with bulimia, obsessive compulsive disorder OCD , premenstrual dysphoric disorder PMDD , panic disorder and with other medication to treat bipolar disorder. According to medical references, weight gain is a possible reported side effect of Prozac. Increased appetite and weight loss are also listed side effects of the medication. These are not a complete list of side effects associated with the use of Prozac.

Can Prozac cause dry skin? Prozac fluoxetine is an antidepressant that belongs to a class of drugs called selective serotonin reuptake inhibitors SSRIs. SSRIs affect chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.

Prozac is used to treat major depressive disorder, bulimia nervosa an eating disorder obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder PMDD. Common side effects of Prozac include drowsiness, dizziness, nervousness, mild nausea, upset stomach, constipation, increased appetite, weight changes, insomnia, decreased sex drive, impotence, and dry mouth.

A search of a drug database and the prescribing information for Prozac did not specifically list dry mouth as a possible side effect. Can the antidepressant, Prozac or its generic equivalent, cause extreme fatigue? My family doctor says no, but now I want your opinion. Prozac fluoxetine is classified as a selective serotonin reuptake inhibitor SSRI antidepressant medication.

Prozac is approved for the treatment of depression, binge eating and vomiting in patients with bulimia nervosa, obsessive compulsive disorder OCD , premenstrual dysphoric disorder PMDD , panic disorder and for the treatment of certain patients with bipolar depression in combination with other medications. According to medical references, somnolence is a common reported side effect of studied patients taking Prozac.

Somnolence is defined as drowsiness, a state of near sleep, a desire for sleep or sleeping for excessive periods of time. If you think that you are experiencing a possible side effect from your medication, talk to your physician. Do not stop taking or change the dose of your medication without first talking to your physician. Keep in mind that extreme fatigue can be caused by many other factors besides possible side effects of medications. Sleep issues can be associated with some of the medical conditions that Prozac is used to treat.

By talking with your physician, the extreme fatigue can be properly diagnosed. Treatment options can be explored after the diagnosis has been made. Will Prozac cause bloating, cramping and gas? Prozac fluoxetine is an SSRI selective serotonin reuptake inhibitor which is used to treat depression, and bloating, cramping, and gas are not listed side effects.

Common side effects from Prozac fluoxetine include drowsiness, dizziness, nervousness, insomnia, dry mouth, cold symptoms, such as stuffy nose, sneezing, and sore throat, increased appetite, weight gain, and decreased sex drive, impotence, or difficulty having and orgasm.

You may want to discuss using Gas-X simethicone to help treat your symptoms, as it makes the gas bubble break down into many smaller sizes, which are easy to pass. This is not a complete list of the side effects associated with Prozac fluoxetine. Can Prozac 60 mg per day cause severe fatigue, daytime sleepiness, and increased snoring? Prozac is approved for the treatment of depression, binge eating and vomiting in moderate to severe bulimia nervosa, obsessive compulsive disorder OCD , premenstrual dysphoric disorder PMDD , panic disorder and in combinations with other medications to treat bipolar depression.

According to medical references, somnolence drowsiness is a possible side effect associated with the use of Prozac. If you think that you are experiencing a side effect from your medication, talk with your physician. My doctor increased my Prozac from 40 mg daily to 60 mg.

Could the higher prozac dose be causing this? For some people, this effect does go away after a period of time when the drug levels become more level in the body. Would taking Prozac cause me to have a delay in speaking or studder? According to the prescribing information available for Prozac fluoxetine , change in speech and stuttering are reported as possible side effects.

For more information on depression: Does Prozac have any long-term health risks? Prozac fluoxetine is a selective serotonin reuptake inhibitor SSRI antidepressant used to treat major depressive disorder, eating disorders, obsessive-compulsive disorder, premenstrual dysphoric disorder, and panic disorder. Many patients have been on Prozac for many years without adverse effects.

Prozac is considered safe to use long term if needed. Warnings from the prescribing information for Prozac include the following. Prozac like all antidepressants can increase the risk of suicidal thinking and behavior in children and young adults, especially when the medication is first started. Prozac may worsen psychosis in some patients or cause mania in patients with bipolar disorder. Prozac should be used with caution in patients with seizure disorders, liver or kidney disease, and history of heart disease.

Prozac may cause weight changes, sleep changes, and sexual dysfunction. Patients who have been on Prozac long term and wish to stop the medication will need to taper the dose down to prevent withdrawal symptoms. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. My daughter takes Prozac and she doesn't swallow the pills, so I open up the capsule and put it in pudding.

Is that making any difference in the medication? I could find nothing saying that Prozac causes any problems being used the way you described. I would recommend she swallow the pudding and not chew it. I don't know if this would be any easier for her or not but it is always an option. I'm taking Prozac and wonder if it's causing the skin discoloration I'm getting on my back?

There is no indication that Prozac fluoxetine would cause this symptom. If this condition persists, please see your physician or dermatologist. Can being on Prozac make you loss your sexual drive? Unfortunately, a common side effect of Prozac the generic is fluoxetine and other SSRIs selective seratonin reuptake inhibitors like it is a decrease in sex drive. Depression can also decrease sex drive. To help with this, it's recommended that you take your regular dose after the time you would normally expect to have sex.

This gives more time until the next time you want to have sex, and the drug should cause less of the side effect by then. Your doctor could also prescribe a medication to help with a low sex drive. And you could talk to your doctor about taking a "drug holiday," scheduling a day or two off of the drug each week.

If none of these options work, you may need to try a different antidepressant. Always discuss the options with your doctor first to see what would be the best choice for you. What are the possible Prozac withdrawal symptoms? There are possible Prozac fluoxetine withdrawal symptoms which may be associated with abrupt discontinuation of the medication. According to the prescribing information for Prozac, during marketing of Prozac, serotonin norepinephrine reuptake inhibitors SNRIs and selective serotonin reuptake inhibitors SSRIs , there were spontaneous reports of withdrawal symptoms which occurred upon discontinuation of these medications, particularly when discontinuation was abrupt.

Possible Prozac withdrawal symptoms may include dysphoric mood, irritability, agitation, dizziness, sensory disturbances, such electric shock sensations, anxiety, confusion, headache, lethargy, excessive emotional reactions and frequent mood changes, insomnia and hypomania. Marketing research indicated that most of these reactions were typically self-limiting and did not require treatment.

However, there were reports of serious symptoms associated with discontinuation. Patients are advised against abrupt discontinuation of Prozac. Patients are also advised to take Prozac exactly as prescribed and should not alter the dosing regimen or discontinue treatment with Prozac without consulting their health care provider. Patients should be appropriately monitored, by their health care provider, for these symptoms during the discontinuation period.

To avoid the possible Prozac withdrawal symptoms, it is recommended for patients to gradually reduce the dosage of Prozac rather than abruptly discontinue treatment. An appropriate tapering period which implements a gradual dosage reduction should be under the supervision of a health care provider. As a result of the long elimination half-lives of Prozac and its active metabolite, norfluoxetine, concentrations in the blood gradually decrease upon appropriate discontinuation of treatment which minimizes the risk for developing the possible Prozac withdrawal symptoms.

Typically, even when treatment has been discontinued, active drug substances remain in the body for weeks, depending on patient specific characteristics, as well as previous dosing regimen and length of treatment.

What is the recommended Prozac dosage? The recommended Prozac fluoxetine dosage depends upon the indication for treatment. Prozac is a selective serotonin reuptake inhibitor SSRI antidepressant indicated for major depressive disorder, obsessive-compulsive disorder, bulimia and panic disorder, with or without agoraphobia.

For the treatment of major depressive disorder in adults, the initial Prozac dosage is 20 mg per day administered in the morning. The usual recommended Prozac dosages range from 20 to 80 mg per day. According to clinical studies, 20 mg per day is typically an adequate Prozac dosage to achieve a satisfactory therapeutic response in most cases of major depressive disorder. Dosages greater than 20 mg per day may be administered once daily in the morning or twice daily morning and noon if necessary.

Maximum daily doses should not exceed 80 mg per day. Prozac has also been proven effective for once weekly administration.

For the treatment of major depressive disorder in the pediatric population, 8 years of age and older, the usual recommended Prozac dosage is 10 to 20 mg per day. Treatment with Prozac for major depressive disorder may require four weeks or longer before the full pharmacologic effect is observed. For the treatment of obsessive-compulsive disorder in adults, the initial Prozac dosage is 20 mg per day administered in the morning.

The usual recommended Prozac dosages range from 20 to 60 mg per day. However, 80 mg per day dosages have been well tolerated in clinical studies. The maximum daily dose is 80 mg. For the treatment of obsessive-compulsive disorder in adolescents and higher weight children, 7 years of age and older, the usual recommended Prozac dosage is 20 to 60 mg per day with an initial dosage of 10 mg per day. For lower weight children, 20 to 30 mg per day is recommended.

For the treatment of bulimia nervosa in adults, the usual recommended Prozac dosage is 60 mg per day administered in the morning. In some patients, dose titration over several days may be advisable.

For the treatment of panic disorder in adults, the initial Prozac dosage is 10 mg per day. According to the prescribing information, the dosage should be increased to 20 mg daily after one week of treatment.

The usual recommended Prozac dosage is 20 mg per day administered in the morning. During clinical trials, patients were administered dosages ranging from 10 to 60 mg. A dosage of 20 mg was most frequently administered to patients during clinical trials.

For all indications of Prozac, it may require four weeks of treatment or longer before patients experience improvements in symptoms. It is essential for patients to continue with treatment exactly as directed to achieve desired therapeutic outcomes.

What is the difference between generic and brand Prozac? In most patients, there is no significant difference between generic and brand Prozac fluoxetine.

There is currently a generic equivalent available for Prozac, known as fluoxetine. Food and Drug Administration FDA requires that generic medications be bioequivalent to the brand-name medication and, therefore, exert the same pharmacologic effects in the body. Generic medications are considered, by the FDA, to be therapeutically identical to the brand-name counterparts in dose, strength, route of administration, safety, efficacy and indication for use.

Generic medications will appear differently and may have different inactive ingredients, however, the labeling and directions for use remain the same.

For most medications, generic equivalents are a lower-cost alternative to the more expensive brand-name medication, and the majority of patients observe no changes in therapeutic effect. However, some patients may experience a change in therapeutic effect and, subsequently, must continue treatment with the brand-name medication. Generic Prozac, fluoxetine, is a selective serotonin reuptake inhibitor SSRI antidepressant which is approved for the treatment of major depressive disorder, obsessive-compulsive disorder OCD , panic disorder and bulimia nervosa.

Frequently reported side effects for generic Prozac are similar those observed in patients being treated with the brand-name medication and may include abnormal dreams, abnormal ejaculation, anorexia, anxiety, asthenia, diarrhea, dry mouth, dyspepsia, flu syndrome, impotence, insomnia, decreased libido, nausea, nervousness, pharyngitis, rash, sinusitis, somnolence, sweating, tremor, vasodilatation and yawn. The warnings and precautions associated with Prozac are also possible with the generic fluoxetine.

According to the prescribing information for Prozac, warnings and precautions, possible with treatment, include clinical worsening of depression and suicide risk, serotonin syndrome or neuroleptic malignant syndrome-like reactions, allergic reactions and rash, activation of mania or hypomania, seizures, altered appetite and weight, abnormal bleeding, hyponatremia, possibility of anxiety and insomnia, potential for cognitive and motor impairment and long half-life affecting changes in dosage.

Increased side effects from other drugs: Taking fluoxetine with certain medications raises your risk of side effects from these drugs. Examples of these drugs include: Taking these drugs together may cause you to have agitation, restlessness, and stomach problems. Benzodiazepines, such as triazolam and midazolam. Taking these drugs together may cause more sedation and drowsiness.

Taking these drugs together may cause an increase in bleeding. Your doctor will monitor you closely. Drugs broken down by the enzyme CYPD2D6, such as aripiprazole, dextromethorphan, methadone, paliperidone, and risperidone. Taking these drugs with fluoxetine may increase your risk of serotonin syndrome, heart rhythm problems, and involuntary muscle movements. Safety of co-administration of doses above 18 mg olanzapine with 75 mg fluoxetine has not been evaluated in clinical studies.

Periodically re-examine the need for continued pharmacotherapy. Children and adolescents 10 years of age — Administer olanzapine and fluoxetine combination once daily in the evening, generally beginning with 2. Make dosage adjustments, if indicated, according to efficacy and tolerability.

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If serotonin syndrome is suspected, discontinue dolasetron and concurrent serotonergic agents and initiate appropriate medical treatment, prozac 80mg once daily. These differences can be almost entirely explained by differences in weight. An increase in metoprolol serum concentrations would decrease the cardioselectivity once metoprolol. Major Because of the 80mg risk and severity of serotonin syndrome, caution should be observed when administering fluoxetine with once drugs that have serotonergic properties such as tricyclic antidepressants. Prozac fluoxetine is an antidepressant which belongs to a class of medications called selective serotonin reuptake inhibitors SSRIs. Bradycardia has occurred in a patient receiving propranolol prozac fluoxetine was added. Exposure of drugs metabolized by CYP2D6 isoenzymes such as fluoxetine may be increased when co-administered with mirabegron. In the controlled clinical trials of fluoxetine supporting its effectiveness in the treatment of Bulimia Nervosa, patients were administered fixed daily fluoxetine doses of 20 or 60 mg, or placebo [see Clinical Studies It is extremely important not to increase your current dose dose without the approval from your doctor. Symbyax should be administered once daily in the evening. Safety and effectiveness of PROZAC and olanzapine prozac combination in patients daily than 10 years of age have not been established. Major Droperidol should 80mg administered with extreme caution to patients receiving other agents that may prolong the QT interval.

PROZAC DIARIES: Week 2 on FLUOXETINE - SIDE EFFECTS

WARNING: SUICIDAL THOUGHTS AND BEHAVIORS

In premarketing clinical trials, 2 patients are known to have developed a serious cutaneous systemic illness. However, because armodafinil is itself an inducer of the CYP3A4 isoenzyme, prozac 80mg once daily, drug interactions due to CYP3A4 inhibition by other medications may be complex and difficult to predict. As with other SSRIs, decreased weight gain has been daily in association with the use of fluoxetine in children and once patients. Prozac interaction 80mg fluoxetine and other highly protein-bound drugs has not been fully evaluated, prozac 80mg once daily, but may be once. Patients should also be advised not to adjust their dosing regimen or discontinue treatment with Symbyax once the supervision of their health care provider. Additionally, lumefantrine is a substrate and fluoxetine is an inhibitor of the CYP3A4 isoenzyme; therefore, concomitant use may lead to increased lumefantrine concentrations. Methotrexate cp 2.5mg decision can daily be made on a case prozac case basis [see 80mg and Administration 2, prozac 80mg once daily. Mutagenicity Fluoxetine and norfluoxetine have been shown to have no genotoxic effects prozac on the 80mg assays: You would want to work with your physician to come up with a gradual tapering of the dose over time to discontinue this medication. There are a number of differences between Cymbalta duloxetine versus Prozac fluoxetine. Fluoxetine also has a possible risk for QT prolongation and TdP.

PROZAC DIARIES: Week 4 on FLUOXETINE - SIDE EFFECTS

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