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Fluoxetine

INFORMATION

Uses

Fluoxetine is used in the treatment of post traumatic stress disorder, depression, anxiety disorder, obsessive-compulsive disorder and phobia.

How it works

Fluoxetine works in depression by increasing the levels of serotonin in the brain. Serotonin is one of the chemical messengers in the brain that helps in regulating mood.

Common side effects

Nausea, Orthostatic hypotension (low blood pressure), Pale colored skin, Panic attacks, Rash, Abnormal dreams, Abnormal liver function tests, Abnormal milk secretion from breasts, Agitation, Confusion, Altered mental state, Anxiety, Bone pain, Joint pain, Joint stiffness, Blood vessel inflammation, Blurred vision, Bruise, Convulsion, Diarrhoea, Dizziness, Drowsiness, Dry mouth, Altered taste, Difficulty in swallowing, Eye swelling, Lip swelling, Fever, Flushing, Gastrointestinal bleeding, Gastrointestinal disturbance, Hair loss, Hallucination, Headache, Impaired thought process, Impaired concentration, Inability to empty the urinary bladder, Increased sweating, Indigestion, Insomnia, Irritation, Itching, Decreased white blood cell count, Extremes of being happy or sad, Muscle stiffness, Tremor, Muscle pain, Sexual dysfunction, Skin redness, Sleepiness, Frequent urge to urinate, Vaginal bleeding, Vomiting, Weight loss, Fatigue

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Expert advice

  • Avoid consuming alcohol when taking the Fluoxetine, as it may cause excessive drowsiness and calmness.
  • The risk of dependence is minimal with the Fluoxetine.
  • The most common side effect seen with Fluoxetine is nausea, vomiting followed by diarrhea. On long-term use, the patient might develop sexual side effects, but they are reversible.
  • Do not discontinue or increase/decrease the dose without consulting the doctor.
  • You may have to take Fluoxetine at least for 2 to 3 weeks or longer before you begin to feel better.
  • Notify your doctor if you feel unusually agitated, irritable, or have thoughts about hurting or killing yourself.
     
  • Fluoxetine should be taken preferably during the day to keep the mood alleviated during the day.
  • During the treatment initially signs of anxiety may be seen in some patients.
     

Frequently asked questions

Fluoxetine

Q.Is fluoxetine addictive?
No, patients should follow the advice of the doctor regarding its use

Q.Is fluoxetine a mono amine oxidase inhibitor?
No, fluoxetine belongs to a class of medications called selective serotonin reuptake inhibitors (SSRIs)

Q.Is fluoxetine a narcotic/controlled substance?
No, patients should follow the advice of the doctor regarding its use

Q.Is fluoxetine safe?
Fluoxetine is safe, if used at prescribed doses for the prescribed duration as advised by your doctor

Q.Does fluoxetine cause headache/constipation/weight gain/sleepiness/fatigue?
Headache is a side effect with the use of fluoxetine however constipation/weight gain/sleepiness/fatigue has not been reported. Patients should consult doctors regarding the possible side effects

Q.Can I take fluoxetine for anxiety?
No, it is used for the treatment of major depression, obsessive-compulsive disorder, bulimia nervosa and panic disorder

Q.Is fluoxetine a placebo?
No, it is an active drug belonging to a class of medications called selective serotonin reuptake inhibitor (SSRIs) antidepressants

Q.Is fluoxetine a stimulant?
No, fluoxetine belongs to a class of medications called selective serotonin reuptake inhibitors (SSRI) antidepressants

Q.Can I take fluoxetine with diazepam/phentermine/naproxem/ amitriptyline/ paracetamol/Nyquil/tramadol/ ibuprofen/ citalopram?
With tramadol there is an increased risk of hypertension, amitriptyline may possibly change the blood levels of fluoxetine. No clinically observed drug interaction has been reported with diazepam, phentermine, naproxen, paracetamol, Nyquil, ibuprofen and citalopram. Please consult your doctor when using concomitantly

Q.How long can I take fluoxetine?
It is advisable to take this drug only till prescribed by the doctor.


Content on this page was last updated on 06 December, 2016, by Dr. Varun Gupta (MD Pharmacology)