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Contains the active ingredient contain the active ingredient fluoxetine. In children and adolescents aged eight years and over fluoxetine is used to treat: moderate to severe major depressive episodes, if the depression is unresponsive to psychological therapy after four to six sessions. Fluoxetine may also be used in the treatment of bulimia nervosa and obsessive compulsive disorder in adults. The medicine may cause fluoxetine-type side effects or withdrawal symptoms in the newborn baby if used in late pregnancy. The following are some of the side effects that are known to be associated with fluoxetine. This medicine can be given in combination with fluoxetine, provided that there are facilities for close observation of symptoms of serotonin syndrome and monitoring of blood pressure.
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Fluoxetine may increase the blood levels of the following medicines, and for this reason your doctor may prescribe a lower dose of these if you are taking them with fluoxetine, or if you have taken fluoxetine in the previous five weeks: aripiprazole atomoxetine benzodiazepines such as diazepam or alprazolam (if these are taken with fluoxetine there may be an increased chance of drowsiness) carbamazepine clozapine flecainide haloperidol phenytoin tricyclic antidepressants such as imipramine, amitriptyline, clomipramine, desipramine. Fluoxetine may increase the effect of anti-blood-clotting medicines (anticoagulants) such as warfarin, and this may increase the risk of bleeding. Fluoxetine capsules and oral solutions are also available without a brand name, ie as the generic medicine. I would locate these drugs on their sites to see about interactions before seeing your doctor though, so you can see if they think there are problems plus if they don't list any, you are prepared in case he makes a mistake. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. A few different drugs and/or doses may need to be tried in order to find the best one for you. Fluoxetine does not cause orthostatic hypotension, has no negative effect on the myocardium.
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Fluoxetine should not be used after the expiration date printed on the box. Viral hepatitis – is a collective name of acute and chronic liver disease. This form is very dangerous because it causes severe liver damage and is accompanied by severe symptoms: fever, enlarged liver and spleen, nausea, vomiting, severe pain in the joints. This is an extremely severe form of the disease, in which there is a mass death of tissue and extremely rapid development of symptoms. It is important not to allow the transition to a chronic form of the disease, which is often accompanied by the development of cirrhosis. Fluoxetine may cause heart defects or serious lung problems in a newborn if you take the medication during pregnancy. Withdrawal has also been reported with fluvoxamine.
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Fluoxetine affects neurotransmitters, the chemicals that nerves within the brain use to communicate with each other. Fluoxetine works by preventing the reuptake of one neurotransmitter, serotonin, by nerve cells after it has been released. Some patients may experience withdrawal reactions upon stopping fluoxetine. The dose of fluoxetine should be gradually reduced when therapy is discontinued.
Alcohol should not be used while taking fluoxetine. However, you might desire a more specific location in your document. Fluoxetine is often recommended in the cases where other antidepressants turn to be ineffective. Some of them may turn out to be incompatible with fluoxetine. At least two weeks must pass before you may take fluoxetine. Fluoxetine is possible to pass into breast milk and so can do harm to a nursing baby. You will have to share the followinghealth aspects with your doctor: a history of drug abuse epilepsy, bipolardisorder, cirrhosis of the liver, diabetes, a history of suicidal thoughts,kidney disease or seizures, because they may require additional tests or a doseadjustment for your treatment to go exactly as planned.
When you start thetreatment, your doctor will need to watch you for the first few weeks to makesure you do not get suicidal, buy fluoxetine online no prescription. Make dosage adjustments, if indicated, according to efficacy and tolerability. Titrate slowly and adjust dosage as needed in patients who exhibit a combination of factors that may slow metabolism. Reliable estimates of the incidence and severity of untoward experiences involving sexual desire, performance, and satisfaction are difficult to obtain, however, in part because patients and physicians may be reluctant to discuss them. Thus, his/her dosing requirements resemble those of poor metabolizers. No reports involved the administration of methylene blue by other routes (such as oral tablets or local tissue injection) or at lower doses. Limited evidence is available concerning the longer-term effects of fluoxetine on the development and maturation of children and adolescent patients.
Results of a number of published epidemiological studies assessing the risk of fluoxetine exposure during the first trimester of pregnancy have demonstrated inconsistent results. In addition, fluoxetine treatment was associated with a decrease in alkaline phosphatase levels. 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. A lower or less frequent dose of fluoxetine should be used in patients with cirrhosis. Thus, fluoxetine may be administered with or without food. The only identified active metabolite, norfluoxetine, is formed by demethylation of fluoxetine. R-norfluoxetine is significantly less potent than the parent drug in the inhibition of serotonin uptake.
Plasma concentrations of fluoxetine were higher than those predicted by single-dose studies, because fluoxetine’s metabolism is not proportional to dose. Average steady-state concentrations of either once-daily or once-weekly dosing are in relative proportion to the total dose administered. This suggests that the use of fluoxetine in patients with liver disease must be approached with caution. This effect is reversible after cessation of fluoxetine treatment. Relapse during the double-blind phase was defined as a persistent return to baseline vomiting frequency or physician judgment that the patient had relapsed.
The dosage of the medication may also be changed by your doctor in case you have infection, fever, surgery or any other medical emergency. Authority prescriptions need to be applied for by the doctor writing the script and can include reasons such as increased quantities due to dosage, increased repeats, use for a pre determined specified use or the nature of the medication itself requiring specialist interaction. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. This makes fluoxetine highly effective in treatment of clinical depression cases where symptoms like depressed mood and lack of energy exist. Plant-based diets reduce the risk of heart disease. Years of development and testing finally led to approval of fluoxetine for marketing. Three randomized, double-blind, placebo-controlled studies showed a decrease in the frequency and severity of migraine headaches with fluoxetine therapy.
Because uptake inactivates serotonin by removing it from the synaptic cleft, uptake inhibition by fluoxetine enhances serotonergic function. Fluoxetine does not interact directly with postsynaptic serotonin receptors, muscarinic-cholinergic receptors, histaminergic receptors, or alpha-adrenergic receptors. The liver then metabolizes fluoxetine into norfluoxetine, a desmethyl metabolite, which is also a serotonin reuptake inhibitor. Fluoxetine versus other types of pharmacotherapy for depression.
Possible involvement of cholinergic and opioid receptor mechanisms in fluoxetine mediated antinociception response in streptozotocin-induced diabetic mice. Plasma catecholamine levels after fluoxetine treatment in depressive patients. Fluoxetine for migraine prophylaxis: a double-blind trial. Fluoxetine prophylaxis of migraine. A randomized, double-blind crossover trial of fluoxetine and amitriptyline in the treatment of fibromyalgia. The fetal safety of fluoxetine: a systematic review and meta-analysis.
Fluoxetine attenuates alcohol intake and desire to drink. Fluoxetine monotherapy in attention-deficit/hyperactivity disorder and comorbid non-bipolar mood disorders in children and adolescents. Double-blind trial of fluoxetine: chronic daily headache and migraine. Fluoxetine and premature ejaculation: a double-blind, crossover, placebo-controlled study. Double-blind placebo-controlled trial of fluoxetine in smoking cessation treatment including nicotine patch and cognitive-behavioral group therapy. The effect of fluoxetine in patients with pain and constipation-predominant irritable bowel syndrome: a double-blind randomized-controlled study. Fluoxetine and fluvoxamine for treatment of chronic pain.
Fluoxetine for the treatment of childhood anxiety disorders. The effects of fluoxetine in the overdose patient. Benign course in a child with a massive fluoxetine overdose. Timing of onset of antidepressant response with fluoxetine treatment. Use of fluoxetine in anorexia nervosa before and after weight restoration. These studies indicate that fluoxetine may help to treat depression and obsessive-compulsive disorder in children. Fluoxetine works by affecting a part of your brain that controls your mood.