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Fluoxetine should be offered to a child or young person with moderate to severe major depressive disorder only in combination with psychological therapy. Additionally, only limited information concerning the long-term safety of fluoxetine on growth, puberty, mental, emotional and behavioural development in this age group is available. In addition, do not start fluoxetine in a patient who is being treated with linezolid or intravenous methylene blue due to risk of serotonin syndrome. Treatment with fluoxetine and any concomitant serotonergic agents should be discontinued immediately if the above reactions occur, and supportive symptomatic treatment should be initiated. Fluoxetine should be introduced with care in patients with a history of seizures. Rarely have patients discontinued treatment with fluoxetine because of anorexia or weight loss. Patients should be monitored for these symptoms when discontinuing treatment with fluoxetine.
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Fluoxetine delayed-released capsules are usually taken once a week. Take fluoxetine at around the same time(s) every day. Continue to take fluoxetine even if you feel well. If you suddenly stop taking fluoxetine, you may experience withdrawal symptoms such as mood changes, irritability, agitation, dizziness, numbness or tingling in the hands or feet, anxiety, confusion, headache, tiredness, and difficulty falling asleep or staying asleep. Your doctor will probably tell you that you should not take fluoxetine. If you become pregnant while taking fluoxetine, call your doctor.
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Samen met uw arts kunt u besluiten dat het voor u beter is om het gebruik van fluoxetine geleidelijk stop te zetten zolang u zwanger bent. I have noticed that in the prescription of the fluoxetine tablets it says that fluoxetine should be spread out and be taken one in the morning and one in the night. So, today we gived him two fluoxetine tablets together. The study concluded it was unlikely that maternal fluoxetine use during the third trimester results in significant postnatal complications.
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In addition, the women who continued to take fluoxetine into the third trimester most likely had more severe psychiatric illnesses. Other reports from two lactating women taking fluoxetine have described milk fluoxetine and norfluoxetine concentrations to be about one-fifth to one-quarter of the serum concentrations. Consult with your veterinarian to determine if other drugs your pet is receiving could interact with fluoxetine. I take the fluoxetine in the morning but still find myself waking up through the night which makes me very tired during the day. Fluoxetine has helped me with both depression and anxiety, in a big way. I just read last night that fluoxetine ihas fluoride in it. Those ingredients include fluoxetine, sibutramine and sildenafil.
Although not mentioned in the description, fluoxetine, sildenafil and sibutramine have been found in this product. Op korte termijn kan een hoge dosering fluoxetine het aantal eetaanvallen en de braakfrequentie doen afnemen. Bij boulimia nervosa staat in alle gevallen niet-medicamenteuze behandeling (psycho-educatie (voorlichting en opvoeding), psychotherapie) op de voorgrond in sommige situaties kan het kortdurend worden aangevuld met fluoxetine. Anyone considering the use of fluoxetine or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Studies at clinically relevant doses in man have demonstrated that fluoxetine blocks the uptake of serotonin into human platelets.
The only identified active metabolite, norfluoxetine, is formed by demethylation of fluoxetine. This explains how fluoxetine achieves a steady-state concentration rather than increasing without limit. Plasma concentrations of fluoxetine were higher than those predicted by single-dose studies, because fluoxetine’s metabolism is not proportional to dose. This suggests that the use of fluoxetine in patients with liver disease must be approached with caution. The hyponatremia appeared to be reversible when fluoxetine was discontinued. Hypoglycemia has occurred during therapy with fluoxetine, and hyperglycemia has developed following discontinuation of the drug.
Many drugs, such as most drugs effective in the treatment of major depressive disorder, including fluoxetine and other selective uptake inhibitors of serotonin, are metabolized by this isoenzyme thus, both the pharmacokinetic properties and relative proportion of metabolites are altered in poor metabolizers. Nonetheless, caution is advised if the concomitant administration of fluoxetine and such drugs is required. Elevation of blood levels of haloperidol and clozapine has been observed in patients receiving concomitant fluoxetine. This influence may persist for three weeks or longer after fluoxetine is discontinued. 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. This effect is reversible after cessation of fluoxetine treatment.
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. 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.
Slower-acting drugs, like fluoextine, may be less likely to cause discontinuation symptoms, but the evidence for this is weak as well. Seizures have also been reported with both olanzapine and fluoxetine monotherapy. Results of a number of published epidemiological studies assessing the risk of fluoxetine exposure during the first trimester of pregnancy have demonstrated inconsistent results. 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. The overall steady-state plasma concentrations of olanzapine and fluoxetine when given as the combination in the therapeutic dose ranges were comparable with those typically attained with each of the monotherapies.
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 the metabolism of fluoxetine is not proportional to dose. However, olanzapine and fluoxetine individual pharmacokinetics do not differ significantly in patients with renal impairment. Olanzapine and fluoxetine can pass into your breastmilk and may harm your baby.
I wasnt sure if it was fluoxetine making me worse, or if i was just getting worse, until a good friend directed me to this site. Fluoxetine and norfluoxetine (the immediate product when fluoxetine breaks down) have quite long half-lives – around three and seven days respectively – so extending the time between doses doesn't cause huge variations in the effect. Dépressive depuis deux ans à cause de problèmes concrets et sérieux dans ma vie professionnelle, j'ai décidé de consulter un psychologue cognitif-comportemental, qui après trois mois de thérapie uniquement de parole m'a persuadée à prendre de la fluoxétine. Je lui ai clairement dit que le seul effet collatéral que je n'aurais pas supporté aurait été la prise de poids, il m'a répondu que la fluoxétine ne faisait pas grossir, au contraire, elle est prescrite pour soigner la boulimie nerveuse. I also found that a small quantity of fluoxetine added to each bottle heightens the customers appreciation of this "microbrew".
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