Before having surgery, tell your doctor or dentist about all the products you use including prescription drugsnonprescription drugs, and herbal products.
Older adults may be more sensitive to the side effects of this drug, especially bleeding and QT prolongation see above. Older adults may also be more likely to develop low sodium in the blood, especially if they are taking "water pills" diuretics. During pregnancyfluoxetine 20 mg capsule, this medication should be used only when clearly needed.
It may harm an unborn baby. If you notice any of these symptoms in your newborntell the doctor promptly. This combination is also used to treat depression after at least 2 other medications have been tried without fluoxetine treatment of symptoms. Fluoxetine may capsule be used for purposes not listed in this medication guide.
Get emergency medical help if you have any of these signs of an allergic reaction: Report any new or worsening symptoms to your doctor, such as: Call your doctor at once if you have a serious side effect such as: Since it can take 3 to 4 weeks before your illness improves following treatment with fluoxetine, your doctor will monitor you closely at the start of the treatment.
Other psychiatric conditions for which Fluoxetine is prescribed can also be associated with an increased risk of suicide-related events. The same precautions should therefore be observed when treating patients with other psychiatric disorders. Use in children and adolescents aged 8 to 18 years: Patients under 18 have an increased risk of side effects such as suicide attempt, suicidal thoughts and hostility predominantly aggression, capsule behaviour and anger when they take this class of metronidazole the cost. Fluoxetine should only be used in children and adolescents capsule 8 to 18 years for the treatment of moderate to severe major depressive episodes in combination with psychological therapy and it should not be used in fluoxetine indications.
Additionally, only limited information concerning the long-term safety of fluoxetine on fluoxetine, puberty, mental, emotional and behavioural development in this age group is available.
If your doctor has prescribed Fluoxetine for a patient under 18 and fluoxetine want to discuss this, fluoxetine 20 mg capsule, please go back to your doctor. You should inform your doctor if any of the symptoms listed capsule develop or worsen when patients under 18 are taking Fluoxetine.
Fluoxetine should not be used in the treatment of children under the age of 8 years, fluoxetine 20 mg capsule. Taking other medicines Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines up to five weeks agoincluding medicines obtained without prescription.
This medicine may affect the way some other medicines work interaction, fluoxetine 20 mg capsule. An interaction could occur with: MAO inhibitors used to treat capsule. Non-selective MAO inhibitors and MAO inhibitors capsule A moclobemide should not be used with Fluoxetine as serious or even fatal reactions serotonin syndrome can occur see section 'Do not take Fluoxetine'.
MAO inhibitors type B selegiline can be used with Fluoxetine provided that your doctor monitors you closely lithium, tryptophan; there is an increased risk of serotonin syndrome when these drugs are co-administered with Fluoxetine, fluoxetine 20 mg capsule. When fluoxetine is capsule in combination with lithium your doctor will carry out more frequent check-ups phenytoin for epilepsy ; because Fluoxetine may fluoxetine blood levels of this drug, your doctor may need to introduce phenytoin more carefully and carry out check-ups when given with Fluoxetine clozapine used to treat certain mental disorderstramadol a painkiller or triptans for migraine ; there is an increased risk of hypertension flecainide or encainide for heart problemscarbamazepine for epilepsytricyclic antidepressants for example imipramine, desipramine and amitriptyline ; because Fluoxetine may capsule change the blood levels of these medicines, your doctor may need to fluoxetine their dose when administered with Fluoxetine warfarin or other medicines used to thin the blood; Fluoxetine may alter the effect of these medicines on the blood.
If Fluoxetine fluoxetine is started or stopped when you are taking warfarin, fluoxetine 20 mg capsule, your doctor will need to perform certain tests, fluoxetine 20 mg capsule.
If you are already taking St John's wort when you start on Fluoxetine, stop taking the St John's wort and tell your doctor at your next visit. Taking Fluoxetine with fluoxetine and drink You should avoid alcohol whilst taking fluoxetine.
Pregnancy and breast-feeding Ask fluoxetine doctor or pharmacist for advice before taking any medicine. Pregnancy Information collected to date does not indicate an increased risk when used during pregnancy. However, caution should be exercised when used during pregnancy, especially during late pregnancy or just before giving birth, since the following effects have been reported in newborn children: Breast-feeding Fluoxetine is excreted in breast milk and can cause side effects in babies.
The recommended dose may be increased or decreased, fluoxetine 20 mg capsule. Paediatric population - Children and adolescents capsule 8 years and above moderate to severe major depressive episode: Treatment should be initiated and monitored under specialist supervision.
Dose adjustments should be made carefully, on an individual basis, to maintain the patient at the lowest effective dose. Clinical trial experience with daily doses greater than 20mg is minimal, fluoxetine 20 mg capsule.
There fluoxetine only limited data on treatment beyond 9 weeks. Due to higher plasma levels in lower-weight children, the therapeutic effect may be achieved with lower doses see section 5. For paediatric patients who respond to treatment, the need for continued treatment after 6 months fluoxetine be reviewed. If no capsule benefit is achieved capsule 9 weeks, treatment should be reconsidered. Caution is recommended when increasing the dose, fluoxetine 20 mg capsule, and the daily dose should generally not exceed 40mg.
Patients with hepatic impairment A lower or less frequent dose eg, fluoxetine 20 mg capsule, 20mg every second day should be considered in patients with hepatic impairment see section 5. Withdrawal symptoms seen on discontinuation of fluoxetine: Abrupt discontinuation should be avoided.
When stopping treatment with fluoxetine the dose should be gradually reduced over a period of at least one to two weeks in order to reduce the risk of withdrawal reactions see section 4. If intolerable symptoms occur following a decrease in the dose or upon discontinuation of treatment, then resuming the previously prescribed dose may be considered. Subsequently, the physician may continue decreasing the dose, but at a more gradual rate.
Method of administration For oral administration. Fluoxetine may be administered as a single or divided dose, during or between meals. When fluoxetine is stopped, fluoxetine 20 mg capsule, active drug substances will persist in the body for weeks. This should be borne in mind when starting or stopping treatment. The capsule and oral solution forms are bioequivalent.
Fluoxetine is contra-indicated in combination with metoprolol capsule in cardiac failure see section 4. Fluoxetine is contra-indicated in combination with irreversible, non-selective monoamine oxidase inhibitors e.
Fluoxetine should only be used in children and adolescents aged 8 to 18 years for the treatment of capsule to severe major depressive episodes and it should not be used in other indications.
If, based on clinical need, fluoxetine 20 mg capsule, a decision to treat is nevertheless taken, the patient should be carefully monitored for the appearance of suicidal symptoms. In addition, only limited evidence is available concerning long-term effect on safety in children and adolescents, including effects on growth, sexual maturation and cognitive, emotional and behavioural developments see section 5. In a week clinical trial, decreased height and weight gain was observed in children and adolescents treated with fluoxetine see section 5.
It has not been established whether there is an effect on achieving normal adult height. The possibility of a delay in puberty cannot be ruled out see sections 5. Growth and pubertal development height, weight, and TANNER staging should therefore fluoxetine monitored during and after treatment with fluoxetine.
If either is slowed, referral to a paediatrician should be considered. In paediatric trials, mania and hypomania were commonly reported see section 4. Fluoxetine should be fluoxetine in any patient entering a manic phase.
This risk persists until significant remission occurs. capsule
As improvement may not occur during the first few weeks or more of treatment, patients should be closely monitored until such improvement occurs. It is general clinical experience that the risk of suicide may increase in the early stages divalproex treatment ptsd fluoxetine. Other capsule conditions for which fluoxetine is prescribed can also be associated with an increased risk of suicide-related events.
In addition, fluoxetine 20 mg capsule, these conditions may be co-morbid with major depressive disorder. The same precautions observed when treating patients with major depressive disorder should therefore be capsule when treating patients with other psychiatric disorders. Patients with a history of fluoxetine events, or those exhibiting a significant degree of suicidal ideation prior to commencement of treatment are known to be at greater risk of suicidal thoughts or suicide attempts, and should receive capsule monitoring during treatment.
A meta-analysis of placebo-controlled clinical trials of antidepressant drugs in adult patients with psychiatric disorders showed an increased risk of suicidal behaviour with antidepressants compared to placebo in patients less than fluoxetine years old.
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© Copyright 2017 Fluoxetine 20 mg capsule :: The concentrations in the diet provided doses approximately equivalent to , , and mg fluoxetine/kg body weight. Male mice treated daily for 3 months with fluoxetine ..