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Prozac Storage
Store prozac at room temperature between 59 and 86 degrees F (15
and 30 degrees C) away from light and moisture.
Prozac Uses
PROZAC is used to treat depression,
bulimia, obsessive compulsive disorders (OCD) and severe symptoms
of premenstrual syndrome (PMDD). Prozac works by helping to restore
the balance of certain natural chemicals in the brain.
Side Effects of Prozac
Nausea, headache, trouble sleeping, dry mouth, drowsiness, sweating,
or upset stomach may occur. If any of these effects persist or worsen,
notify your doctor promptly. Tell your doctor immediately if any
of these serious side effects occur: loss of appetite, unusual weight
loss, unusual or severe mental/mood changes, uncontrolled movements
(tremor), decreased interest in sex, flu-like symptoms (e.g., chills,
fever, muscle aches, weakness). Tell your doctor immediately if
any of these unlikely but serious side effects occur: vision changes,
trouble swallowing, swelling or white spots on the mouth and/or
tongue, changes in sexual ability, painful and/or prolonged erection.
Tell your doctor immediately if any of these highly unlikely but
very serious side effects occur: fainting, irregular/fast heartbeat.
An allergic reaction to prozac is unlikely, but seek immediate medical
attention if it occurs. Symptoms of an allergic reaction include:
rash, itching, swelling, dizziness, trouble breathing. If you notice
other effects not listed above, contact your doctor or pharmacist.
How To Take Prozac
Take Prozac by mouth usually once daily in the
morning, with or without food; or as directed by your doctor. The
prozac dosage is based on your medical condition and response to
therapy. Some medical conditions may require a different dosing
schedule (e.g., twice daily in the morning and at noon) as determined
by your doctor. Take prozac exactly as prescribed. It is important
to continue taking prozac even if you feel well. Also, do not stop
taking prozac without consulting your doctor. It may take up to
4 weeks before the full benefit of this drug takes effect.
Prozac Precautions
Tell your doctor your medical history, especially of: liver problems,
kidney disease, seizures, heart problems, diabetes, any allergies.
Prozac may make you dizzy or drowsy; use caution engaging in activities
requiring alertness such as driving or using machinery. Limit alcoholic
beverages. Liquid preparations of prozac may contain sugar and/or
small amounts of alcohol. Caution is advised if you have diabetes,
alcohol dependence, or liver disease. Ask your doctor or pharmacist
about the safe use of prozac. Caution is advised when using prozac
in the elderly because they may be more sensitive to the effects
of the drug. Prozac should be used only when clearly needed during
pregnancy. Discuss the risks and benefits with your doctor. Prozac
passes into breast milk. Because of the potential risk to the infant,
breast-feeding while using prozac is not recommended. Consult your
doctor before breast-feeding.
Interactions with Prozac
Certain medications taken with prozac could result in serious, even
fatal, drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone,
isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine,
selegiline, tranylcypromine) within 2 weeks, and avoid taking thioridazine
within 5 weeks, before or after treatment with prozac. Consult your
doctor or pharmacist for additional information. Prozac is not recommended
for use with: weight loss medicine (e.g., sibutramine, phentermine),
thioridazine, terfenadine, astemizole. Ask your doctor or pharmacist
for more details. Tell your doctor of all prescription and nonprescription
medication you may use, especially: other SSRI antidepressants (e.g.,
citalopram, sertraline), nefazodone, trazodone, venlafaxine, "triptan"
migraine drugs (e.g., sumatriptan, zolmitriptan), tramadol, tricyclic
antidepressants (e.g., amitriptyline, nortriptyline), flecainide,
propafenone, haloperidol, clozapine, lithium, tryptophan, "blood
thinners" (e.g., warfarin), anti-seizure drugs (e.g., carbamazepine,
phenytoin/hydantoins), herbal/natural products (e.g., St John's
wort, ayahuasca). Tell your doctor if you take any drugs that cause
drowsiness such as: medicine for sleep, tranquilizers, anti-anxiety
drugs (e.g., alprazolam), narcotic pain relievers (e.g., codeine),
muscle relaxants, psychiatric medicine (e.g., phenothiazines such
as chlorpromazine), certain antihistamines (e.g., diphenhydramine).
Check the labels on all your medicines (e.g., cough-and-cold products)
because they may contain drowsiness-causing ingredients. Ask your
pharmacist about the safe use of these products. Report other drugs
which affect the heart rhythm (QTc prolongation), such as: dofetilide,
pimozide, sotalol, quinidine, procainamide, sparfloxacin, "water
pills" (diuretics such as furosemide or hydrochlorothiazide). Ask
your doctor or pharmacist for more details. Fluoxetine may affect
the amount of glucose (sugar) in your blood. If you take any anti-diabetes
medication (e.g., glipizide, glyburide, metformin), your dosage
of these drugs may need to be adjusted when fluoxetine is started
or discontinued. Consult your doctor. Do not start or stop any medicine
without doctor or pharmacist approval.
Prozac Missed Dose
If you miss prozac dose, use it as soon as you remember. If it is
near the time of the next dose, skip the missed dose and resume
your usual dosing schedule. Do not double the dose to catch up.
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