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Generic Prozac(Generic name: Fluoxetine)
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Prozac Overview |
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Prozac (generic name Fluoxetine) is anti-depressant medicine.
Information about Prozac such as Prozac usage, Prozac side effects, detailed Prozac description and other you may find on our online pharmacy.
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| Prozac Description |
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brand names: Sarafem, Prozac Weekly, Prozac
generic names: Fluoxetine hydrochloride, Fluoxetine or capsules, Fluoxetine
Why is Prozac prescribed? Prozac is prescribed for the treatment of depression--that is, a continuing depression that interferes with daily functioning. The symptoms of major depression often include changes in appetite, sleep habits, and mind/body coordination; decreased sex drive; increased fatigue; feelings of guilt or worthlessness; difficulty concentrating; slowed thinking; and suicidal thoughts. Prozac is also prescribed to treat obsessive-compulsive disorder. An obsession is a thought that won't go away; a compulsion is an action done over and over to relieve anxiety. The drug is also used in the treatment of bulimia (binge-eating followed by deliberate vomiting). It has also been used to treat other eating disorders and obesity. In addition, Prozac is used to treat panic disorder, including panic associated with agoraphobia (a severe fear of being in crowds or public places). People with panic disorder usually suffer from panic attacks--feelings of intense fear that develop suddenly, often for no reason. Various symptoms occur during the attacks, including a rapid or pounding heartbeat, chest pain, sweating, trembling, and shortness of breath. In children and adolescents, Prozac is used to treat major depression and obsessive-compulsive disorder. Prozac Weekly is approved for treating major depression. Under the brand name Sarafem, the active ingredient in Prozac is also prescribed for the treatment of premenstrual dysphoric disorder (PMDD), formerly known as premenstrual syndrome (PMS). Symptoms of PMDD include mood problems such as anxiety, depression, irritability or persistent anger, mood swings, and tension. Physical problems that accompany PMDD include bloating, breast tenderness, headache, and joint and muscle pain. Symptoms typically begin 1 to 2 weeks before a woman's menstrual period and are severe enough to interfere with day-to-day activities and relationships. Prozac belongs to the class of drugs called selective serotonin re-uptake inhibitors (SSRIs). Serotonin is one of the chemical messengers believed to govern moods. Ordinarily, it is quickly reabsorbed after its release at the junctures between nerves. Re-uptake inhibitors such as Prozac slow this process, thereby boosting the levels of serotonin available in the brain.
How can this medicine affect other medicines? It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to ensure that the combination is safe .
Fluoxetine must not be taken at the same time as monoamine oxidase inhibitor antidepressants (MAOIs) such as or with selegiline or rasagiline, isocarboxazid or tranylcypromine, phenelzine, which are also MAOIs and are used to treat Parkinson's disease. If you have been taking one of these MAOIs you should not start treatment with fluoxetine until at least 14 days after stopping the MAOI. Treatment with an MAOI, or with the related antidepressant moclobemide, should not be started until at least five weeks after fluoxetine has been stopped.
Fluoxetine may increase the blood levels of the following medicines, and your doctor may consequently reduce the dose of these if they are taken with fluoxetine, or if you have taken fluoxetine in the previous five weeks:
If fluoxetine is taken with lithium it may cause the blood level of lithium to rise, or there may be an increased risk of side effects. The combination should only be used with caution.
There may be an increased risk of side effects if fluoxetine is taken with the following, which also enhance the activity of serotonin in the brain:
The herbal remedy St John's wort should not be taken with fluoxetine for the same reason.
Fluoxetine may increase the effect of anti-blood-clotting medicines (anticoagulants) such as warfarin, and this may increase the risk of bleeding. If you are taking an anticoagulant with this medicine, your blood clotting time (INR) should be regularly monitored.
As SSRIs have been associated with bleeding abnormalities, which are known to affect the ability of the blood to clot, the following medicines, should be used with caution in combination with fluoxetine:
Treatment with this medicine may alter control of blood sugar in people with diabetes, who may need an adjustment in their dose of insulin or antidiabetic tablets. People with diabetes should discuss this with their doctor.
There may be an increased risk of side effects if fluoxetine is taken with antipsychotic medicines such as haloperidol.
Overdosage Any medication taken in excess can have serious consequences. An overdose of Prozac (Fluoxetine) can be fatal. In addition, combining Prozac with certain other drugs can cause symptoms of overdose. If you suspect an overdose, seek medical attention immediately. - Common symptoms of Prozac (Fluoxetine) overdose include:
Nausea, sleepiness, seizures, rapid heartbeat, vomiting - Other symptoms of Prozac (Fluoxetine) overdose include:
Coma, sweating, rigid muscles, mania, low blood pressure, irregular heartbeat, high fever, fainting, delirium, stupor
What should I watch for while taking fluoxetine?
Visit your prescriber or health care professional for regular checks on your progress. Continue to take your medicine even if you do not immediately feel better. It can take several weeks before you feel the full effect of fluoxetine. If you notice any unusual effects, such as or thoughts of suicide or suicidal attempts, acting on dangerous impulses, anger, irritability, difficulty sleeping, agitation, worsening of depression, restlessness, you should call your health care provider immediately.
If you have been taking fluoxetine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or your symptoms may get worse. Ask your prescriber or health care professional for advice.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how fluoxetine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds or allergies without asking your prescriber or health care professional for advice. Some ingredients can increase possible side effects.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.
If you are going to have surgery, tell your prescriber or health care professional that you are taking fluoxetine.
Do NOT use Prozac (Fluoxetine) if: - you are taking a fenfluramine derivative (eg, thioridazine, sibutramine, venlafaxine), a serotonin norepinephrine reuptake inhibitor (SNRI) (eg, pimozide, nefazodone, terfenadine), astemizole, an H 1 antagonist (eg, dexfenfluramine), or tryptophan
- you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, selegiline, phenelzine), or St. John's wort within the last 14 days
- you are allergic to any ingredient in Prozac (Fluoxetine)
Contact your doctor or health care provider right away if any of these apply to you.
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