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In patients of all ages who are started on antidepressant therapy, monitor closely for worsening and for emergence of suicidal thoughts and behavior. Fluoxetine monotherapy is not indicated for the treatment of depressive episodes associated with Bipolar I Disorder.

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A gradual reduction in the dose rather than abrupt cessation is recommended whenever possible. Advise families and caregivers of the need for close observation and communication with the prescriber. Fluoxetine is not approved for use in children less than 7 years of age.

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Do not use thioridazine within 5 weeks of discontinuing fluoxetine. There have been rare reports of prolonged seizures in patients taking fluoxetine who are also receiving electroconvulsive therapy treatment. Fluoxetine should be introduced with care in patients with a history of seizures – visit website.

Do not use fluoxetine with thioridazine due to risk of QT interval prolongation and elevated thioridazine plasma levels. Weight change should be monitored during therapy.

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Patients should be monitored for emergence of serotonin syndrome. The pupillary dilation that occurs following use of many antidepressant drugs including fluoxetine may trigger an angle closure attack in a patient with anatomically narrow angles who does not have a patent iridectomy. 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 ― discover more here.

Do not use this fluoxetine product in patients with known hypersensitivity to fluoxetine due to risk of anaphylactoid reactions, including bronchospasm, angioedema, laryngospasm, and urticaria.

These reactions have occurred with dyspnea as the only preceding symptom. Such conditions include concomitant use of drugs that prolong the QT interval; hypokalemia or hypomagnesemia; recent myocardial infarction, uncompensated heart failure, bradyarrhythmias, and other significant arrhythmias; and conditions that predispose to increased fluoxetine exposure.

Consider discontinuing fluoxetine and obtaining a cardiac evaluation if patients develop signs or symptoms consistent with ventricular arrhythmia. Patients should be monitored for these symptoms when discontinuing treatment with fluoxetine.

The percentage of patients experiencing convulsions in all US fluoxetine clinical trials appears to be similar to that associated with other marketed drugs effective in the treatment of MDD. The first thing to consider when examining your routine is the training effect on the nervous system.

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Weight change should be monitored during therapy. Treatment with fluoxetine and any concomitant serotonergic agents should be discontinued immediately if the above reactions occur, and supportive symptomatic treatment should be initiated.

While most people can tolerate them, an estimated 20 percent to 30 percent stop taking the medication because they find the side effects intolerable and visit the site. The material in this press release is intended for legitimate news entities only; it may not be used for commercial or promotional purposes.

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In most cases, generic drugs cost about 30 percent less than brand name versions. The antidepressant Prozac is now also available as the generic drug fluoxetine the active ingredient in Prozac.


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The percentage of patients experiencing convulsions in all US fluoxetine clinical trials appears to be similar to that associated with other marketed drugs effective in the treatment of MDD. Rarely have patients discontinued treatment with fluoxetine because of anorexia or weight loss. During marketing of fluoxetine, SNRIs, and SSRIs, there have been spontaneous reports of adverse reactions occurring, some of which have been serious, upon discontinuation of these drugs, particularly when abrupt.


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Fluoxetine should also not be started in a patient who is being treated with MAOIs such as linezolid or intravenous methylene blue.


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Consider ECG assessment and periodic ECG monitoring if initiating treatment with fluoxetine in patients with risk factors for QT prolongation and ventricular arrhythmia.


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