Fluoxetine

How should you use this medication?
Take this medication by mouth with a glass of water. Follow the directions on the prescription label. You can take this medication with or without food. Take your medication at regular intervals. Do not take it more often than directed. Do not stop taking this medication suddenly except upon the advice of your care team. Stopping this medication too quickly may cause serious side effects or your condition may worsen. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your care team about the use of this medication in children. While it may be prescribed for children as young as 7 years for selected conditions, precautions do apply.

What are the possible side effects of this medicine?
Side effects that you should report to your care team as soon as possible:

Allergic reactions-skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Bleeding-bloody or black, tar-like stools, red or dark brown urine, vomiting blood or brown material that looks like coffee grounds, small, red or purple spots on skin, unusual bleeding or bruising
Heart rhythm changes-fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
Loss of appetite with weight loss
Low sodium level-muscle weakness, fatigue, dizziness, headache, confusion
Serotonin syndrome-irritability, confusion, fast or irregular heartbeat, muscle stiffness, twitching muscles, sweating, high fever, seizure, chills, vomiting, diarrhea
Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss
Thoughts of suicide or self-harm, worsening mood, feelings of depression Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
Anxiety, nervousness
Change in sex drive or performance
Diarrhea
Dry mouth
Headache
Excessive sweating
Nausea
Tremors or shaking
Trouble sleeping
Upset stomach

What may interact with this medicine?
Our pharmacists will check to see if this medication will cause any interactions with the information in your profile.
Do not take this medication with any of the following:

Other medications containing fluoxetine, like Sarafem or Symbyax
Cisapride
Dronedarone
Linezolid
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
Methylene blue (injected into a vein)
Pimozide
Thioridazine This medication may also interact with the following:
Alcohol
Amphetamines
Aspirin and aspirin-like medications
Carbamazepine
Certain medications for depression, anxiety, or psychotic disturbances
Certain medications for migraine headaches like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
Digoxin
Diuretics
Fentanyl
Flecainide
Furazolidone
Isoniazid
Lithium
Medications for sleep
Medications that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
NSAIDs, medications for pain and inflammation, like ibuprofen or naproxen
Other medications that prolong the QT interval (an abnormal heart rhythm)
Phenytoin
Procarbazine
Propafenone
Rasagiline
Ritonavir
Supplements like St. John’s wort, kava kava, valerian
Tramadol
Tryptophan
Vinblastine