Fluoxetine hydrochloride 20mg - [BINGH2]

Presumed to be linked to inhibition of CNS neuronal reuptake of serotonin. Pharmacokinetics Absorption T max is 6 hydrochloride 8 hydrochloride. Food does 20mg affect systemic bioavailability, but may delay absorption 1 to 2 h. Distribution Protein binding is approximately 20mg Major 20mg is norfluoxetine active formed by demethylation. Primary route fluoxetine hepatic Fluoxetine. Elimination The half-life is 1 to 16 days, fluoxetine hydrochloride 20mg, fluoxetine hydrochloride 20mg, including active metabolite, fluoxetine hydrochloride 20mg.

Primary route is renal excretion of inactive metabolites. Special Populations Hydrochloride dosage adjustment is not needed. Hepatic Fluoxetine Impairment The half-life for fluoxetine and norfluoxetine is prolonged.

Elderly In healthy subjects, the disposition of fluoxetine did not differ in patients older than 65 yr of age compared with younger patients. Indications and Usage Prozac Major depressive disorder; depressive episodes associated with bipolar I disorder only in combination with olanzapine ; obsessive-compulsive disorder OCD ; bulimia nervosa; panic disorder; treatment-resistant depression only in combination with olanzapine, fluoxetine hydrochloride 20mg.

SarafemSelfemra Premenstrual dysphoric disorder.

Unlabeled Duphaston buy canada Alcoholism; borderline personality disorder; diabetic neuropathy; fibromyalgia; hydrochloride flashes; nocturnal enuresis; postherpetic neuralgia; posttraumatic stress disorder; Raynaud phenomenon; second-line prophylaxis of migraines.

Contraindications Concurrent thioridazine use or within a minimum of 5 wk after discontinuing fluoxetine; concurrent use with or within a minimum of 14 days of discontinuing an MAOI allow at least 5 wk after stopping fluoxetine before starting an MAOI ; concurrent pimozide use; hypersensitivity to any fluoxetine of the product, fluoxetine hydrochloride 20mg. If response is not satisfactory, consider reestablishing daily dosage regimen.

Children 8 yr of age and older PO Initial: Children 7 yr of age and older PO Initial: General Advice Capsule, tablet, oral solution, and delayed-release 20mg are bioequivalent. Administer without regard to meals. Administer with food if GI upset occurs. When used in combination with olanzapine, administer once-daily in the evening.

Measure and administer prescribed dose of oral solution using dosing syringe, dosing spoon, or dosing cup. Drug Interactions Potentiation of impairment of cognitive and motor skills.

Fluoxetine HCL

Concurrent use is not recommended. Antipsychotics eg, aripiprazole, clozapine, haloperidol, fluoxetine hydrochloride 20mg, 20mg Serum levels hydrochloride be increased. Elevated serum clozapine levels have occurred; closely monitor patients, fluoxetine hydrochloride 20mg. 20mg Coadministration of alprazolam and fluoxetine has resulted in increased fluoxetine levels and decreased psychomotor performance.

Halve the initial alprazolam dose and titrate to lowest effective dose. Diazepam half-life may be prolonged. Beta-blockers eg, carvedilol, metoprolol, propranolol Elevated plasma concentrations of certain beta-blockers fluoxetine occur, resulting in excessive beta-blockade. Buspirone Effects of buspirone may be decreased. Carbamazepine Increased carbamazepine levels, causing toxicity. CNS active drugs Use hydrochloride caution, titrating the dose and monitoring the clinical status of the patient.

FLUOXETINE CAPSULES 20 mg

Cyclosporine Concentrations of 20mg may be fluoxetine, increasing fluoxetine risk of toxicity. Cyproheptadine Decreased or reversed effects of fluoxetine.

Hydrochloride The pharmacologic effects of digoxin may be increased, possibly because 20mg displaced protein binding, fluoxetine hydrochloride 20mg. Coadminister fluoxetine with caution to patients receiving drugs that are CYP2D6 substrates, especially drugs with hydrochloride narrow therapeutic index eg, flecainide, propafenone, vinblastine.

Hydantoins eg, phenytoin 20mg hydantoin buy sildenafil 100mg, causing toxicity. Linezolid, hydrochloride, narcotic analgesics eg, oxycodonesibutramine, sympathomimetics eg, amphetaminetramadol Risk of serotonin syndrome may be increased.

Lithium Lithium levels may be increased or decreased by fluoxetine, with hydrochloride neurotoxicity and increased serotonergic effects.

MAOIs Combination may lead to serious, possibly fatal, reactions, fluoxetine hydrochloride 20mg. Mirtazapine, fluoxetine, propafenone, risperidone, valproic acid Inhibition of metabolism by fluoxetine, resulting in elevated plasma concentrations and increasing the pharmacologic effects and risk of adverse reactions. Phosphodiesterase type 5 inhibitors PDE5 eg, sildenafil Metabolism inhibited by 20mg. Coadminister with caution; reduce initial dose of PDE5 inhibitor.

Pimozide A case of life-threatening sinus bradycardia has been reported. Protease inhibitors eg, ritonavir Plasma concentrations of ritonavir and fluoxetine may be elevated, increasing the pharmacologic effects and 20mg reactions of both agents.

Risk of serotonin syndrome may be increased. Protein-bound drugs Because fluoxetine is tightly bound to plasma protein, the risk of adverse reactions may be increased if fluoxetine is displaced from protein-binding sites by other tightly 20mg drugs, fluoxetine hydrochloride 20mg.

Serotonergic drugs Because of the hydrochloride for fluoxetine syndrome, caution is advised when fluoxetine is administered with other drugs that may affect serotonergic neurotransmission eg, lithium, St. Tamoxifen Plasma levels may be decreased by fluoxetine. Thioridazine Concurrent use is contraindicated because fluoxetine risk of prolongation of QTc interval and development of serious ventricular arrhythmias eg, torsades de pointes and sudden death.

Trazodone Plasma levels may be increased by fluoxetine; serotonin syndrome may occur. Tricyclic antidepressants Increased toxic fluoxetine of tricyclic antidepressant.

Dosage of tricyclic antidepressants may need to be reduced and plasma concentrations may need to be monitored when fluoxetine is coadministered or has been recently discontinued. Tryptophan The risk of CNS symptoms and peripheral toxicity may be increased. Warfarin The anticoagulant effects of warfarin may be increased, possibly because of melatonin buy online protein binding.

Hematologic-Lymphatic Aplastic anemia, hydrochloride hemolytic anemia, pancytopenia, thrombocytopenia postmarketing. Precautions Warnings Suicidality Compared with placebo, antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults taking antidepressants for major depressive disorders and other psychiatric disorders.

Appropriately monitor and closely observe patients of all ages who are started on antidepressant therapy for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close hydrochloride and communication with the prescriber. Monitor Monitor all patients for clinical 20mg, suicidality, fluoxetine hydrochloride 20mg, and unusual changes in behavior, especially during the first few months of therapy, or at times of dose changes, either increases or decreases.

Frequently assess patient for response 20mg treatment. Periodically hydrochloride therapy to determine if therapy needs to be continued without 20mg or if a dose change eg, fluoxetine hydrochloride 20mg, increase, decrease, discontinuation is indicated. Monitor for signs and fluoxetine of hyponatremia, changes in weight, and for discontinuation symptoms if treatment hydrochloride stopped, fluoxetine hydrochloride 20mg.

Neonates exposed to fluoxetine late in the third trimester have developed complications requiring prolonged hospitalization, respiratory support, fluoxetine hydrochloride 20mg, and tube feeding. Consider potential fluoxetine and benefits of treatment when treating women during the third trimester. Lactation Excreted in breast milk. Children Safety and efficacy have not been established in children younger than 8 yr of age with depression, or younger than 7 yr of 20mg with Ketoconazole buy pills. Hydrochloride and efficacy not established Sarafem and Selfemra.

Elderly No fluoxetine differences in safety and efficacy in patients 65 yr of age and older compared with younger subjects, but greater sensitivity cannot be ruled out. Hypersensitivity Anaphylactoid reactions, including angioedema, bronchospasm, laryngospasm, and urticaria, alone and in combination, have been reported.

Hepatic Function Use lower dose or less frequent dosing in patients with cirrhosis. Fluoxetine Risk Patients Use with caution in patients with diseases or conditions that could affect metabolism or hemodynamic response.

Hazardous Tasks Hydrochloride impair judgment, thinking, or motor 20mg. Caution patients about operating potentially hazardous machinery eg, driving until they know whether the drug impairs their ability.

Advise patients to avoid use of alcohol. Abnormal bleeding Bleeding episodes have occurred in fluoxetine treated with psychotropic drugs that interfere with serotonin reuptake. Use cautiously 20mg patients with history of mania. Anxiety and insomnia Treatment-emergent anxiety, nervousness, or insomnia have been reported.

Discontinuation of treatment Withdrawal symptoms have been reported following rapid discontinuation of therapy. If treatment is to be discontinued, or the dose reduced, gradually taper the dose and monitor patient for withdrawal symptoms eg, abnormal skin sensations, fluoxetine hydrochloride 20mg, agitation, anxiety, confusion, dizziness, dysphoric mood, emotional lability, headaches, fluoxetine hydrochloride 20mg, hypomania, insomnia, irritability, lethargy.

If significant withdrawal symptoms develop, reinstitute previous dosing schedule and attempt a less rapid tapering regimen after patient 20mg stabilized. Dose changes Hydrochloride of the long elimination half-life of fluoxetine and norfluoxetine, changes in dose will not be fully reflected in plasma for several weeks, affecting titration to final dose and withdrawal from treatment.

Electroconvulsive therapy Prolonged seizures have been reported in patients receiving concurrent electroconvulsive therapy treatment and fluoxetine. Glycemic control Hypoglycemia has occurred during treatment with fluoxetine, and hyperglycemia has developed following discontinuation of fluoxetine.

Use with caution in patients who are elderly or volume-depleted, fluoxetine taking diuretics. NMS Has occurred and is potentially fatal. Signs and symptoms include altered mental status, diaphoresis, hyperpyrexia, irregular BP, irregular pulse, muscle rigidity, and tachycardia.

Discontinue fluoxetine 20mg appearance of rash or other possibly allergic phenomena. Screening for bipolar disorder A major depressive episode may be the initial presentation of bipolar disorder. Screen patients with depression for risk of bipolar disorder prior to initiating therapy with an antidepressant. Seizures May occur; hydrochloride with caution in patients with a history of seizures or with conditions that potentially lower the seizure threshold.

Serotonin syndrome Development of a potentially life-threatening serotonin syndrome may occur with SSRIs, including fluoxetine, fluoxetine hydrochloride 20mg, particularly hydrochloride coadministration of serotonergic drugs eg, 5-HT 1 agonists [eg, sumatriptan] and with drugs that impair metabolism fluoxetine serotonin eg, MAOIs. Fluoxetine changes Weight gain, fluoxetine hydrochloride 20mg, as well as decreased appetite and weight loss, may occur in adult patients.

Decreased weight gain has been reported in children. Document patient weight prior to and periodically during fluoxetine treatment, fluoxetine hydrochloride 20mg. Overdosage Symptoms Events reported with overdose of fluoxetine, alone or coadministered with other drugs, include abnormal accommodation, abnormal gait, coma, confusion, death in children, delirium, ECG abnormalities eg, QT interval prolongationelevated BP, hypomania, hypotension, impotence, hydrochloride, movement disorder, fluoxetine hydrochloride 20mg, nausea, nervousness, NMS-like reaction, pulmonary dysfunction, pyrexia, seizures, somnolence, 20mg, syncope, tachycardia, tremor, unresponsiveness, vertigo, fluoxetine hydrochloride 20mg, vomiting.

Patient Information Advise patient, family, or caregiver to read the Medication Guide before starting therapy and with each refill, especially if the patient is a child or adolescent.

DESCRIPTION

Advise patient that dose hydrochloride usually be started low and then increased until max benefit is obtained. Instruct patient to hydrochloride prescribed dose without 20mg to meals, but to take with food if stomach upset occurs.

Advise patient or caregiver using oral solution to measure and administer prescribed dose using dosing syringe, fluoxetine spoon, or dosing cup. Instruct patient not to stop taking the medication when 20mg feel better, fluoxetine hydrochloride 20mg. Advise 20mg to inform their health care providers hydrochloride they are taking or plan to take any prescription or OTC drugs or use alcohol. Where to buy cetirizine advise patients to inform their health care provider if they plan to discontinue any medications they are taking while on fluoxetine.

Caution patient not to take aspirin or aspirin-containing products, NSAIDs, ginkgo biloba, fluoxetine any fluoxetine medication or herbal product that can affect fluoxetine because of increased risk of serious bleeding.

Instruct patient to contact health care provider if symptoms do not appear to be getting better or are getting worse, fluoxetine hydrochloride 20mg, or hydrochloride bothersome adverse reactions eg, excessive drowsiness, diarrhea, tremors, nausea, diarrhea, nervousness, changes in sexual function occur. Advise patients of symptoms of serotonin syndrome 20mg NMS-like reactions, including agitation, coma, diarrhea, hallucinations, fluoxetine hydrochloride 20mg, hyperthermia, incoordination, muscle rigidity, nausea, tachycardia, and vomiting.

Instruct patient to seek immediate medical care if these occur.

PROZAC DIARIES: Week 4 on FLUOXETINE - SIDE EFFECTS

Advise patients to report symptoms of hyponatremia, including confusion, fluoxetine hydrochloride 20mg, difficulty concentrating, headache, memory impairment, unsteadiness that may lead to falls, and fluoxetine. More severe symptoms include coma, hallucinations, respiratory arrest, seizure, and syncope.

Advise patient to take frequent sips of water, fluoxetine hydrochloride 20mg, suck on ice chips or sugarless hard candy, or chew sugarless gum if dry mouth occurs. Instruct diabetic patient hydrochloride monitor blood glucose more frequently when drug is fluoxetine or dose is changed and to inform health care provider of significant changes in readings. Advise patient being treated for depression, and family or hydrochloride of patient, to be alert for abnormal changes in mood or thinking and to immediately avelox 7d precio any of the following to health care provider: Advise families and caregivers of patients to observe for emergence on a day-to-day basis, because changes 20mg be abrupt.

Instruct patient or caregiver to immediately report rash, hives, or itching to health care provider. Advise patient that if medication needs to be discontinued, it will be slowly withdrawn unless safety concerns eg, rash require a more rapid withdrawal. 20mg patient that drug may impair judgment, thinking, or motor skills, or cause drowsiness, and to use caution while driving or performing other tasks requiring mental alertness or coordination until tolerance is determined.