Contraindications, hypersensitivity, concomitant pimozide or thioridazine (within 5 weeks of administering fluoxetine). Breastfeeding, coadministration with maois, coadministration may cause serotonin syndrome, coadministration of maois with fluoxetine is fluoxetine prozac or within 5 weeks of discontinuing fluoxetine. Initiating fluoxetine within 14 days of administering an maoi. Starting fluoxetine in a patient who is being treated with linezolid or IV methylene blue is contraindicated because of an increased best generic fluoxetine risk of serotonin syndrome. If linezolid or IV methylene blue must be administered, discontinue fluoxetine immediately and is fluoxetine prozac monitor for CNS toxicity; may resume fluoxetine 24 hr after last linezolid or methylene blue dose or after 5 weeks of monitoring, whichever comes first. Cautions, clinical worsening and suicidal ideation may occur despite medication in adolescents and young adults (aged 18-24 years). Development of potentially life-threatening serotonin syndrome reported with snris and ssris alone but particularly with concomitant use fluoxetine and cannabis of other serotonergic drugs (including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, fluoxetine hcl price buspirone, amphetamines, and. Johns Wort) if concomitant use with these types of drugs is clinically warranted, inform patients of potential increased risk for serotonin syndrome, particularly during treatment is fluoxetine prozac initiation and dose increases (see Contraindications and Drug Interactions). Risk of bleeding (GI and other) when used in combination with nsaids, aspirin, or drugs affecting coagulation; trade name for fluoxetine may impair platelet aggregation. Activation of mania/hypomania (screen for bipolar disorder). Fluoxetine therapy has been associated with occurrence of rash and allergic reaction, including vasclitis; discontinue if they occur. Bone fractures have been associated with antidepressant therapy; consider possibility of bone fracture when patient presents with bone pain. May cause or exacerbate sexual dysfunction. Use caution in patients with risk for QT is fluoxetine prozac prolongation, including congenital long QT syndrome, history of prolonged QT, or history of prolonged QT; QT prolongation and ventricular arrhythmia, iincluding torsade fluoxetine 5 mg tablets de pointes. Hyponatremia reported with use; is fluoxetine prozac consider discontinuation if symptomatic hyponatremia is fluoxetine prozac occurs. Use caution in patients with history of seizure disorders. May prolong QT interval and cause ventricular arrhythmia, including torsade de pointes. May cause nervousness, anxiety, insomnia, or anorexia. Risk of mydriasis; may trigger angle closure attack in patients with angle closure glaucoma with anatomically narrow angles without a patent iridectomy. Hypoglycemia reported; may alter glycemic control in patients with diabetes. Conflicting evidence reported regarding use of ssris during pregnancy and increased risk of persistent pulmonary hypertension of the newborn, or pphn (see Pregnancy). Risk of complications in neonates fluoxetine sexual side effects exposed to snris/ssris late in third trimester (eg, feeding difficulties, irritability, and respiratory problems). Wait 1 week after discontinuation of Prozac before starting Prozac Weekly. Gradually decrease dose when discontinuing, has long half-life, decrease in dose will not be fully reflected in plasma for several weeks. Conditions that predispose to QT prolongation and ventricular arrhythmia; 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. Consider ECG assessment and periodic ECG monitoring if initiating treatment with fluoxetine in patients with risk factors for QT prolongation and ventricular arrhythmia; consider discontinuing fluoxetine and obtaining a cardiac evaluation if patients develop signs or symptoms consistent with ventricular arrhythmia. Take fluoxetine once a day. It doesn't upset the stomach so you can take side effects of long term use of fluoxetine it with or without food. You can take fluoxetine at any time, as long as you stick to the same time every day. If you have trouble sleeping, it's best to take it in the morning. How much will I take? The usual dose of fluoxetine is 20mg a day in adults. However, you may be started at a lower dose which is gradually increased to a maximum dose of 60mg a day. Some people might need to take a lower dose of fluoxetine, or to take it less often. This includes people with liver problems, and elderly people. The usual dose of fluoxetine in children is 10mg a day but this may be increased to 20mg a day. What if I forget to take it? If you occasionally forget to take a dose, dont worry.

Does fluoxetine cause insomnia

This article is about the sleeping disorder. For other uses, see. Insomnia, also known as sleeplessness, is a sleep disorder where people have trouble sleeping. 1, they may have difficulty does fluoxetine cause insomnia falling asleep, or staying asleep as long as desired. 11 9, insomnia is typically followed by daytime sleepiness, low energy, irritability, and does fluoxetine cause insomnia a depressed mood. 1, it may result in an increased risk of motor vehicle collisions, as well as problems focusing and learning. 1, insomnia can be does fluoxetine cause insomnia short term, lasting for days or weeks, or long term, lasting more than a month. 1, insomnia can occur independently or as a result of another problem. 2, conditions that can result in insomnia include psychological stress, chronic pain, heart failure, hyperthyroidism, heartburn, restless leg syndrome, menopause, certain medications, and drugs such as caffeine, nicotine, and alcohol. Other risk factors include working night shifts and sleep apnea. 9 Diagnosis is based on sleep habits and an examination to look for underlying causes. 3 A sleep study may be done to look for underlying sleep disorders. 3 Screening does fluoxetine cause insomnia may be done with two questions: "do you does fluoxetine cause insomnia experience difficulty sleeping?" and "do you have difficulty falling or staying asleep?" 9 Sleep hygiene and lifestyle changes are typically the first treatment for insomnia. 5 7 Sleep hygiene includes a consistent bedtime, exposure to sunlight, a quiet and dark room, and regular exercise. 7 Cognitive behavioral therapy may be added to this. 6 12 While sleeping pills may help, they are associated with injuries, dementia, and addiction. 5 6 These medications are not recommended for more than four or five weeks. 6 The effectiveness and safety of alternative medicine is unclear. 5 6 Between 10 and 30 of adults have insomnia at any given point in time and up to half of people have insomnia in a given year. 8 9 10 About 6 of people have insomnia that is not due to another problem and lasts for more than a month. 9 People over the age of 65 are affected more often than younger people. 7 Females does fluoxetine cause insomnia are more often affected than males. 8 Descriptions of insomnia occur at least as far back as ancient Greece. 13 Contents Signs and symptoms edit Potential complications of insomnia. 14 Symptoms of insomnia: 15 difficulty falling asleep, including difficulty finding a comfortable sleeping position waking during the night and being unable to return to sleep feeling unrefreshed upon waking daytime sleepiness, irritability or anxiety Sleep-onset insomnia is difficulty falling asleep at the beginning. Delayed sleep phase disorder can be misdiagnosed as insomnia, as sleep onset is delayed to much later than normal while awakening spills over into daylight hours.

Fluoxetine 60 mg

Generic Name: Fluoxetine hydrochloride, dosage Form: tablet, medically reviewed on December 1, 2017, show On This Page. View All, warning: suicidal thoughts AND behaviors, antidepressants increased the risk of fluoxetine 60 mg suicidal thoughts and behavior fluoxetine 60 mg in children, adolescents, and young adults in short-term studies. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a reduction in risk with antidepressant use in patients aged 65 and older see. Warnings and Precautions (5.1). In patients of all ages who are started on antidepressant therapy, monitor closely for worsening and for emergence of suicidal thoughts and behavior. Advise families and car egivers of the need for close observation and communication with the prescriber see. Fluoxetine is not approved for use in children less than 7 years of age see. Warnings and Precautions (5.1) and, use in Specific Populations (8.4). Indications and Usage for Fluoxetine, fluoxetine is indicated for the treatment of: Major Depressive Disorder (MDD). The efficacy of Fluoxetine in MDD was established in one 5-week trial, three 6-week trials, and one maintenance study in adults. The efficacy of Fluoxetine was also established in two 8- to 9-week trials in pediatric patients 8 to 18 years of age see. Obsessions and compulsions in patients with Obsessive Compulsive Disorder (OCD). The efficacy of Fluoxetine in OCD was demonstrated in two 13-week trials in adults and one 13-week trial in pediatric patients 7 to 17 years of age see. Binge-eating and vomiting behaviors in patients with moderate fluoxetine 60 mg to severe Bulimia Nervosa. The efficacy of Fluoxetine in Bulimia Nervosa was demonstrated in two 8-week trials and one 16-week trial in adults see. Panic Disorder, fluoxetine 60 mg with or without agoraphobia. The efficacy of Fluoxetine in Panic Disorder was demonstrated in two 12-week trials in adults see. Fluoxetine Dosage and Administration, this product is only available in a 60 mg dosage form. A 30 mg dose may be achieved with one-half of the scored tablet. Use of this product requires initial titration with another Fluoxetine product according to the dosing guidelines indicated below. Major Depressive Disorder, initial Treatment. AdultInitiate Fluoxetine 20 mg/day orally in the morning. Consider fluoxetine 60 mg a dose increase after fluoxetine 60 mg several weeks if insufficient clinical improvement is observed. Administer doses above 20 mg/day once daily in the morning or twice daily (ie, morning and noon). The maximum Fluoxetine dose should not exceed 80 mg/day. In controlled trials used to support the efficacy of Fluoxetine, patients were administered morning doses ranging from 20 mg/day to 80 mg/day. Studies comparing Fluoxetine 20, 40, and 60 mg/day to placebo indicate that 20 mg/day is sufficient to obtain a satisfactory response in MDD in most cases see. Pediatric (children and adolescents)Treatment should be initiated with a dose of 10 mg/day or 20 mg/day.

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