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Fluoxetine no prescription needed online
Generic Prozac
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
•diabetes
•heart disease
•kidney disease
•liver disease
•receiving electroconvulsive therapy
•seizures (convulsions)
•suicidal thoughts
•an unusual or allergic reaction to fluoxetine, other medicines, foods, dyes, or
preservatives
•pregnant or trying to get pregnant
•breast-feeding
How should I take this medicine?
Take fluoxetine tablets or capsules by mouth. Follow the directions on the
prescription label. Swallow with a drink of water. You can take fluoxetine with
or without food. Take your doses at regular intervals. Do not take your medicine
more often than directed. Do not stop taking except on your prescriber's advice.
Contact your pediatrician or health care professional regarding the use of this
medicine in children. Special care may be needed. While this drug may be
prescribed for children as young as 7 years for selected conditions, precautions
do apply. 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.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your
next dose, skip the missed dose and go back to your regular dosing schedule. Do
not take double or extra doses.
What drug(s) may interact with fluoxetine?
Fluoxetine has the potential to interact with a variety of medications, check
with your healthcare professional. The following list contains some of these
interactions.
Do not take fluoxetine with any of the following medications:
•astemizole (Hismanal®)
•cisapride (Propulsid®)
•pimozide (Orap®)
•terfenadine (Seldane®)
•thioridazine (Mellaril®)
•medicines called MAO inhibitors-phenelzine (Nardil®),
tranylcypromine (Parnate®), isocarboxazid (Marplan®),
selegiline (Eldepryl®)
Fluoxetine may also interact with the following medications:
•alcohol
•amphetamine
•aspirin
•benzodiazepines, commonly used for anxiety or sleeping problems, such as
diazepam or alprazolam
•buspirone
•carbamazepine
•certain diet drugs (dexfenfluramine, fenfluramine, phentermine, sibutramine)
•certain medicines for migraine headache (almotriptan, eletriptan, frovatriptan,
naratriptan, rizatriptan, sumatriptan, zolmitriptan, dihydroergotamine,
ergotamine, methysergide)
•cimetidine
•cyproheptadine
•dextroamphetamine
•dextromethorphan
•dofetilide
•ergonovine
•furazolidone
•linezolid
•lithium
•metoprolol
•medicines for diabetes
•medicines for mental depression
•medicines for mental problems or psychotic disturbances
•methylergonovine
•nonsteroidal antiinflammatory drugs (NSAIDs, like ibuprofen)
•phenytoin
•propafenone
•propranolol
•St. John's wort
•warfarin
Tell your prescriber or health care professional about all other medicines you
are taking, including non-prescription medicines, nutritional supplements, and
herbal products. Also tell your prescriber or health care professional if you
are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you
use illegal drugs. These may affect the way your medicine works. Check with your
health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking fluoxetine?
Side effects that you should report to your prescriber or health care
professional as soon as possible:
•anxiety, agitation, panic attacks, inability to sleep, irritability, hostility
or extreme anger, aggressiveness, engaging in unusual or dangerous activities,
restlessness or inability to sit still, fast talking, actions that are out of
control, extreme elation or feeling of happiness that may switch back and forth
with a depressed or sad mood
•fast or irregular heart rate, palpitations
•difficulty breathing
•dizziness or lightheadedness
•fast or irregular heart rate, palpitations
•flu-like symptoms (fever, chills, cough, muscle or joint aches and pains)
•seizures (convulsions)
•skin rash, itching (hives)
•unusual tiredness or weakness
•vomiting
Side effects that usually do not require medical attention (report to your
prescriber or health care professional if they continue or are bothersome):
•blurred vision
•difficulty sleeping
•daytime drowsiness
•diarrhea
•dry mouth
•flushing
•headache
•increased sweating
•indigestion
•increased or decreased appetite
•sexual difficulties (decreased sexual desire or ability)
•stuffy nose
•tremor (shaking)
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 restlessness, worsening of depression,
agitation, difficulty sleeping, irritability, anger, acting on dangerous
impulses, or thoughts of suicide or suicidal attempts, 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.
Where can I keep my medicine?
Keep out of the reach of children in a container that small children cannot open.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F).
Throw away any unused medicine after the expiration date.
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