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fluoxetine

Pronunciation: floo OX e teen

Brand: PROzac, PROzac Weekly, Rapiflux, Sarafem, Selfemra

Fluoxetine 10 mg-MYL

capsule, pink/white, imprinted with MYLAN 4210

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Fluoxetine 20 mg Cap-BAR

capsule, blue/gray, imprinted with barr 20 mg, 877

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Fluoxetine 20 mg-TEV

blue/white, imprinted with 93 43

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Prozac 10 mg

capsule, green, imprinted with DISTA 3104, PROZAC 10 mg

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Fluoxetine 10 mg Cap-BAR

capsule, blue/yellow, imprinted with barr 10 mg, 876

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Fluoxetine 10 mg-GEN

capsule, white, imprinted with GG 575

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Fluoxetine 10 mg-PAR

oval, white, imprinted with G, FL 10

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Fluoxetine 10 mg-TEV

capsule, blue, imprinted with 93 42

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Fluoxetine 20 mg-IVA

turquoise, imprinted with Logo 4356, 20 mg

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Fluoxetine 20 mg-MAL

capsule, green/white, imprinted with M, 0663

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Fluoxetine 20 mg-PAR

oval, white, imprinted with G, FL 20

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Fluoxetine 40 mg-IVA

blue, imprinted with Logo 4346, 40 mg

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Fluoxetine DR 90 mg-BAR

turquoise/white, imprinted with barr 90 mg, 871

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Selfemra 10 mg

capsule, blue, imprinted with 93 7225

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Fluoxetine 10 mg Tab-BAR

oval, beige, imprinted with b, 201 10

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Fluoxetine 10 mg-MAL

capsule, green, imprinted with M 0661

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Fluoxetine 20 mg4356-TEV

turquoise, capsule, imprinted with 4356, 20 mg

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Fluoxetine 20 mg-EON

green/white, imprinted with E85

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Fluoxetine 20 mg-GEN

capsule, white, imprinted with GG 550

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Fluoxetine 20 mg-MYL

capsule, blue/pink, imprinted with MYLAN 4220

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Fluoxetine 40 mg-MYL

capsule, blue/white, imprinted with MYLAN 4350

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Fluoxetine 40 mg-TEV

capsule, blue/orange, imprinted with TEVA, 7198

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Prozac 10 mg Tab

elliptical, green, imprinted with PROZAC 10

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Prozac 20 mg

capsule, green/yellow, imprinted with DISTA 3105, PROZAC 20 mg

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Prozac Weekly 90 mg

capsule, green/white, imprinted with Lilly, 3004 90 mg

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Selfemra 20 mg

blue/pink, imprinted with 93 7226

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Fluoxetine 10 mg Tab-TEV

oval, blue, imprinted with 9 3, 7188

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Fluoxetine 10 mg-IVA

turquoise/white, imprinted with Logo 4363, 10 mg

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Fluoxetine 40 mg-PAR

capsule, white, imprinted with GG 540

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Prozac 40 mg

capsule, green/orange, imprinted with DISTA 3107, PROZAC 40mg

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What is the most important information I should know about fluoxetine?

Do not use fluoxetine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. You must wait at least 14 days after stopping an MAO inhibitor before you can take fluoxetine. You must wait 5 weeks after stopping fluoxetine before you can take thioridazine or an MAOI.

Multum donot

You should not use fluoxetine if you also take pimozide or thioridazine, or if you are being treated with methylene blue injection.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using fluoxetine. Your family or other caregivers should also be alert to changes in your mood or symptoms.

If you also take olanzapine (Zyprexa), read the Zyprexa medication guide and all patient warnings and instructions provided with that medication.

What is fluoxetine?

Fluoxetine is a selective serotonin reuptake inhibitors (SSRI) antidepressant. Fluoxetine affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.

Fluoxetine is used to treat major depressive disorder, bulimia nervosa (an eating disorder) obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder (PMDD).

Fluoxetine is sometimes used together with another medication called olanzapine (Zyprexa). to treat depression caused by bipolar disorder (manic depression). This combination is also used to treat depression after at least 2 other medications have been tried without successful treatment of symptoms.

Fluoxetine may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking fluoxetine?

Do not use fluoxetine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. You must wait at least 14 days after stopping an MAO inhibitor before you can take fluoxetine. You must wait 5 weeks after stopping fluoxetine before you can take thioridazine or an MAOI.

Multum donot

You should not use fluoxetine if you are allergic to it, if you also take pimozide or thioridazine, or if you are being treated with methylene blue injection.

If you also take olanzapine (Zyprexa), read the Zyprexa medication guide and all patient warnings and instructions provided with that medication.

Multum emt

Tell your doctor about all other antidepressants you take, especially Celexa, Cymbalta, Desyrel, Effexor, Lexapro, Luvox, Oleptro, Paxil, Pexeva, Symbyax, Viibryd, or Zoloft.

To make sure fluoxetine is safe for you, tell your doctor if you have:

  • cirrhosis of the liver;
  • kidney disease;
  • diabetes;
  • glaucoma;
  • seizures or epilepsy;
  • bipolar disorder (manic depression); or
  • a history of drug abuse or suicidal thoughts.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using fluoxetine. Your family or other caregivers should also be alert to changes in your mood or symptoms.

FDA pregnancy category C. Taking an SSRI antidepressant during pregnancy may cause serious lung problems or other complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant while taking fluoxetine. Do not start or stop taking this medicine during pregnancy without your doctor's advice.

Multum nobrfeed

Fluoxetine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Multum nochild

Do not give this medication to anyone under 18 years old without medical advice.

How should I take fluoxetine?

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Multum nocrush

Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.

Measure liquid medicine with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.

Do not stop using fluoxetine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using fluoxetine.

To treat premenstrual dysphoric disorder, the usual dose of fluoxetine is once daily while you are having your period, or 14 days before you expect your period to start. Follow your doctor's instructions.

Multum rt

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

If you miss a dose of Prozac Weekly, take the missed dose as soon as you remember and take the next dose 7 days later. However, if it is almost time for the next regularly scheduled weekly dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Multum emt

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking fluoxetine?

Avoid taking tryptophan while you are taking fluoxetine.

Multum noalcohol

Drinking alcohol can increase certain side effects of fluoxetine.

Multum dizzy

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What are the possible side effects of fluoxetine?

Multum emt

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Multum calldoc

Call your doctor at once if you have:

  • very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out;
  • agitation, hallucinations, overactive reflexes, nausea, vomiting, diarrhea;
  • headache, slurred speech, severe weakness, muscle cramps, loss of coordination, feeling unsteady, seizure (convulsions), shallow breathing (breathing may stop); or
  • severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Common side effects may include:

  • drowsiness, yawning;
  • tremors, sweating, feeling anxious or nervous;
  • dry mouth, upset stomach, mild nausea;
  • sleep problems (insomnia), strange dreams;;
  • mild rash;
  • changes in weight or appetite;
  • decreased sex drive, impotence, or difficulty having an orgasm; or
  • cold symptoms such as stuffy nose, sinus pain, sore throat.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect fluoxetine?

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Taking fluoxetine with other drugs that make you sleepy or slow your breathing can increase these effects. Ask your doctor before taking fluoxetine with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Multum emt

Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Using an NSAID with fluoxetine may cause you to bruise or bleed easily.

Many drugs can interact with fluoxetine. Not all possible interactions are listed here. Tell your doctor about all your medications and any you start or stop using during treatment with fluoxetine, especially:

  • any other antidepressant;
  • a blood thinner (warfarin, Coumadin);
  • St. John's Wort;
  • tryptophan (sometimes called L-tryptophan);
  • prescription pain medicine --fentanyl, tramadol; medicine to treat anxiety --alprazolam, buspirone, diazepam; medication to treat mental illness --clozapine, haloperidol, iloperidone, lithium, ziprasidone, and others; or
  • heart medication --amiodarone, digitoxin, procainamide, quinidine, sotalol, and others; migraine headache medicine --almotriptan, frovatriptan, sumatriptan, naratriptan, rizatriptan, zolmitriptan; seizure medication --carbamazepine, phenytoin.

This list is not complete and many other drugs can interact with fluoxetine. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.

Where can I get more information?

Your pharmacist can provide more information about fluoxetine.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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