It may provide benefits for bulimia if it is taken for up to a year. Find out about the different types of antidepressants, how they work, any adverse effects, when you can take them, and the alternatives available. Depression is not always preventable, but some tips may help manage symptoms or reduce the risk of a recurrence.
Here, we provide some tips that may…. Mild depression leads to changes in moods and behavior, which might appear normal. However, if left untreated, mild depression can become more severe. Treatment for depression focuses on antidepressant medications, but some herbs and supplements may also help. These include St. John's wort, lavender…. Antidepressants are a commonly used drug in the United States, but some people find they gain or lose weight when using specific types.
The link is…. What is Prozac fluoxetine? Medically reviewed by Alan Carter, Pharm. Side effects Dosage Withdrawal Uses Prozac is an antidepressant. Side effects. Share on Pinterest Prozac can help treat depression, but it may have adverse effects. Exposure to air pollutants may amplify risk for depression in healthy individuals. Costs associated with obesity may account for 3. Related Coverage. All about antidepressants.
Methadone and fluoxetine together can seriously affect your heart so these should only be combined under doctor supervision. Taking fluoxetine with cocaine, ecstasy or amfetamines could bring on serotonin syndrome. You need to go to hospital if this happens.
Tell the doctor everything that you have taken. Fluoxetine can produce a false positive test for amfetamines and LSD on a urine drug screen. Talk to your doctor about this if it is a problem for you. Do not take fluoxetine if you take an antidepressant medicine called a monoamine oxidase inhibitor MAOI , or if you have taken one in the last two weeks. MAOIs include moclobemide, isocarboxazid, phenelzine and tranylcypromine. Tell your doctor or pharmacist before you take fluoxetine if you are prescribed any other medication, to check that the combination is safe.
Before you start taking fluoxetine, tell your doctor if you are taking any other medications, including things you have bought over the counter for common illnesses like colds and flu or topical applications that you put on your skin.
Taking fluoxetine may affect your ability to do things like drive a car, ride a bike, use machines, or anything else that needs a lot of focus. It might be best to stop doing these things for the first few days, until you know how it affects you, or until the effects pass. If you become pregnant while you are on fluoxetine, you should carry on taking the medicine and go back to your doctor as soon as possible, to see if you should change or stop your medicine.
There is a slightly higher risk of problems in the developing baby if you take fluoxetine it in the early stages of pregnancy. However, fluoxetine and related antidepressants known as SSRIs are thought to be better choices if you need antidepressant medicine. Remember that you need to stay well through your pregnancy, and you may need a medicine to help you to do that. Fluoxetine may cause heart problems in the developing baby, and other symptoms in new-born babies. If you and your doctor agree that you will continue taking fluoxetine during your pregnancy, then you should tell your midwife that you are taking it before you give birth.
If fluoxetine is taken in the last five months of a pregnancy, it can cause a serious condition called persistent pulmonary hypertension of the new-born PPHN. This can make the baby breathe faster and look a bit blue in colour. This compares with a rate of two in 1, among babies born to mums who do not take SSRIs.
PPHN appears in the first 24 hours after birth. You will need help from the midwife and doctors, so it is better if they are looking out for symptoms.
The newborn baby may also develop withdrawal effects, which might not appear straight away but might develop over the first few days of life. These could include:. Fluoxetine is passed to the baby in breast milk, and side effects have been seen in breastfed babies.
The main one is likely to be colic. This is because fluoxetine is hard for your baby to get rid of. This does not mean breastfeeding will be a problem, but do look out for side effects. If your baby was premature or has health problems, then you may be better off not breastfeeding as your baby will likely struggle even more to get rid of the fluoxetine.
Fluoxetine has been known to slow growth and delay sexual development puberty in a small number of children and young people. Your doctor should check your growth while you are taking it. If this worries you, talk to your doctor or pharmacist about it.
These effects should pass after the first couple of weeks. If they do not, and this is a problem for you, go back to the doctor and see what else you could try.
The good effects of fluoxetine may, after a while, have a positive impact on your sex life as your mood lifts and you become interested in life and relationships again. Fluoxetine does not seem to affect human fertility.
Talk to your doctor about your fluoxetine if you are trying to get pregnant. Taking fluoxetine may affect your ability to do things like riding a bike, competitive gymnastics, or anything else that needs a lot of focus. It might be best to stop such sports for the first few days, until you know how it affects you or the effects get better.
You might decide together to delay starting it until you have done them. If they are more than a month away, however, you might find that it is better to start fluoxetine to lift your mood and improve your motivation to study.
If you have suffered from depression in the past, you should keep taking this medication for at least two years after you start to feel better. You and your doctor should talk about how long you need to take fluoxetine before you begin your treatment. If you stop taking the fluoxetine too soon, the chance that your mental health symptoms will come back increases.
You will get the best effect from fluoxetine if you take it every day at the dose prescribed by your doctor. Your doctor might start you on a low dose and then increase it to your full dose slowly over two to four weeks.
Make sure that you know your dose. If it's not written on the label, check with your pharmacist or doctor. Young people aged eight to 18 may start taking fluoxetine at a lower dose using the liquid, and then move on to the capsules if the dose increases.
It is usually best to take fluoxetine in the morning. This is to reduce the chance of it causing insomnia difficulty sleeping. However, it is important to choose a time each day that you can always remember. This could be when you wake up, a mealtime, or when you brush your teeth. If you forget to take it for a few days, you may start getting withdrawal symptoms and should talk to your doctor about it.
Other uses for this medicine What special precautions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names Brand names of combination products. Swallow the delayed-release capsules whole; do not cut, crush, or chew them. Your doctor may start you on a low dose of fluoxetine and gradually increase your dose. Other uses for this medicine. What special precautions should I follow?
Before taking fluoxetine, tell your doctor and pharmacist if you are allergic to fluoxetine, any other medications, or any of the ingredients in fluoxetine preparations.
Ask your pharmacist for a list of the ingredients. Your doctor will probably tell you that you should not take fluoxetine. If you stop taking fluoxetine, you should wait at least 5 weeks before you begin to take thioridazine or a monoamine oxidase inhibitor.
Be sure to mention any of the following: alprazolam Xanax ; amiodarone Pacerone, Nexterone ; certain antibiotics such as erythromycin E. S, Eryc, Ery-tab , gatifloxacin, moxifloxacin Avelox , and sparfloxacin no longer available in U.
Your doctor may need to change the doses of your medications or monitor you carefully for side effects. John's wort or tryptophan. Also tell your doctor if you have a low level of potassium or magnesium in your blood or are being treated with electroshock therapy procedure in which small electric shocks are administered to the brain to treat certain mental illnesses.
Tell your doctor if you have recently had a heart attack and if you have or have ever had heart failure, diabetes, seizures, or liver or heart disease. If you become pregnant while taking fluoxetine, call your doctor. Fluoxetine may cause problems in newborns following delivery if it is taken during the last months of pregnancy. Do not drive a car or operate machinery until you know how this medication affects you.
Talk to your doctor about having an eye examination before you start taking this medication. If you have nausea, eye pain, changes in vision, such as seeing colored rings around lights, and swelling or redness in or around the eye, call your doctor or get emergency medical treatment right away. Fluoxetine may cause side effects. Only take the medication as prescribed by your doctor or psychiatrist. Stopping cold turkey could be dangerous and cause withdrawal symptoms.
There has been some controversy as to the safety of Prozac, due to the issuing of a safety warning by the Food and Drug Administration in about the risk for suicidal thoughts among certain groups. Despite this warning, Prozac continues to be prescribed and can be used safely or discontinued if adverse effects develop when under the guidance of a physician.
If you have concerns about the safety of taking Prozac, bring these up to your doctor. Use of pimozide and thioridazine also increases the risk involved in taking Prozac. The result of medication interactions can be serious and potentially fatal, so you should discuss all medications you are taking with your doctor or psychiatrist to determine whether potential interactions exist.
Some side effects of Prozac are more likely than others. Some people notice that side effects lessen over time, or become less bothersome.
Common side effects include:. Rare side effects include:. If you experience any of these severe side effects, be sure to notify your doctor or psychiatrist. Prozac can be passed to babies during pregnancy and through breast milk. Consult with your doctor if you are pregnant or nursing before taking Prozac, to determine whether the benefits outweigh the risks. There are also some potential risks for individuals age 65 or older that should be discussed with your doctor.
The safety and effectiveness of Prozac for use with children younger than 18 years of age has also not been established. Prozac should not be combined with alcohol, certain over-the-counter e.
John's Wort. Be sure to tell your doctor about everything that you are taking. Care should also be taken if using drugs that affect the central nervous system CNS , such as benzodiazepines. Use of Prozac can carry risks, including the potential for clinical worsening and in rare cases, increased thoughts of suicide.
Serotonin syndrome can also occur, particularly if used in conjunction with certain other medications. Close monitoring by your psychiatrist or doctor is important. Prozac also comes with a black box warning that it may increase the risk of suicide in people younger than 25 years old. In these individuals, it may lead to suicidal thoughts, or worsening of these types of thoughts. If you belong to this group, your doctor should monitor you, particularly in the early stages, for these serious issues.
If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at for support and assistance from a trained counselor.
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