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Prozac (generic)
Drug Uses
Prozac is a drug used medically in the treatment of depression,
obsessive-compulsive disorder, bulimia nervosa, premenstrual
dysphoric disorder, and many other disorders. It is a psychotropic
drug for oral administration.
Prozac usually is taken once or twice a
day. To be effective, it should be taken regularly. Make a
habit of taking it at the same time you do some other daily
activity. It may be 4 weeks before you feel any relief from
your depression, but the drug's effects should last about
9 months after a 3-month treatment regimen. For obsessive-compulsive
disorder, the full effect may take 5 weeks to appear.
Unless you are directed to do so by your
doctor, do not take this medication if you are recovering
from a heart attack or if you have liver disease or diabetes.
Prozac may cause you to become drowsy or less alert and may
affect your judgment. Therefore, driving or operating dangerous
machinery or participating in any hazardous activity that
requires full mental alertness is not recommended. While taking
this medication, you may feel dizzy or light-headed or actually
faint when getting up from a lying or sitting position. If
getting up slowly doesn't help or if this problem continues,
notify your doctor. If you develop a skin rash or hives while
taking Prozac, discontinue use of the medication and notify
your doctor immediately. Prozac should be used with caution
if you have a history of seizures. You should discuss all
of your medical conditions with your doctor before taking
this medication. Prozac can occasionally cause decreased appetite
and weight loss, especially in depressed people who are already
underweight and in those with bulimia. If you notice changes
in your weight or appetite, tell your doctor. The effects
of Prozac during pregnancy have not been adequately studied.
If you are pregnant or plan to become pregnant, inform your
doctor immediately. This medication appears in breast milk,
and breastfeeding is not recommended while you are taking
Prozac.
If you miss a dose of Prozac and you remember
the same day, take it as soon as possible. If you do not remember
until the next day, skip the missed dose and go back to your
regular dosing schedule. Do not take 2 doses at once.
Side effects cannot be anticipated. If
any develop or change in intensity, inform your doctor as
soon as possible. Only your doctor can determine if it is
safe for you to continue taking Prozac. More common side effects
may include: Abnormal dreams, abnormal ejaculation, abnormal
vision, anxiety, diminished sex drive, dizziness, dry mouth,
flu-like symptoms, flushing, gas, headache, impotence, insomnia,
itching, loss of appetite, nausea, nervousness, rash, sinusitis,
sleepiness, sore throat, sweating, tremors, upset stomach,
vomiting, weakness, yawning. Less common side effects may
include: Abnormal taste, agitation, bleeding problems, chills,
confusion, ear pain, emotional instability, fever, frequent
urination, high blood pressure, increased appetite, loss of
memory, palpitations, ringing in the ears, sleep disorders,
weight gain. In children and adolescents, less common side
effects may also include: Agitation, excessive menstrual bleeding,
frequent urination, hyperactivity, mania or hypomania (inappropriate
feelings of elation and/or rapid thoughts), nosebleeds, personality
changes, and thirst. A wide variety of other very rare reactions
have been reported during Prozac therapy. If you develop any
new or unexplained symptoms, tell your doctor without delay.
Store in a dry place at 20-25 degrees C
(68-77 F).
Any medication taken in excess can have
serious consequences. An overdose of Prozac can be fatal.
In addition, combining Prozac with certain other drugs can
cause symptoms of overdose. If you suspect an overdose, seek
medical attention immediately. Common symptoms of Prozac overdose
include: Nausea, rapid heartbeat, seizures, sleepiness, vomiting.
Other symptoms of Prozac overdose include: Coma, delirium,
fainting, high fever, irregular heartbeat, low blood pressure,
mania, rigid muscles, sweating, stupor.
Do not take with MAO inhibitors or for
at least two weeks after their discontinuation. MAO inhibitors
medications should not be taken for at least five weeks after
discontinuing Prozac. Most medications affecting the brain
have the potential to slow reflexes or impair judgment and
caution is advised. This medication has not been studied extensively
in the US and re-evaluation periodically by your physician
is advised. Check with you pharmacist when taking with other
medications.
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