It can be potentially dangerous to take fluoxetine with:Fluoxetine hasn't been properly tested with recreational drugs. In some cases these can continue even after stopping the medicine. Serious side effects and their symptoms can include the following:Fluoxetine oral capsule can interact with other medications, To help avoid interactions, your doctor should manage all of your medications carefully. If the patient was taking a high dose of the first agent, consider tapering to a lower dose before starting the new agent. A lower dose, e.g., alternate day dosing, is recommended in patients with significant hepatic dysfunction. Stopping this drug too quickly may cause serious symptoms. However, if your depression is not treated during pregnancy this can also increase the chance of problems.You may need to take fluoxetine during pregnancy if you need it to remain well. Although there may be an increased potential for undesirable effects at higher doses, in some patients, if after two weeks there is insufficient response to 20mg, the dose may be increased gradually up to a maximum of 60mg. There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.Sulfur dioxide is contained within this product which may rarely cause severe hypersensitivity reactions and bronchospasm.Olena tablets also contain sorbitol. Most of these side effects are likely to go away with continued treatment. There is no information on whether the effect was reversible. Seizures are a potential risk with antidepressant drugs. Keep taking the medicine, but tell your doctor or pharmacist if these side effects bother you or don't go away:It happens rarely (in less than 1 in 100 people), but some people may have serious side effects when taking fluoxetine.In rare cases, it's possible to have a serious allergic reaction (You could be having a serious allergic reaction and may need immediate treatment in hospital.These are not all the side effects of fluoxetine.
At 10mg/kg/day, plasma levels achieved in animals were approximately 0.8 to 8.8-fold (fluoxetine) and 3.6 to 23.2-fold (norfluoxetine) those usually observed in paediatric patients. The mechanism is unknown. In addition, only limited evidence is available concerning long-term effect on safety in children and adolescents, including effects on growth, sexual maturation and cognitive, emotional and behavioural developments (see section 5.3). Rats administered 30mg/kg also had decreased femur lengths compared with controls and skeletal muscle degeneration, necrosis and regeneration. 4.5 Interaction with other medicinal products and other forms of interaction6.6 Special precautions for disposal and other handling9. Ecchymosis has been reported as an infrequent event during treatment with fluoxetine. If a good therapeutic response has been obtained, treatment can be continued at a dosage adjusted on an individual basis. In these two studies the mean absolute changes in CDRS-R from baseline to endpoint were 20 for fluoxetine versus …
If patients with stable cardiac disease are treated, an ECG review should be considered before treatment is started. Never take 2 doses at the same time to make up for a forgotten one.If you forget doses often, it may help to set an alarm to remind you. For more information about how fluoxetine can affect you and your baby during pregnancy, If your doctor or health visitor says your baby is healthy, fluoxetine can be used during breastfeeding. Because of this risk, your doctor may lower your dosage or reduce how often you take the drug.This drug hasn’t been studied in children for this condition. Stop SSRI.
Delays in sexual maturation occurred in males (10 and 30mg/kg/day) and females (30mg/kg/day). Fluoxetine, at a dose of 20mg, has been shown to be significantly more effective than placebo in two short-term pivotal studies, as measured by the reduction of Childhood Depression Rating Scale-Revised (CDRS-R) total scores and Clinical Global Impression of Improvement (CGI-I) scores. A lower or less frequent dose (e.g., 20mg every second day) should be considered in patients with hepatic impairment (see section 5.2), or in patients where concomitant medication has the potential for interaction with Olena Tablets (see section 4.5). The capsule shell is made of gelatin, patent blue V (E131), yellow iron oxide (E172) titanium dioxide (E171); the 10 mg capsules They may want to review your treatment.The good effects of fluoxetine may, after a while, improve your sex life as your mood lifts and you become interested in life and relationships again.Sexual side effects usually pass after the first couple of weeks. Your doctor can explain the risks and the benefits, and will help you decide which treatment is best for you and your baby. Hypoglycaemia has occurred during therapy with fluoxetine and hyperglycaemia has developed following discontinuation.
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