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Warning
Suicide: - The possibility of a suicide attempt is inherent in depression and may persist until significant remission occurs. Therefore, high risk patients should be closely supervised throughout ther
apy and consideration should be given to the possible need for hospitalization. In order to minimize the opportunity for overdosage, prescriptions for fluoxetine should be written for the smallest qua
ntity of drug consistent with good patient management.
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How should you take this medication?
Prozac comes as a capsule, tablet, and liquid to take by mouth. It is usually taken once or twice a day and may be taken with or without food. Follow the directions on your prescription label carefull
y, and ask your doctor or pharmacist to explain any part you do not understand. Take Prozac exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Continue to take Prozac even if you feel well. Do not stop taking Prozac without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will want
to decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.
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What special precautions should I follow?
Breast-feeding¡XProzac passes into breast milk. A study of 11 breast-fed babies whose mothers were taking Prozac found no effect on the babies. However, another baby whose mother was taking this medic
ne had vomiting, watery stools, crying, and sleep problems. Be sure you have discussed the risks and benefits of this medicine with your doctor.
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Symptoms of overdose may include:
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 ov
erdose include: Coma, delirium, fainting, high fever, irregular heartbeat, low blood pressure, mania, rigid muscles, sweating, stupor
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Possible food and drug interactions when taking this medication
Dependence Liability: - Fluoxetine has not been systematically studied, in animals or humans, for its potential for abuse, tolerance, or physical dependence. Physicians should carefully evaluate patie
nts for history of drug abuse and follow such patients closely, observing them for signs of misuse or abuse of fluoxetine.
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What side effects may occur?
Check with your doctor as soon as possible if any of the following side effects occur: - difficulty in concentration, drowsiness, excessive hunger, fast heartbeat, headache, shakiness or unst
eady walk, or unusual tiredness or weakness; symptoms of hyponatremia (low blood sodium), including confusion, convulsions (seizures), drowsiness, dryness of mouth, increased thirst, lack of energy;
symptoms of serotonin syndrome, including diarrhea, fever, increased sweating, mood or behavior changes, overactive reflexes, racing heartbeat, restlessness, shivering or shaking; talking, feeling,
and acting with excitement and activity you cannot control; trouble in breathing; unusual or incomplete body or facial movements;
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Elizabeth Wurtzel: 'Prozac Nation' - Between The Lines
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