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What is Prozac?

Prozac and the generic alternative fluoxetine are antidepressants used to treat major depressive disorder, bulimia nervosa, panic disorder and obsessive-compulsive disorder. Prozac is a selective serotonin reuptake inhibitor (SSRI) antidepressant which affects chemicals in the brain. Prozac can improve your mood, energy level, sleep or appetite and can restore your interest in daily living.

Always read the patient information and instructions carefully before using this medication. Follow your doctor’s directions.

• Prozac should be taken orally. It is typically taken once a day in the morning, or twice a day in the morning and around noon.
• Your Prozac dosage is based on your medical condition and response to treatment. Always follow your doctor’s directions carefully.
• You should see some improvement within two weeks although it may take up to four weeks before your symptoms improve. Continue to take Prozac as directed.
• Do not stop taking Prozac suddenly as you may suffer from withdrawal symptoms. Ask your doctor about how to safely stopping this medication.

Make sure to tell your doctor and pharmacist:

• If you have any drug or other allergies.
• Which other prescription and non-prescription medications you currently take especially other antidepressants.
• Your medical history especially of kidney disease, seizures, epilepsy, diabetes, cirrhosis of the liver, glaucoma, bipolar disorder or manic depression.
• If you have a history of drug abuse or suicidal thoughts.
• If you are being treated with electroconvulsive therapy (ECT).
• If you are pregnant or planning pregnancy. Do not start or stop taking Prozac without speaking to your doctor.
• If you are breast feeding. Fluoxetine may harm a nursing baby.

Also be aware that:

• Some young people have suicidal thoughts when first taking an antidepressant. Stay alert to mood or symptoms changes.
• Do not take Prozac if you also take pimozide or thioridazine.
• Do not take Prozac within 14 days of using isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline or tranylcypromine unless directed by a doctor.

Common Prozac side effects may include but are not limited to:

• Nausea.
• Drowsiness, tiredness, trouble sleeping or yawning.
• Dizziness.
• Anxiety.
• Loss of appetite.
• Sweating.

Contact your doctor if you experience any of the following side effects of Prozac:

• New or worsening mental or mood changes such as anxiety, panic attacks, irritation, hostility, feeling of anger, trouble sleeping, impulsiveness, restlessness or rapid speech.
• Unusual mental or mood changes such as agitation, high energy, excitement or suicidal thoughts.
• Unusual weight loss.
• Easy bruising or bleeding.
• Muscle weakness or spasm.
• Shakiness.
• Decreased interest in sex, changes in sexual activity or an erection which is painful or lasts over 4 hours.
• Changes in the amount of urine as this could be a sign of kidney problems.
• Widened pupils, eye pain, swelling or redness or vision changes such as blurred vision or seeing rainbows around lights.
• Signs of serotonin syndrome such as loss of coordination, severe dizziness, severe nausea, severe diarrhea, severe vomiting, fast heartbeat, hallucinations, twitching muscles, unexplained fever, unusual agitation or restlessness.
• Signs of an allergic reaction such as hives, difficulty breathing or a swelling of your face, lips or throat.

What should I do if I miss a dose of Prozac?

If you miss a dose of this medication, take it as soon as you remember. If it is almost time for your next dose, then skip your missed dose.

How long does it take Prozac to work?

You should see some improvement within two weeks although it may take up to four weeks before your symptoms improve. Continue to take Prozac as directed.