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Author: Admin | 2025-04-28
If you are pregnant. Taking an SSRI antidepressant during late pregnancy may cause serious medical complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of fluoxetine on the baby.If you are breastfeeding, tell your doctor if you notice agitation, fussiness, feeding problems, or poor weight gain in the nursing baby.How should I take fluoxetine?Take fluoxetine exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.Swallow the delayed-release capsule whole and do not crush, chew, break, or open it.Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.Tell your doctor if you have any changes in sexual function, such as loss of interest in sex, trouble having an orgasm, or (in men) problems with erections or ejaculation. Some sexual problems can be treated.Do not stop using fluoxetine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using fluoxetine.Store at room temperature away from moisture and heat.Dosing informationUsual Adult Dose for Bulimia:Immediate-release oral formulations: 60 mg orally once a day in the morningComments:-Some patients may need to be started at a lower dose and titrated up over several days to the recommended dose.-Daily doses greater than 60 mg have not been systematically studied for the treatment of bulimia.Use: Acute and maintenance treatment of binge-eating and vomiting behaviors in moderate to severe bulimia nervosaUsual Adult Dose for Depression:Immediate-release oral formulations:Initial dose: 20 mg orally once a day in the morning, increased after several weeks if sufficient clinical improvement is not observedMaintenance dose: 20 to 60 mg orally per dayMaximum dose: 80 mg orally per dayDelayed release oral capsules:Initial dose: 90 mg orally once a week, commenced 7 days after the last daily dose of immediate-release fluoxetine 20 mg formulations.Comments:-Doses above 20 mg per day may be given in divided doses, in the morning and at noon.-The full effect may be delayed until after at least 4 weeks of treatment.-If a satisfactory response with the once weekly oral fluoxetine is not maintained, a change back to daily fluoxetine dosing using the immediate-release oral formulations should be considered.-Acute episodes of Major Depressive Disorder (MDD) require several months or longer of sustained pharmacologic therapy.-Whether the dose needed to induce remission is the same as the dose needed to maintain and/or sustain euthymia is unknown.Use: Acute and maintenance treatment of MDDUsual Adult Dose for Obsessive Compulsive Disorder:Immediate-release oral formulations:-Initial dose: 20 mg orally once a day in the morning, increased after several weeks if sufficient clinical improvement is not observed.-Maintenance dose: 20 to
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