BUY FLUOXETINE

The remedy is applied for treating depression, anxiety disorders (panic attacks), obsessive-compulsive disorder (OCD), a certain eating disorder (bulimia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder), improving your mood, sleep, appetite, and energy level and may help restore your interest in daily living, decreasing anxiety/unreasonable fears, persistent/troubling thoughts (obsessions), and unwanted urges that keep returning (compulsions), number and severity of panic attacks, lessening premenstrual symptoms such as irritability, increased appetite, and depression, decreasing bingeing and purging behaviors in bulimia. The principle of its work consists in helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine belong to the class of selective serotonin reuptake inhibitors (SSRI).

HOW TO USE FLUOXETINE:

Read the Medication Guide provided by your pharmacist before you start using fluoxetine and each time you get a refill. Ask all your questions to your doctor. It is an oral remedy. It is recommended to take fluoxetine one time a day (with or without food) or as prescribed by your doctor. This medication may make you either sleepy or wakeful. Depending on the affect of the medication your doctor may direct you to apply the drug either in the morning or in the evening. If you are taking this medication twice a day, your doctor may direct you to take it in the morning and at noon. For premenstrual problems your doctor may direct you to apply the remedy all through the month or just two weeks before your menstruation and first full days of periods. To help you remember, mark your calendar. If you are using the liquid form of this medication, measure the dose carefully using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. The dosage depends on your medical condition and response to therapy. Your doctor may start from direction of a low dose and than increase it gradually to reduce risk of side effects. Follow your doctor's prescriptions carefully. Don't change your dosage by yourself. It is recommended to take the drug regularly with equal intervals. In order not to forget take the remedy at the same time. Sudden stop of taking this drug may lead to worsening some conditions. Your dose may need to be gradually decreased. You should see some improvement in 1 to 2 weeks. It may take several weeks before you feel the full benefit. Notify your doctor in the case of worsening your conditions.

FLUOXETINE SIDE EFFECTS:

You may experience nausea, drowsiness, dizziness, anxiety, trouble sleeping, loss of appetite, weakness, tiredness, sweating, or yawning. Notify your doctor immediately in the case of worsening or persisting any of the fluoxetine side effects. Don't forget that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. If you experience such unusual but serious side effects as unusual or severe mental/mood changes (e.g., agitation, unusual high energy/excitement, thoughts of suicide), uncontrolled movements (e.g., of the lips/tongue), shakiness (tremor), restlessness, inability to keep still, decreased interest in sex, changes in sexual ability, blurred vision, numbness/tingling, bloody/black/tarry stools, vomit that looks like coffee grounds, easy bruising/bleeding, fainting, fast/irregular heartbeat, muscle weakness/spasm, seizures, change in amount of urine notify your doctor immediately. This medication may rarely cause a very serious condition called serotonin syndrome. Such medications as "triptans" used to treat migraine headaches (e.g., sumatriptan, eletriptan), certain antidepressants including other SSRIs (e.g., citalopram, paroxetine) and SNRIs (e.g., duloxetine, venlafaxine), lithium, tramadol, tryptophan, or a certain drug to treat obesity (sibutramine) increase the risk of this syndrome. Before taking this drug, tell your doctor if you take any of these medications. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. If you have such symptoms as hallucinations, unusual restlessness, loss of coordination, fast heartbeat, severe dizziness, unexplained fever, severe nausea/vomiting/diarrhea, twitchy muscles inform your doctor immediately. For males, in the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur. If you experience serious allergic reaction ask for medical help. Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing. If you experience fluoxetine side effects not mentioned above notify your doctor immediately.

FLUOXETINE PRECAUTIONS:

Your doctor or pharmacist must know your medical conditions, especially if you have such problems as personal or family history of bipolar/manic-depressive disorder, liver problems, diabetes, low sodium in the blood, severe loss of body water (dehydration), personal or family history of suicide attempts, seizures, stomach/intestinal ulcers. This drug may make you giddy or drowsy. Be attentive while carrying out actions requiring high attention, such, for example, as driving or using machinery. Avoid alcoholic beverages. If you have diabetes, fluoxetine may affect your blood sugar levels. Monitor your blood sugar regularly and share the results with your doctor. Your doctor may need to adjust your medication, diet, and exercise when you start or stop fluoxetine. Liquid forms of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask Consult your doctor about the safe use of this medication. Elder people are more sensitive to the side effects of the remedy. The elderly are more likely to lose too much salt (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication. This medication is not advised for use during pregnancy. It may harm an unborn baby. Taking of the medication during the last three months of pregnancy may result in developing withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying in your child. Notify your doctor immediately if you notice any of these effects in your child. Since untreated depression can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor. This medication passes into breast milk and may have undesirable effects on a nursing infant. Therefore, breast-feeding while using fluoxetine is not recommended. Consult your doctor before breast-feeding.

FLUOXETINE INTERACTIONS:

Your doctor or pharmacist may already be acquainted with any possible fluoxetine interactions. Do not start, stop or change the dosage of any medicine consulting the doctor. As far as the remedy may stay in your organism you should inform your doctor before taking other remedies even if you took the remedy five weeks ago. Taking of MAO inhibitors (e.g., isocarboxazid, furazolidone, linezolid, moclobemide, phenelzine, rasagiline, procarbazine, selegiline, tranylcypromine) with fluoxetine for 2 weeks before, during treatment, and at least 5 weeks after your last dose of fluoxetine may result in very serious interaction. Ask your doctor or pharmacist for additional details. Because of risk of very serious interaction such medications as sibutramine, pimozide, thioridazine should not be applied within 5 weeks after the last dose of fluoxetine. Inform your doctor if you are taking some of the listed above drugs. Inform your doctor that you are using such drugs as drugs removed from your body by certain liver enzymes (e.g., carbamazepine, cimetidine, phenytoin, vinblastine, drugs for anxiety such as alprazolam and diazepam, antiarrhythmics such as propafenone/flecainide, antipsychotics such as aripiprazole/clozapine/haloperidol/perphenazine, TCA antidepressants such as desipramine/imipramine), fosamprenavir/ritonavir, metoprolol, "water pills" (diuretics such as furosemide), drugs that can cause bleeding/bruising (e.g., aspirin, antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as heparin/warfarin). Aspirin can increase the risk of bleeding when used with this medication. If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Discuss all pro and contra with your doctor. Your doctor should know that you are taking drugs that increase serotonin, such as bromocriptine, phentermine, SSRIs, SNRIs, tryptophan, buspirone, dextromethorphan, lithium, meperidine, propoxyphene, St. John's wort, drugs used to treat migraines such as "triptans" and dihydroergotamine, street drugs such as MDMA/"ecstasy," amphetamine. Your doctor should know that you are taking drugs that cause drowsiness, such as certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., lorazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., quetiapine, nortriptyline, chlorpromazine, trazodone). Look through the labels on all your medicines attentively (e.g., cough-and-cold products) to find out if they contain ingredients that cause drowsiness. Dextromethorphan is a commonly used cough medication and may interact with fluoxetine. Consult your doctor about how to use this remedy safely. Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid. Because it may cause undesirable interactions when used with fluoxetine, ask your pharmacist about other products to treat stomach acid.

NOTES:

Do not share this medication with others. Psychiatric/medical check-ups should be done periodically to monitor your progress or check for side effects. Ask your doctor for more information.