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What is Prozac?

Prozac and the generic alternative fluoxetine are selective serotonin reuptake inhibitor (SSRI) antidepressants which are used to treat major depressive disorder, bulimia nervosa, obsessive compulsive disorder and panic disorder. Fluoxetine works by affecting chemicals in the brain which may be unbalanced.  

Always read the patient information and instructions carefully before using this medication.

• Prozac is usually taken once daily in the morning. If your doctor has prescribed you to take Prozac twice a day, it is usually taken in the morning and at noon.
• When taken for premenstrual problems, your doctor may instruct you to take Prozac every day or just for the two weeks before your period. Follow your doctor’s directions carefully.
• Your Prozac dosage is based on your medical condition and response to treatment. Do not change or increase your dosage unless advised by a doctor.
• It is important to keep taking Prozac even when you feel well. You should not stop taking this drug without speaking to a doctor.
• It can take up to five weeks before you feel benefit of Prozac although you should see some improvement in the first two weeks.

Make sure to tell your doctor and pharmacist:

• If you have any drug allergies.
• Which other prescription and non-prescription medications you currently take.
• Your medical history especially of liver problems, diabetes, low blood sodium, dehydration, seizures or stomach or intestinal ulcers.
• Your family and personal history of glaucoma, bipolar, manic depressive disorder or suicide attempts.

Also be aware that:

• This medication may make you dizzy or drowsy. Do not drive, use machinery or do anything else requiring alertness until it can be done safely.
• Children may be more sensitive to the side effects of Prozac, especially weight loss.
• Older adults may be more sensitive to the side effects of Prozac especially to bleeding, loss of co-ordination or low sodium in the blood.
• This medication should only be use when clearly needed during pregnancy as it may harm an unborn baby. Babies born to mothers who used this drug during the last three months of pregnancy may develop symptoms including feeding or breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell your doctor immediately.
• Prozac can have undesirable effects on a nursing infant. Talk to your doctor about breast feeding.

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

• Sleep problems, tiredness, yawning or strange dreams.
• Headaches, dizziness, anxiety or nervousness.
• Tremors, pain or weakness.
• Dry mouth, sweating or hot flashes.
• Changes in your weight or appetite.
• Flu symptoms such as stuffy nose, sinus pain or sore throat.
• Decreased sex drive, impotence or difficulty in having an orgasm.

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

• Vision changes such as blurred vision, tunnel vision, eye pain, eye swelling or seeing halos around lights.
• Signs of high serotonin levels in the body such as agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination or fainting.
• Signs of low sodium in the body such as headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination or feeling unsteady.
• Signs of a severe nervous system reaction such as rigid muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors or the feeling that you might pass out.
• Signs of a severe skin reaction such as fever, sore throat, swelling in your face or tongue, burning in your eyes, or skin pain followed by a red or purple skin rash which spreads especially to your face or upper body and causes blistering and peeling.
• Signs of an allergic reaction such as hives, difficulty breathing or a swelling of your face, lips or throat.

Q: How long does it take Prozac to work?

A: It can take up to five weeks before you feel benefit of Prozac although you should see some improvement in the first two weeks.

Q: What are the effects of alcohol and Prozac?

A: This drug may make you dizzy or drowsy. Alcohol can make you more dizzy or drowsy. Do not drive, use You should avoid alcoholic beverages while taking this medication.