Fluoxetine

About fluoxetine

Fluoxetine is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). It is used to treat depression, bulimia nervosa, and obsessive-compulsive disorder (OCD).

Selective serotonin reuptake inhibitors (SSRIs) like fluoxetine increase the amount of circulating serotonin available in your brain. Altering the balance of the chemicals in the brain can help improve symptoms of depression, eating disorders like bulimia, and OCD.

דיכאון can develop for no apparent reason, or it can be triggered by a life event such as a relationship problem, a bereavement, or an illness. Bulimia nervosa is an eating disorder. People with bulimia nervosa have episodes of binge eating which they counteract by making themselves sick. Obsessive-compulsive disorder (OCD) is a condition where you have recurring and persistent ideas that make you do repetitive actions.

The most common side effects of fluoxetine are:

• תחושת בחילה.

• הקאה.

• שלשול.

• עיכול לקוי.

• יובש בפה.

• Headache..

• Feeling more anxious, nervous, or agitated

• תחושת חוסר מנוחה או רעד.

• Feeling dizzy, tired or weak.

• Blurred vision.

• Trouble sleeping.

• ירידה בחשק המיני (ליבידו).

• פיהוק.

• Sweating.

תוכל למצוא רשימה מלאה בעלון המידע של היצרן המסופק עם התרופה שלך. תופעות הלוואי הלא רצויות לעיתים קרובות משתפרות כאשר הגוף שלך מתרגל לתרופה החדשה, אך פנה לרופא או לרוקח שלך אם אחת מהתופעות הבאות נמשכת או הופכת למטרידה.

אם אתה חווה תסמינים נוספים שאתה חושב שיכולים להיות כתוצאה מתרופה זו, פנה לרופא או לרוקח שלך לקבלת ייעוץ נוסף.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking fluoxetine it is important that your doctor knows:

• אם את בהריון, מנסה להיכנס להריון או מניקה.

• אם יש לך בעיות בתפקוד הכבד שלך.

• If you have a heart condition.

• אם יש לך אפילפסיה.

• אם יש לך רמות סוכר גבוהות בדם (סוכרת).

• אם יש לך בעיית עיניים הנקראת גלאוקומה.

• אם אי פעם היה לך הפרעת דימום.

• אם אי פעם חווית מצבי רוח 'גבוהים' באופן חריג, הנקראים מאניה.

• אם אתה מטופל בטיפול בנזעי חשמל (ECT).

• אם אי פעם הייתה לך תגובה אלרגית לתרופה.

• אם נטלתם נוגד דיכאון הידוע כמעכב מונואמין אוקסידאז (MAOI) במהלך השבועיים האחרונים.

• אם אתה נוטל תרופות אחרות כלשהן. זה כולל כל תרופה שאתה נוטל שניתן לרכוש ללא מרשם, כמו גם תרופות צמחיות ומשלימות.

• Read the manufacturer's printed information leaflet from inside the pack. It will give you more information about fluoxetine and will provide you with a full list of the side effects which you may experience from taking it.

• Take fluoxetine exactly as your doctor tells you to - the directions will be printed on the label of the pack to remind you of what your doctor said.

  • As a guide, if you are being treated for depression or OCD, it is usual to be prescribed 20 mg (one capsule or 5 ml liquid medicine) as a once-daily dose. Your dose may later be increased.

  • For people being treated for bulimia, the usual daily dose is 60 mg (three capsules or 15 ml liquid medicine).

• You can take fluoxetine before or after food. If you have been given capsules, swallow them whole with a drink of water - do not chew or open the capsules.

  • If you have difficulty swallowing capsules, let your doctor know, as you could be prescribed liquid medicine or soluble tablets to take instead.

  • Try to take your doses at the same time of day, each day.

• If you have been given soluble (dispersible) tablets, they can be swallowed whole with a drink of water or dissolved in half a glass of water before taking. Do not crush or chew the tablets.

• אם שכחת לקחת מנה, קח אותה ברגע שאתה נזכר. אם אינך נזכר עד ליום המחרת, דלג על המנה שהוחמצה. אל תיקח שתי מנות יחד כדי לפצות על מנה שנשכחה.

• You may feel that fluoxetine is not working for you straightaway. It can take a week or two after starting this treatment before the effect begins to build up, and 4-6 weeks before you feel the full benefit. Do not stop taking it, even if you feel it is not helping.

• נסה לשמור על הפגישות הקבועות שלך עם הרופא. זה כדי שהרופא יוכל לבדוק את ההתקדמות שלך.

• While you are taking fluoxetine, you may have thoughts about harming yourself or ending your life. These thoughts may also be associated with your condition. It is very important that you tell your doctor about this if it happens.

• Do not stop taking fluoxetine unless your doctor tells you to do so. Stopping treatment suddenly can cause problems and your doctor will probably want you to reduce your dose gradually when this becomes necessary.

• עליך לצפות לכך שתהליך הטיפול יימשך מספר חודשים. זה נורמלי ועוזר למנוע את חזרת התסמינים שלך.

• If you drink alcohol, ask your doctor for advice. Your doctor is likely to recommend that you do not drink alcohol while you are on fluoxetine.

• If you have diabetes, you may need to check your blood glucose more frequently, as fluoxetine may affect the levels of sugar in your blood. Your doctor will be able to advise you about this.

• If you buy any medicines, check with a pharmacist that they are safe to take with fluoxetine. This is because several medicines which are available from general retail outlets can interfere with this treatment.

  • במיוחד, אל תיקח את התרופה הצמחית סנט ג'ון וורט, ובקש ייעוץ לפני רכישת כל משכך כאבים אנטי דלקתי.

• A few people taking fluoxetine find that their skin is more sensitive to sunlight than normal. Until you know how your skin reacts, use a sun cream with a high sun protection factor (SPF) in strong sunlight.

• There are several types of antidepressants and they differ in their possible side effects. If you find that fluoxetine does not suit you then let your doctor know, as another may be found that will.

• שמור את כל התרופות מחוץ להישג ידם וראייתם של ילדים.

• יש לאחסן במקום קריר ויבש, הרחק מחום ואור ישיר.

• The oral liquid medicine usually lasts for one month after first opening. After this time make sure you have a fresh supply.

Can you drink alcohol on fluoxetine?

You should avoid or limit alcohol when taking fluoxetine, as it can worsen side effects and affect mood. However, an occasional small drink is unlikely to cause serious harm.

Is fluoxetine used more for anxiety or depression?

Fluoxetine is used for both depression and some anxiety disorders, such as obsessive compulsive disorder (OCD). Your doctor will decide if it’s suitable based on your symptoms.

Can you overdose on fluoxetine?

Yes, it’s possible to overdose on fluoxetine. Taking more than the prescribed dose can cause serious side effects such as nausea, tremors, rapid heartbeat or, in severe cases, seizures. Seek urgent medical help if you think you or someone else may have taken too much.

Does fluoxetine make you gain weight?

Fluoxetine can affect weight. Some people may notice slight weight gain, others may lose weight, and many experience no change at all. Changes can be linked to appetite, lifestyle, and how the medication affects mood.