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Possible Side Effect
More common side effects may include:
- Abnormal dreams, abnormal ejaculation, abnormal vision, anxiety, diminished sex drive, dizziness, dry mouth, flu-like symptoms, flushing, gas, headache, im potence, insomnia, itching, loss of appetite, nausea, nervousness, rash, sinusitis, sleepiness, sore throat, sweating, tremors, upset stomach, vomiting, weakness, yawning

Less common side eff ects may include:
- Abnormal taste, agitation, bleeding problems, chills, confusion, ear pain, emotional instability, fever, frequent urination, high blood pressure, increased appetite, loss of m emory, palpitations, ringing in the ears, sleep disorders, weight gain

Why is this drug prescribed?
Prozac is used to treat mental depression. It is also used to treat obsessive-compulsive disorder, bulimia nervosa, and premenstrual dysphoric disorder.

Prozac also may be used for other cond itions as determined by your doctor.

Prozac belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines are thought to work by increasing the act ivity of a chemical called serotonin in the brain.

Proper Use of This Medicine
Prozac should be taken exactly as prescribed by your doctor.

Prozac usually is taken once or twice a day. To be effective, it should be taken regularly. Make a habit of taking it at the same time you do some other daily activity.

It may be 4 weeks before you feel any relief from your depression, but the drug's effects should last about 9 months after a 3-month treatment regimen . For obsessive-compulsive disorder, the full effect may take 5 weeks to appear.

Before Taking This Medicine
Older adults¡XMany medicines have not been tested in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effec s or problems in older people. In studies done to date that included elderly people, Prozac did not cause different side effects or problems in older people than it did in younger adults.

Significant Interactions:
When you are taking Prozac, it is especially important that your health care professional know if you are taking any of the following:

- Alprazolam (e.g., Xanax)¡XHigher blood levels of alpr zolam may occur and its effects may be increased
- Anticoagulants (blood thinners) or
- Digitalis glycosides (heart medicine)¡XHigher or lower blood levels of these medicines or Prozac may cur, increasing the chance of unwanted effects. Your doctor may need to see you more often, especially when you first start or when you stop taking Prozac. Your doctor also may need to change the dose of either medicine

Special Wanring
Adverse Events Leading to Discontinuation of Treatment: - Fifteen percent of approximately 4000 patients who received fluoxetine in North American clinical trials discontinued treatment due to an adve rse event. The more common events causing discontinuation included: Psychiatric, primarily nervousness, anxiety, and insomnia; digestive, primarily nausea; nervous system, primarily dizziness, astheni a and headaches; skin, primarily rash and pruritus. In obsessive compulsive disorder studies, 12.1% of fluoxetine treated patients discontinued treatment early because of adverse events. Anxiety, and rash, at incidences of less than 2%, were the most frequently reported events.



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