In the event that you experience: Call your physician for advice on possible side effects. Some typical Prozac side effects include: If you experience symptoms of a Prozac allergy (hives, difficulty breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling), seek emergency medical attention. (More Information) Side Effects of Prozac Inform your doctor of any new or escalating symptoms, including any changes in mood or behavior, anxiety, panic attacks, trouble sleeping, or feelings of impulsivity, hostility, agitation, aggression, restlessness, hyperactivity (mentally or physically), increased depression, or suicidal or self-harming thoughts. If you experience any symptoms of serotonin syndrome, including agitation, hallucinations, fever, sweating, shivering, fast heartbeat, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea, you should seek medical attention right away. There may be other side effects; this is not a comprehensive list. Contact the FDA at 1-800-FDA-1088 to report side effects. severe nervous system reaction, which can manifest as very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, trembling, or blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights; fast or pounding heartbeats; fluttering in your chest; sudden dizziness (like you might pass out); low levels of sodium in the body; headache; severe weakness; vomiting; loss of coordination; or Sleep issues (insomnia), strange dreams, headache, dizziness, drowsiness, vision changes, tremors or shaking, feeling anxious or nervous, pain, weakness, yawning, and exhaustion; upset stomach, loss of appetite, nausea, vomiting, and diarrhea; dry mouth, sweating, and hot flashes; changes in weight or appetite; stuffy nose, sinus pain, sore throat, flu symptoms; and decreased sex drive, impotence, or difficulty having an or
Before taking an NSAID like aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others, consult your doctor. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. A severe heart condition may be brought on by fluoxetine. John's Wort; tryptophan (sometimes called L-tryptophan); a blood thinner - warfarin, Coumadin, Jantoven; medicine to treat anxiety, mood disorders, thought disorders, or mental illness - amitriptyline, buspirone, desipramine, lithium, nortriptyline, and many others; medicine to treat ADHD or narcolepsy - Adderall, Concerta, Ritalin, Vyvanse, Zenzedi, and others; migraine headache medicine - rizatriptan, sumatriptan, zolmitriptan, and others; or narcotic pain medicine - fentanyl, tramadol. Many drugs can interact with fluoxetine, especially: These interactions between drugs are not exhaustive. Drug interactions with Prozac (further information) All of your current medications should be disclosed to your doctor. This covers vitamins, herbal products, prescription and over-the-counter medications, and other drugs as well. Numerous other medications may interact with fluoxetine; this list is not all-inclusive. Combining Prozac with other sedative medications can exacerbate this effect. Using an NSAID with Prozac may cause you to bruise or bleed easily. If you also take medication for cancer, malaria, HIV, depression, asthma, heart disease, high blood pressure, or other conditions, your risk may be increased. any other antidepressant; St.
The risk of bleeding abnormally may be increased by Prozac and other antidepressant medications, particularly if you also take aspirin, warfarin (Coumadin, Jantoven), or NSAIDs such as ibuprofen or naproxen. 4. Take a monoamine oxidase inhibitor (MAOI), such as Mellaril (thioridazine), and ask your pharmacist for a list of all the ingredients. If you experience any of the following symptoms, call your doctor right away, or dial 911 in an emergency, especially if they are new, worse, or worry you: attempts at suicide acting on dangerous impulses acting aggressive or violent thoughts about suicide or dying experiencing new or worse depression experiencing new or worse anxiety or panic attacks having trouble falling asleep increasing activity or talking more than usual modifications to appetite or weight. Weight and height measurements should be taken while a child or adolescent is receiving treatment. 8. The most prevalent causes of suicidal thoughts or behaviors are depression or other severe mental illnesses. While taking Prozac, avoid alcohol consumption. If you stopped taking an MAOI within the previous two weeks, do not start taking Prozac. Mellaril can cause serious heart rhythm issues or sudden death; do not take it within 5 weeks of stopping fluoxetine. Pimozide (Orap), an antipsychotic medication, can also cause serious heart issues. An increased risk exists for this in older people. Get medical help right away if you have any of these symptoms: high fever uncontrolled muscle spasms stiff muscles rapid changes in heart rate or blood pressure confusion loss of consciousness (pass out) Prozac can cause sleepiness or may affect your ability to make decisions, think clearly, or react quickly. Maintain all follow-up appointments with your healthcare provider and call in between appointments if you have any concerns about symptoms. low blood sodium (salt) levels. Manic episodes: greatly increased energy severe trouble sleeping racing thoughts reckless behavior unusually grand ideas excessive happiness or irritability talking more or faster than usual 7. Other precautions: Do not take an MAOI within 5 weeks of stopping Prozac. When starting Prozac or changing the dose, pay close attention to any changes of this nature. People who take Prozac close in time to an MAOI may have serious or even life threatening side effects. One possible serious side effect of Prozac and other antidepressant medications is 1. Prozac may be associated with these serious side effects: 2. Seizures or convulsions 6. reactions resembling neuroleptic malignant syndrome or serotonin syndrome Extreme allergic reactions include difficulty breathing, swelling of the face, tongue, eyes, or mouth, rash, itchy welts (hives), or blisters, either alone or in conjunction with fever or joint pain. Avoid taking Prozac if you have any of the following conditions: an allergy to any Prozac ingredient. Stopping Prozac too quickly may result in serious symptoms such as: anxiety, irritability, high or low mood, feeling restless or changes in sleep habits headache, sweating, nausea, dizziness, and electric shock-like sensations. Suicidal thoughts or actions: Within the first few months of treatment or when the dose is changed, Prozac and other antidepressant medications may increase suicidal thoughts or actions in some children, teenagers, or young adults. Do not stop taking Prozac without first consulting your doctor. Symptoms may include: headache, weakness or feeling unsteady, confusion, difficulties concentrating or thinking, or memory issues. Agitation, hallucinations, coma or other changes in mental status, coordination issues or muscle twitching (overactive reflexes), racing heartbeat, high or low blood pressure, sweating or fever, nausea, vomiting, or diarrhea, and muscle rigidity are all symptoms of this potentially fatal condition. Keep an eye out for any of the following changes and contact your doctor right away if you notice any, especially if they are severe: New or abrupt changes in mood, behavior, actions, thoughts, or feelings. You should not drive, operate heavy machinery, or do other dangerous activities until you know how Prozac affects you.