These include specific antipsychotics e. PROZAC and some medicines may interact with each other, may not work as well, ormay cause serious side effects. Fluoxetine topR -fluoxetine centerS -fluoxetine bottom. Adsorption onto solid matrices may also account for the apparently high sewage removal efficacy observed previously Vasskog et al. Hollander and colleagues examined the effect of fluoxetine on repetitive behaviors in 39 children with ASD, using a crossover design with 8 weeks of treatment with both placebo and fluoxetineseparated by a 4-week washout period.
Titrate slowly and adjust dosage as needed in patients who exhibit a combination of factors that may slow metabolism. Other important adverse reactions reported with fluoxetine overdose single or multiple drugs include coma, deliriumECG abnormalities such as nodal rhythm, QT interval prolongation and ventricular arrhythmiasincluding Torsades de Pointes-type arrhythmiashypotensionmanianeuroleptic malignant syndrome-like reactions, pyrexia, stupor, and syncope. At steady state, the systemic clearance of fluoxetine remained unaltered between transgenic and control mice Last reviewed on RxList: British Journal of Clinical Pharmacology Coadministration of fluoxetine with other drugs that are metabolized by CYP2D6, including certain antidepressants e.
CNS concentrations are detected 1 h after dosing. Therapy with medications that are predominantly metabolized by the CYP2D6 system and that have a relatively narrow therapeutic index see list below should be initiated at the low end of the dose range if a patient is receiving fluoxetine concurrently or has taken it in the previous 5 weeks.
Retrieved from " https: The enteric coating delays the onset of absorption of fluoxetine 1 to 2 hours relative to the immediate-release formulations. Patients should be cautioned to seek medical care immediately if they experience these symptoms. Patients should be advised of the following issues and asked to alert their healthcare provider if these occur while taking PROZAC.
Patients, their families, and their caregivers should be encouraged to be alert to the emergence of anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia psychomotor restlessnesshypomania, mania, other unusual changes in behavior, worsening of depression, and suicidal ideation, especially early during antidepressant treatment and when the dose is adjusted up or down. Plasma concentrations may not necessarily be predictive of clinical response.
In embryo-fetal development studies in rats and rabbits, there was no evidence of teratogenicity following administration of fluoxetine at doses up to The Merck Manual Professional.
Tissue concentrations of clozapine and its metabolites in the rat. Archived from the original on 9 January Serum elevations of AAG produced increases in serum drug concentrations, while reducing the relative brain drug uptake.
The interactions between fluoxetine and lithium, tryptophan and monoamine oxidase inhibitors, in particular, are potentially serious, and can lead to the 'serotonergic syndrome'.
Safety and effectiveness of PROZAC and olanzapine in combination in patients less than 10 years of age have not been established. The efficacy of fluoxetine in the treatment of panic disorder was demonstrated in two week randomized multicenter phase III clinical trials that enrolled patients diagnosed with panic disorder, with or without agoraphobia.