Fluoxetine Biotech 20 20 mg Capsules. hard.
PDF Leaflet Revision Date: 8 August 2021
Clinical Summary
Quick overview from the medicine insert
Indication
Major depressive episodes, bulimia nervosa, obsessive-compulsive disorder.
Dosage (summary)
Initial: 20 mg once daily; max: 80 mg/day. Bulimia: 60 mg/day. OCD: 20-60 mg/day.
Special Populations
- Elderly: Use cautiously, max 20 mg/day.
- Renal impairment: Dose reduction may be needed.
- Hepatic impairment: Consider lower doses.
Pregnancy & Breastfeeding
Not established; may increase risk of postpartum hemorrhage and PPHN.
Key Drug Interactions
- Contraindicated with MAOIs, metoprolol, thioridazine.
- Caution with tamoxifen, serotonergic drugs, anticoagulants.
Contraindications
- Hypersensitivity to fluoxetine or excipients.
- Severe renal failure.
- Children under 18 years.
Common side effects
- Insomnia
- Anxiety
- Nausea
- Headache
- Sexual dysfunction
Counselling Points
- Monitor for worsening depression or suicidality.
- Avoid abrupt discontinuation.
- Caution with alcohol.
Serious warnings
- Risk of suicidal thoughts and behavior.
- Serotonin syndrome.
- QT prolongation.
Important Disclaimer
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