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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Sunny S , MBBS
Non returnable*
COD available

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Composition :

FLUOXETINE-20MG

Manufacturer/Marketer :

Zydus Healthcare Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Cadflo 20mg Capsule

Cadflo 20mg Capsule belongs to a group of medicines called antidepressants used to treat a major depressive disorder, obsessive-compulsive disorder (OCD), bulimia nervosa (eating disorder), and panic disorder. Depression is a mood disorder characterised by the feeling of sadness, unhappiness, anger, hopelessness or loss that interferes with a person’s daily activities.
 
Cadflo 20mg Capsule contains ‘Fluoxetine’ which is a selective serotonin reuptake inhibitor. It works by inhibiting the reuptake of serotonin by nerves, a mood-enhancing chemical messenger in the brain which communicates between brain cells. This helps in an increase in serotonin concentrations in the nerve synapse, thereby helps in regulating mood and treats depression.
 
Take Cadflo 20mg Capsule as prescribed. You are advised to take Cadflo 20mg Capsule for as long as your doctor has prescribed it for you depending on your medical condition and response to the treatment. In some cases, you may experience certain common side-effects such as insomnia (difficulty sleeping), headache, diarrhoea, nausea, fatigue, dry mouth, loss of appetite, and indigestion. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
 
Please do not stop taking Cadflo 20mg Capsule on your own as it could lead to withdrawal symptoms. Do not take Cadflo 20mg Capsule if you are pregnant or breastfeeding unless prescribed. Do not drive or operate machinery as Cadflo 20mg Capsule may cause dizziness and might impair your reactions. Cadflo 20mg Capsule should not be given to children below 8years as the safety and effectiveness have not been established. Avoid consuming alcohol along with Cadflo 20mg Capsule as it could lead to increased dizziness.  Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Uses of Cadflo 20mg Capsule

Depression, Obsessive-Compulsive Disorder (OCD), Bulimia nervosa (eating disorder) 

Directions for Use

Take Cadflo 20mg Capsule with or without food. Your doctor will decide for how long you need to take Cadflo 20mg Capsule based on your medical condition and response to treatment. Take Cadflo 20mg Capsule exactly as prescribed by the doctor. Tablet/Capsule: Swallow it as a whole with a glass of water; do not chew, or crush the tablet/capsule.Syrup/Suspension/Drops: Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack; shake the pack well before each use.

Medicinal Benefits

Cadflo 20mg Capsule belongs to a group of antidepressant medicines called selective serotonin reuptake inhibitors. Cadflo 20mg Capsule is used to treat major depressive disorder, obsessive-compulsive disorder (OCD), bulimia nervosa (eating disorder), and panic disorder with or without agoraphobia. Cadflo 20mg Capsule works by inhibiting the reuptake of serotonin by nerves, a mood-enhancing chemical messenger in the brain which communicates between brain cells. This helps in an increase in serotonin concentrations in the nerve synapse, thereby helps in regulating mood and treats depression. Cadflo 20mg Capsule may also be used to treat premenstrual dysphoric disorder (a severe form of premenstrual syndrome). Cadflo 20mg Capsule has fewer unwanted effects than other antidepressant drugs. Cadflo 20mg Capsule is used in combination with other drugs to treat bipolar disorder and treatment-resistant depression.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Cadflo 20mg Capsule

  • Insomnia (difficulty sleeping)
  • Headache
  • Diarrhoea
  • Nausea
  • Fatigue
  • Dry mouth
  • Loss of appetite
  • Indigestion

Drug Warnings

Do not take Cadflo 20mg Capsule if you are allergic to any of its contents; if you are taking monoamine oxidase inhibitors (MOA) or have taken them in the last 14days, or if you are taking metoprolol (used to treat high blood pressure). Do not take Cadflo 20mg Capsule along with opioid antagonists such as buprenorphine and naloxone as it might lead to a serious condition called serotonin syndrome. Consult your doctor immediately if you have suicidal thoughts such as killing or harming yourself. Inform your doctor if you have/had epilepsy, mania, glaucoma, diabetes, bleeding disorders, or hyponatremia (low sodium levels).  Do not take Cadflo 20mg Capsule if you are pregnant or breastfeeding unless prescribed. Do not drive or operate machinery as Cadflo 20mg Capsule may cause dizziness and might impair your reactions. Cadflo 20mg Capsule should not be given to children below 8years as the safety and effectiveness have not been established. Avoid consuming alcohol along with Cadflo 20mg Capsule as it could lead to increased dizziness. 

Drug-Drug Interactions

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FluoxetineBupropion
Severe
FluoxetineCeritinib
Severe

Drug-Drug Interactions

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FluoxetineBupropion
Severe
How does the drug interact with Cadflo 20mg Capsule:
Taking bupropion with Cadflo 20mg Capsule may increase the risk or severity of seizures (fits).

How to manage the interaction:
Co-administration of bupropion along with Cadflo 20mg Capsule can lead to an interaction, it can be taken if recommended by a doctor. Do not discontinue any medications without consulting a doctor.
FluoxetineCeritinib
Severe
How does the drug interact with Cadflo 20mg Capsule:
Taking Cadflo 20mg Capsule with ceritinib may increase the risk of an irregular heart.

How to manage the interaction:
Although there is a possible interaction, Cadflo 20mg Capsule can be taken with ceritinib if prescribed by the doctor. Consult the doctor if you experience sudden lightheadedness, dizziness, shortness of breath, fainting, or heart palpitations during treatment with these medications. Do not discontinue the medication without a doctor advice.
FluoxetineAlmotriptan
Severe
How does the drug interact with Cadflo 20mg Capsule:
Taking Cadflo 20mg Capsule with almotriptan may increase the risk of a serotonin levels in the body.

How to manage the interaction:
Although there is a possible interaction, Cadflo 20mg Capsule can be taken with almotriptan if prescribed by the doctor. Consult the doctor if you experience symptoms of serotonin syndrome such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Do not discontinue the medications without consulting a doctor.
FluoxetineNortriptyline
Severe
How does the drug interact with Cadflo 20mg Capsule:
Co-administration of Nortriptyline with Cadflo 20mg Capsule can reduce the metabolism and increase the levels of Nortriptyline in the body. This can increase the risk or severity of side effects.

How to manage the interaction:
Taking Nortriptyline with Cadflo 20mg Capsule together can result in an interaction, it can be taken if your doctor has advised it. However, if you notice any symptoms of headaches, dry mouth, sleepiness, irritation, confusion, edema, fatigue, palpitations, or constipation, you should contact a doctor immediately. Do not stop using any medications without talking to a doctor.
FluoxetineTetrabenazine
Severe
How does the drug interact with Cadflo 20mg Capsule:
Co-administration of Cadflo 20mg Capsule with Tetrabenazine may increase the blood levels and side effects of tetrabenazine.

How to manage the interaction:
Although there is a possible interaction, Cadflo 20mg Capsule can be taken with tetrabenazine if prescribed by the doctor. Consult the doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, fever, heat intolerance, excessive sweating, stiff muscles, and difficulty moving or swallowing. Do not stop using any medications without consulting a doctor.
FluoxetineCitalopram
Severe
How does the drug interact with Cadflo 20mg Capsule:
Taking Cadflo 20mg Capsule with citalopram may increase the risk of a rare but serious condition called the serotonin syndrome. Combining these medications can increase the risk of an irregular heart rhythm that may be serious

How to manage the interaction:
Although there is a possible interaction, Cadflo 20mg Capsule can be taken with citalopram if prescribed by the doctor. Consult the doctor if you experience sudden lightheadedness, dizziness, shortness of breath, fainting, or heart palpitations during treatment with these medications. Let the doctor know if you notice symptoms of serotonin syndrome such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea.
FluoxetineVenlafaxine
Severe
How does the drug interact with Cadflo 20mg Capsule:
Taking Cadflo 20mg Capsule with venlafaxine can cause serotonin syndrome. Serotonin syndrome (a condition in which a chemical called serotonin builds up in body).

How to manage the interaction:
Although there is a possible interaction, Cadflo 20mg Capsule can be taken with venlafaxine if prescribed by the doctor. Consult the doctor if you experience symptoms of serotonin syndrome such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Do not discontinue the medications without consulting a doctor.
FluoxetineMifepristone
Severe
How does the drug interact with Cadflo 20mg Capsule:
Co-administration of Cadflo 20mg Capsule with mifepristone can increase the risk of irregular heart rhythm. Prolonged treatment with Mifepristone may result in low potassium levels.

How to manage the interaction:
Taking Cadflo 20mg Capsule with mifepristone together is avoided as it can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty, rapid heartbeat, weakness, tiredness, drowsiness, confusion, painful muscle cramping, nausea, vomiting, constipation, abdominal cramping, chest pain, and/or swelling in the legs or feet, get medical attention. Do not discontinue any medications without consulting a doctor.
FluoxetineAtomoxetine
Severe
How does the drug interact with Cadflo 20mg Capsule:
Taking Cadflo 20mg Capsule may significantly increase the blood levels of atomoxetine. This might increase the side effects.

How to manage the interaction:
Although there is a possible interaction, Cadflo 20mg Capsule can be taken with atomoxetine if prescribed by the doctor. Consult the doctor if you experience side effects such as dizziness, dry mouth, loss of appetite, sleep disturbances, and heart palpitations. Do not discontinue any medications without a doctor's advice.
FluoxetineParoxetine
Severe
How does the drug interact with Cadflo 20mg Capsule:
Taking Cadflo 20mg Capsule together with paroxetine may increase the risk of Serotonin syndrome (a condition wherein serotonin levels are increased in the body).

How to manage the interaction:
Although there is a possible interaction, Cadflo 20mg Capsule can be taken with paroxetine if prescribed by the doctor. Consult the doctor if you experience symptoms of serotonin syndrome such as confusion, hallucination, seizure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremors, incoordination, stomach cramps, nausea, vomiting, and diarrhea (or) side effects such as cognitive and motor impairment, insomnia, drowsiness, seizures, abnormal bleeding, sexual dysfunction.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Maintain a healthy diet and exercise regularly helps in improving overall health and boosts self-esteem.
  • Regularly attend therapy sessions.
  • Perform meditation and yoga. This helps in relieving stress and provides relaxation.
  • Follow a regular sleep pattern to improve the amount and quality of sleep you get.
  • Include foods rich in omega fatty acids such as fish, nuts, fresh fruits, vegetables and olive oils.
  • Neurotransmitters are made up of amino acids. Amino acid-rich foods such as meat, dairy products, and certain fruits and vegetables help in the proper maintenance of neurotransmitters. 
  • Complex carbohydrates help in stimulating serotonin (a feel-good neurotransmitter). These include whole grains, legumes, spinach, broccoli, oranges and pears.
  • Exercising helps in the production of the body’s natural antidepressants. It also helps in relieving stress, improving mood, boosts self-esteem, and provides restful sleep.
  • Avoid smoking and alcohol consumption.
  • Learn about your condition, understand the risk factors and follow the doctor’s treatment plan.

Habit Forming

No

Therapeutic Class

PSYCHOTHERAPEUTICS

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Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Cadflo 20mg Capsule works by inhibiting the reuptake of serotonin by nerves, a mood-enhancing chemical messenger in the brain which communicates between brain cells. This helps in an increase in serotonin concentrations in the nerve synapse, thereby helps in regulating mood and treats depression.

Cadflo 20mg Capsule may cause weight loss due to loss of appetite. Eat a healthy diet and exercise regularly to maintain a healthy weight. Please consult your doctor if you experience fluctuations in weight while taking Cadflo 20mg Capsule .

Do not discontinue Cadflo 20mg Capsule without consulting your doctor as it could lead to withdrawal effects. To treat your condition effectually continue taking Cadflo 20mg Capsule for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Cadflo 20mg Capsule ; the doctor may reduce the dose gradually.

Cadflo 20mg Capsule may cause decreased sex-drive, problems with erection and orgasm. Consult your doctor if you have any concerns regarding this.

Dry mouth could be a side-effect of Cadflo 20mg Capsule . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.

Please consult your doctor before taking Cadflo 20mg Capsule if you have glaucoma as it might cause increased pressure in the eye.

Consult tour doctor before taking Cadflo 20mg Capsule if you are diabetic as it might fluctuate blood glucose levels. Regular monitoring of blood sugar levels is advised if you are taking Cadflo 20mg Capsule . Talk to your doctor if you experience fluctuations in blood sugar levels.

Cadflo 20mg Capsule might increase the risk of bone fractures. Talk to your doctor before taking Cadflo 20mg Capsule if you have osteoporosis. Consult your doctor if you experience bone pain.

Drug-Drug Interactions Checker List

  • METOPROLOL
  • NEBIVOLOL
  • BUPRENORPHINE
  • NALOXONE
  • LINEZOLID
  • PIMOZIDE
  • THIORIDAZINE
  • LITHIUM
  • RISPERIDONE
  • METHYLENE BLUE
  • BUPROPION
  • PROPAFENONE
  • FLECAINIDE
  • ATOMOXETINE
  • DESMOPRESSIN
  • MEFLOQUINE
  • CHLOROQUINE
  • MEQUITAZINE
  • CYPROHEPTADINE
  • OXCARBAZEPINE
  • CARBAMAZEPINE
  • PHENYTOIN
  • SELEGILINE
  • TRAMADOL
  • IBUPROFEN
  • ASPIRIN
  • SUMATRIPTAN
  • WARFARIN
  • TAMOXIFEN

Disease/Condition Glossary

Major depressive disorder: Major depressive disorder, also known as clinical depression, is a mental health disorder characterised by a persistent and intense feeling of sadness for an extended duration of time. It mainly impacts mood, behaviour, and other physical functions, such as sleep and appetite. Symptoms include sadness, loss of interest, changes in appetite, sleep problems, restlessness, lack of energy, feeling worthless or guilty, thoughts of harming oneself, difficulty in concentrating, making decisions, and thinking. The exact cause of depression is unknown. However, factors such as stress, changes in hormone levels, alcohol or drug abuse, abuse during childhood, certain medical conditions and medications might increase the risk of developing depression. 

Obsessive-Compulsive Disorder (OCD): It is a mental disorder which is associated with repetitive thoughts (obsessions) and the urge to do things over and again (compulsions). 

Bulimia nervosa: It is a serious eating disorder which is characterised by binge eating followed by methods to avoid overweight such as vomiting, severe exercise or fasting.

Panic disorder: It is a type of anxiety disorder which causes panic attacks. In this condition, a person experiences a sudden feeling of fear, when, in reality, there is no danger. Symptoms include fast heartbeat, breathing difficulty, chest or stomach pain, weakness or dizziness, and sweating.

Side effects of Cadflo 20mg Capsule
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here are the 7 step-by-step strategies to manage the side effect of "inability to sleep" caused by medication usage:
  • Prepare for a restful night's sleep: Develop a calming pre-sleep routine, like reading or meditation, to help your body relax and prepare for sleep.
  • Create a sleep-conducive Environment: Make bedroom a sleep haven by ensuring it is quiet, dark and calm.
  • Follow a Sleep Schedule: Go to bed and get up at the same time every day to help regulate your body's internal clock and increase sleep quality.
  • Try relaxing techniques like deep breathing, mindfulness meditation and any others.
  • Limit stimulating activities before bedtime: Avoid stimulating activities before bedtime to improve sleep quality.
  • Monitor Progress: Keep track of your sleep patterns to identify areas for improvement.
  • Consult a doctor if needed: If these steps don't improve your sleep, consult a doctor for further guidance and therapy.
Managing Medication-Triggered Anxiety: A Comprehensive Approach:
  • Inform your doctor about your anxiety symptoms so that you doctor may explore potential drug interactions and alter your treatment plan.
  • Work with your doctor to adjust your medication regimen or dosage to minimize anxiety symptoms.
  • Reduce anxiety symptoms by practicing relaxation techniques like meditation, deep breathing, or yoga.
  • Regular self-care activities, such as exercise, healthy food, and adequate sleep, can assist control anxiety.
  • Surround yourself with a supportive network of friends, family, or a support group to help manage anxiety and stay motivated.
  • Regularly track anxiety symptoms and report any changes to your doctor to ensure your treatment plan is effective and adjusted as needed.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Here are the steps to manage medication-triggered Nervousness:
  • Tell your doctor immediately if you experience symptoms of Nervousness, such as anxiety, jitteriness, or an increased heart rate, after taking medication or adjusting your medication regimen.
  • Your doctor may adjust your medication regimen to alleviate symptoms of Nervousness. This can include switching to a different medication, reducing the dosage, or temporarily stopping the medication. Your doctor may also recommend alternative techniques like relaxation, mindfulness meditation, or journaling. These techniques can help reduce anxiety and Nervousness.
  • Practice stress-reducing techniques, such as deep breathing exercises, yoga, or journaling, to help manage Nervousness.
  • Engage in regular physical activity, such as walking or jogging, to help reduce anxiety and improve mood.
  • Your doctor may advise considering cognitive-behavioural therapy (CBT) or other forms of talk therapy to address underlying anxiety or Nervousness.
  • You should maintain regular follow-up appointments with your doctor to monitor nervousness symptoms, adjust treatment plans as needed, and discuss any concerns or questions.
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