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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Sunny S , MBBS
Non returnable*
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Composition :

FLUOXETINE-20MG

Manufacturer/Marketer :

Sigmund Promedica

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Fluoxet 20 Tablet

Fluoxet 20 Tablet 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.
 
Fluoxet 20 Tablet 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 Fluoxet 20 Tablet as prescribed. You are advised to take Fluoxet 20 Tablet 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 Fluoxet 20 Tablet on your own as it could lead to withdrawal symptoms. Do not take Fluoxet 20 Tablet if you are pregnant or breastfeeding unless prescribed. Do not drive or operate machinery as Fluoxet 20 Tablet may cause dizziness and might impair your reactions. Fluoxet 20 Tablet should not be given to children below 8years as the safety and effectiveness have not been established. Avoid consuming alcohol along with Fluoxet 20 Tablet 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 Fluoxet 20 Tablet

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

Directions for Use

Take Fluoxet 20 Tablet with or without food. Your doctor will decide for how long you need to take Fluoxet 20 Tablet based on your medical condition and response to treatment. Take Fluoxet 20 Tablet 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

Fluoxet 20 Tablet belongs to a group of antidepressant medicines called selective serotonin reuptake inhibitors. Fluoxet 20 Tablet is used to treat major depressive disorder, obsessive-compulsive disorder (OCD), bulimia nervosa (eating disorder), and panic disorder with or without agoraphobia. Fluoxet 20 Tablet 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. Fluoxet 20 Tablet may also be used to treat premenstrual dysphoric disorder (a severe form of premenstrual syndrome). Fluoxet 20 Tablet has fewer unwanted effects than other antidepressant drugs. Fluoxet 20 Tablet 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 Fluoxet 20 Tablet

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

Drug Warnings

Do not take Fluoxet 20 Tablet 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 Fluoxet 20 Tablet 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 Fluoxet 20 Tablet if you are pregnant or breastfeeding unless prescribed. Do not drive or operate machinery as Fluoxet 20 Tablet may cause dizziness and might impair your reactions. Fluoxet 20 Tablet should not be given to children below 8years as the safety and effectiveness have not been established. Avoid consuming alcohol along with Fluoxet 20 Tablet as it could lead to increased dizziness. 

Drug-Drug Interactions

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FluoxetineBupropion
Severe
FluoxetineDoxepin
Severe

Drug-Drug Interactions

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

How to manage the interaction:
Co-administration of bupropion along with Fluoxet 20 Tablet can lead to an interaction, it can be taken if recommended by a doctor. Do not discontinue any medications without consulting a doctor.
FluoxetineDoxepin
Severe
How does the drug interact with Fluoxet 20 Tablet:
Taking Fluoxet 20 Tablet with doxepin may cause sedation, dry mouth, blurred vision, constipation, and urinary retention. It might also increase the risk of a rare but serious condition called the serotonin syndrome.

How to manage the interaction:
Although there is a possible interaction, Fluoxet 20 Tablet can be taken with doxepin 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 diarrhoea.
FluoxetinePethidine
Severe
How does the drug interact with Fluoxet 20 Tablet:
Co-administration of Meperidine with Fluoxet 20 Tablet can increase the risk of serotonin levels in the body.

How to manage the interaction:
There may be a possibility of interaction between Pethidine and Fluoxet 20 Tablet, but it can be taken if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
FluoxetineOndansetron
Severe
How does the drug interact with Fluoxet 20 Tablet:
Co-administration of Ondansetron with Fluoxet 20 Tablet can increase the risk of serotonin syndrome (a condition in which a chemical called serotonin builds up in body).

How to manage the interaction:
Although taking ondansetron along with Fluoxet 20 Tablet can result in an interaction, it can be taken if a doctor has advised it. However, if you have sudden dizziness, lightheadedness, fainting, confusion, hallucination, fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles, or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea, or fast or rapid heartbeats during therapy, consult the doctor. Do not stop using any medications without talking to a doctor.
FluoxetinePentazocine
Severe
How does the drug interact with Fluoxet 20 Tablet:
Co-administration of Pentazocine with Fluoxet 20 Tablet can 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 between Pentazocine and Fluoxet 20 Tablet, but can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucination(seeing and hearing things that do not exist), fits, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
FluoxetineParoxetine
Severe
How does the drug interact with Fluoxet 20 Tablet:
Taking Fluoxet 20 Tablet 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, Fluoxet 20 Tablet 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.
FluoxetineRizatriptan
Severe
How does the drug interact with Fluoxet 20 Tablet:
Taking Fluoxet 20 Tablet with rizatriptan may increase the risk of a serotonin syndrome (A condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Although there is a possible interaction between Fluoxet 20 Tablet and Rizatriptan, it can be taken if your doctor has advised it. If you notice any of these symptoms like confusion, hallucination, fits, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, shaking of hands and legs, incoordination, stomach cramps, nausea, vomiting, and loose stools, contact a doctor. Do not discontinue any medications without consulting a doctor.
FluoxetineDihydroergotamine
Severe
How does the drug interact with Fluoxet 20 Tablet:
Co-administration of Dihydroergotamine with Fluoxet 20 Tablet can result in effects and also Serotonin syndrome (a condition wherein serotonin levels are increased in the body).

How to manage the interaction:
Although taking Fluoxet 20 Tablet and Dihydroergotamine together can evidently cause an interaction, it can be taken if a doctor has suggested it. If you notice any of these signs - like confusion, shaking, or stomach discomfort - it's a good idea to reach out to a doctor right away. Do not discontinue any medications without consulting a doctor.
FluoxetineDronedarone
Severe
How does the drug interact with Fluoxet 20 Tablet:
Taking Fluoxet 20 Tablet with dronedarone may increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Although there is a possible interaction, Fluoxet 20 Tablet can be taken with dronedarone if prescribed by the doctor. Consult the doctor if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with either of these medications.
FluoxetinePhenelzine
Severe
How does the drug interact with Fluoxet 20 Tablet:
Taking Fluoxet 20 Tablet with phenelzine may increase the risk of a serotonin levels in the body.

How to manage the interaction:
Although there is a possible interaction, Fluoxet 20 Tablet can be taken with phenelzine 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 diarrhoea. Treatment with Fluoxet 20 Tablet should be started 14 days after stopping phenelzine.

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

Fluoxet 20 Tablet Substitute

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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

Fluoxet 20 Tablet 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.

Fluoxet 20 Tablet 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 Fluoxet 20 Tablet .

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

Fluoxet 20 Tablet 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 Fluoxet 20 Tablet . 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 Fluoxet 20 Tablet if you have glaucoma as it might cause increased pressure in the eye.

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

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

Drug-Drug Interactions Checker List

  • METOPROLOL
  • NEBIVOLOL
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  • NALOXONE
  • LINEZOLID
  • PIMOZIDE
  • THIORIDAZINE
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  • SELEGILINE
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  • 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.

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