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Warning
Geriatrics: - Elderly patients should initially receive fluoxetine in low dosage with slow progressive increases only if required and tolerated. Patients who have concomitant systemic illnesses or who are receiving other drugs concomitantly should be under careful observation at all dosage levels.


Symptoms of overdose
Establish and maintain an airway; ensure adequate oxygenation and ventilation. Activated charcoal, which may be used with sorbitol, may be as or more effective than emesis or lavage, and should be con sidered in treating overdose.


Special Wanring
Behavioral:
Frequent: Insomnia, anxiety, nervousness, agitation, abnormal dreams, drowsiness and fatigue.

Infrequent: Confusion, delusions, hallucinations, manic reaction, paranoid react ion, psychosis, depersonalization, apathy, emotional lability, euphoria, hostility, amnesia, increased libido.

Rare: Antisocial reaction, hysteria, suicidal ideation, violent behaviors.

Before Using This Medicine
Allergies¡XTell your doctor if you have ever had any unusual or allergic reaction to Prozac. Also tell your health care professional if you are allergic to any other substances, such as foods, preserv tives, or dyes.

What is this medicine
Under the brand name Sarafem, the active ingredient in Prozac is also prescribed for the treatment of premenstrual dysphoric disorder (PMDD), formerly known as premenstrual syndrome (PMS). Symptoms of PMDD include mood problems such as anxiety, depression, irritability or persistent anger, mood swings, and tension. Physical problems that accompany PMDD include bloating, breast tenderness, headache , and joint and muscle pain. Symptoms typically begin 1 to 2 weeks before a woman's menstrual period and are severe enough to interfere with day-to-day activities and relationships.


What side effects can this medication cause?
Side effects from Prozac are common:

- upset stomach
- drowsiness
- weakness or tiredness
- excitement or anxiety
- insomnia
- nightmares
- dry mouth
- ski n more sensitive to sunlight than usual
- changes in appetite or weight

Tell your doctor if any of these symptoms are severe or do not go away:

- constipation
- difficult y urinating
- frequent urination
- blurred vision
- changes in sex drive or ability
- excessive sweating



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