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Prozac is a Selective Serotonin Reuptake Inhibitors (SSRIs) antidepressant, used to treat major depression, bulimia nervosa (an eating disorder) obsessive-compulsive disorder (OCD), panic disorders, and premenstrual dysphoric disorder (PMDD). You can buy Prozac online for the treatment of anxiety problem.
Prozac is the trade name used to sell fluoxetine medication. It can also be used with other medications like olanzapine (Zyprexa) to treat manic depression caused due to bipolar disorder.
This medicine was approved by the U.S. Food and Drug Administration in 1987. The FDA approved Prozac’s usage to treat depression in adults, children, and adolescents. Prozac has become the most widely prescribed antidepressant in the past that has transformed the treatment of depression forever. Due to this Prozac has earned the nickname ‘bottled sunshine.
It is still widely prescribed for the treatment of depression and anxiety disorders although new drugs such as sertraline (Zoloft) and citalopram (Celexa) are available on the market for public use.
How to use Prozac?
It can be taken with or without food as per prescription. Fluoxetine capsules, tablets, and liquid are usually taken once or twice during a day. Fluoxetine delayed-release capsules are generally taken once a week. Prozac (fluoxetine) should be taken exactly as directed by the doctor.
The doctor might also increase the dose of Prozac cautiously to gain better results. It may take up to 4 weeks for the symptoms to improve. The prescribed dosage of Prozac is 20 mg per day orally in the morning or noon. This dosage can be increased up to 80 mg per day per person to improve the outcomes with the help of a doctor’s consultation.
Before using Prozac :
The fluoxetine medication present in Prozac capsules belongs to the class of drugs called selective serotonin reuptake inhibitors (SSRIs). Citalopram (Celexa), escitalopram (Lexapro), paroxetine (Paxil), and sertraline (Zoloft) are some of the other members of the SSRIs class of drugs.
SSRI affects serotonin, a neurotransmitter that is in charge of improving the mood, sleep, appetite, and energy level of a human being. Prozac helps to maintain the level of serotonin secretion in the brain.
Lexapro is usually not recommended for people with health conditions like:
- cirrhosis of the liver,
- urinary problems,
- narrow-angle glaucoma,
- bipolar disorder or manic depression,
Suicidal urges are prominently seen among teenagers. The patient needs to consult the concerned doctor beforehand if he/she has a history of the followings :
- having an allergic reaction to fluoxetine or any other medicines,
- having any heart problems, as fluoxetine may raise the heart beat faster or cause an irregular heartbeat (arrhythmia),
- attempting to conceive, expecting a baby, or at the stage of breastfeeding,
- having glaucoma, fluoxetine can increase the pressure on the eye
- having epilepsy or are having electroconvulsive treatment, because fluoxetine may increase the risk of having a seizure.
Availability, Storage, and Disposal :
Prozac 5 mg, 10 mg, 20 mg, 40 mg, and 60 mg are the variants available on the market. Prozac is available as capsules, delayed-release capsules, tablets, and solutions. This medicine is clinically proven for children above 8 years of age, teenagers, and adults.
Prozac must be taken precisely as prescribed. Always allow the doctor to make the required changes in the prescription.
The capsules should not be crushed, chewed, or broken. It should be swallowed as a whole with water to ease.
Prozac medication should be kept in an airtight container, and somewhere out of reach of children. Lexapro should be stored at normal room temperature away from direct light and moisture. Unused medications should be disposed of in a special way that pets, children, or any other people cannot come in direct contact with them.
Drug Interactions :
Using Prozac medication with certain substances and medicines is prohibited. Because it may result in serious heart problems or breathing-related disorders.
Certain medicines that should be avoided during the treatment using Prozac are :
- Infections medicines,
- Asthma medicines,
- Cardiac medicines,
- Medicines for high blood pressure,
- Medicines for depression and mental illness,
- Cancer medicine or HIV,
- Malaria medicines,
- Non-steroidal anti-inflammatory drugs (NSAID) such as :
- ibuprofen (Advil, Motrin),
- naproxen (Aleve),
- celecoxib (Celebrex),
- Meloxicam, etc.
Using any NSAIDs with Prozac may cause bruises or bleeding. MAO inhibitors should be stopped 14 days before starting the Prozac medication. Prozac may also give adverse effects when mixed with other antidepressants such as
- Viibryd, or
Side Effects of Prozac :
Prozac has various minor and major side effects. These side effects can be seen in teenagers, children, and adults.
- dry mouth,
- drowsiness and sedation,
- blurred vision,
- tiredness, etc
Prolonged symptoms can lead to severe side effects, such as :
- white blood cell reduction,
- fainting, and
- severe allergic reactions,
- euphoric feelings, excessive enthusiasm or excitement, restlessness
- bleeding gums
- lower sex drive,
- erectile dysfunctions,
- blood in cough or urine,
- blood in vomit or stool, etc
It is important to inform the doctor about any persistent symptoms and act according to his consultations.
Withdrawal and Drug Overdose:
Most doctors do not consider Prozac to be addictive. Yet it cannot be denied that it can make the patients dependent. Drug dependency means a situation in which the body has adapted to a drug or medication to a certain extent that it requires steady doses to function normally. Any kind of abrupt discontinuation or withdrawal can result in withdrawal symptoms. These includes :
- Lethargy, etc.
In general, these symptoms start within a few days of quitting Prozac and may last for 2-3 weeks. In several cases, these symptoms were observed over 6 weeks. Therefore, abrupt discontinuation is never recommended. Rather, cutting down the dose with the help of a doctor’s consultation is highly recommended. Allow the doctor to monitor the patient during the phase of withdrawal. Few other treatment procedures along with a gradual reduction of dosage can help to overcome withdrawal symptoms.
- Doing regular exercises,
- Getting an adequate amount of relaxation,
- Attending psychotherapies,
- Managing stress, etc.
When the patient intakes more Prozac than prescribed, the patient may experience a drug overdose situation. Due to drug overdose, the following symptoms can be observed :
- Abnormal heart rate,
- Blood clotting can damage the organs or tissue death
- Respiratory failures,
- Kidney failure,
- Seizures, and
- Serotonin syndrome.
Frequently asked questions :
Who should not take Prozac?
Prozac medicine should be avoided by patients allergic to fluoxetine. Patients using pimozide or thioridazine should also prohibit the use of Lexapro. MAO inhibitor medicines must be stopped before 14 days of using Prozac.
Is Prozac an MAOI?
Prozac (fluoxetine) is a selective serotonin reuptake inhibitor (SSRI). It is the second generation of anti-depressants available in the market. Whereas, monoamine oxidase inhibitors (MAOIs) or tricyclic antidepressants (TCAs) belong to the first-generation anti-depressants.
What should be avoided while using Prozac?
Alcohol, opioid drugs, and other illegal drugs should be avoided while using Prozac. Any kind of sedative drug can adversely affect the treatment procedure and may even worsen the condition of the patient.
Can drinking coffee react with Prozac?
After clinical testing, no interactions were found between caffeine and fluoxetine. So it is safe to take coffee with Prozac.
Should Prozac be taken in the morning or at night?
Prozac is generally recommended to be taken during the daytime because it can sometimes energize the patient. Due to this, the patient may feel restless during the night or may suffer from insomnia.