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Symptoms of overdose may include:

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.


Possible food and drug interactions when taking this medication

Dependence Liability: - Fluoxetine has not been systematically studied, in animals or humans, for its potential for abuse, tolerance, or physical dependence. Physicians should carefully evaluate patie nts for history of drug abuse and follow such patients closely, observing them for signs of misuse or abuse of fluoxetine.


Possible food and drug interactions

When you are taking Prozac, it is especially important that your health care professional know if you are taking any of the following:

- Selective serotonin reuptake inhibitors, other (cital opram [Celexa], fluvoxamine [e.g., Luvox], paroxetine [e.g., Paxil], sertraline [e.g., Zoloft]) or
- Street drugs (LSD, MDMA [e.g., ecstasy], marijuana) or
- Sumatriptan (e.g., Imitrex) or < br> - Tramadol (e.g., Ultram) or
- Trazodone (e.g., Desyrel) or
- Tryptophan or

Side Effects

Check with your doctor as soon as possible if any of the following side effects occur:

- difficulty in concentration, drowsiness, excessive hunger, fast heartbeat, headache, shakiness or unst eady walk, or unusual tiredness or weakness; symptoms of hyponatremia (low blood sodium), including confusion, convulsions (seizures), drowsiness, dryness of mouth, increased thirst, lack of energy; symptoms of serotonin syndrome, including diarrhea, fever, increased sweating, mood or behavior changes, overactive reflexes, racing heartbeat, restlessness, shivering or shaking; talking, feeling, and acting with excitement and activity you cannot control; trouble in breathing; unusual or incomplete body or facial movements;

Proper Use of This Medicine

Prozac comes as a capsule, tablet, and liquid to take by mouth. It is usually taken once or twice a day and may be taken with or without food. Follow the directions on your prescription label carefull y, and ask your doctor or pharmacist to explain any part you do not understand. Take Prozac exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Continue to take Prozac even if you feel well. Do not stop taking Prozac without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will want to decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.

Adverse Effects

Neurologic:
Frequent: Headache, tremor, dizziness or lightheadedness, asthenia.

Infrequent: Abnormal gait, ataxia, akathisia, buccoglossal syndrome, hyperkinesia, hypertonia, incoordinat ion, neck rigidity, extrapyramidal syndrome, convulsions, photophobia, myoclonus, vertigo, migraine, tinnitus, hypesthesia, neuralgia, neuropathy, acute brain syndrome.

Rare: Dysarthria, dys tonia, torticollis, decreased reflexes, nystagmus, paralysis, paresthesia, carpal tunnel syndrome, stupor, coma, abnormal EEG, chronic brain syndrome, dyskinesia and other movement disorders (includin g worsening of preexisting conditions or appearance in patients with risk factors neuroleptic malignant syndrome-like events.


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