Fluoxetine

Fluoxetine
Indication •  Depression

•  Obsessive-Compulsive Disorder

•  Panic Disorder

•  Bulimia Nervosa

•  Premenstrual Dysphoric Disorder

•  Off-label:

•  Fibromyalgia

•  Migraine

•  Hot Flashes Caused by Hormonal Chemotherapy

•  Raynaud Phenomenon

Contraindication •  To be used with caution in Children and adolescent

•  Hypersensitivity

•  Breastfeeding

•  Risk of switch to Mania

•  Gastrointestinal bleeding

•  Abnormal Electrocardiogram changes

•  History of seizure disorder

•  Risk of Hyponatremia

•  Angle closure glaucoma

•  Sexual dysfunction

•  Concomitant use with few other drugs like pimozide or thioridazine or Monoamine Oxidase Inhibitors, other

Benefit •  Improvement in depressive symptoms

•  May cause weight reduction

•  Long acting thus require frequent dosing

•  Improves ejaculation time in patients with premature ejaculation

Adverse effects

(usually decreases in 3-4 weeks of therapy, usually reversible)

•  Insomnia

•  Nausea

•  Headache

•  Weakness

•  Diarrhoea

•  Somnolence

•  Asthenia

•  Anxiety

•  Nervousness

•  Tremor

•  Anorexia

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