Submit Close. Staiger walrus. Related Questions. Can you take Claritin and Zyrtec together? I have bad allergies! Is using both safe? I have recently been prescribed an antibiotic called nitrofurantoin macro 50mg capsules.
I am taking them once a day for a six month period for an inflamed bladder. My doctor insisted it would not aff MAOIs include moclobemide, isocarboxazid, phenelzine and tranylcypromine. Tell your doctor or pharmacist before you take fluoxetine if you are prescribed any other medication, to check that the combination is safe. Before you start taking fluoxetine, tell your doctor if you are taking any other medications, including things you have bought over the counter for common illnesses like colds and flu or topical applications that you put on your skin.
Taking fluoxetine may affect your ability to do things like drive a car, ride a bike, use machines, or anything else that needs a lot of focus.
It might be best to stop doing these things for the first few days, until you know how it affects you, or until the effects pass. If you become pregnant while you are on fluoxetine, you should carry on taking the medicine and go back to your doctor as soon as possible, to see if you should change or stop your medicine.
There is a slightly higher risk of problems in the developing baby if you take fluoxetine it in the early stages of pregnancy. However, fluoxetine and related antidepressants known as SSRIs are thought to be better choices if you need antidepressant medicine. Remember that you need to stay well through your pregnancy, and you may need a medicine to help you to do that.
Fluoxetine may cause heart problems in the developing baby, and other symptoms in new-born babies. If you and your doctor agree that you will continue taking fluoxetine during your pregnancy, then you should tell your midwife that you are taking it before you give birth. If fluoxetine is taken in the last five months of a pregnancy, it can cause a serious condition called persistent pulmonary hypertension of the new-born PPHN. This can make the baby breathe faster and look a bit blue in colour.
This compares with a rate of two in 1, among babies born to mums who do not take SSRIs. PPHN appears in the first 24 hours after birth. You will need help from the midwife and doctors, so it is better if they are looking out for symptoms. The newborn baby may also develop withdrawal effects, which might not appear straight away but might develop over the first few days of life.
These could include:. Fluoxetine is passed to the baby in breast milk, and side effects have been seen in breastfed babies. The main one is likely to be colic. This is because fluoxetine is hard for your baby to get rid of. This does not mean breastfeeding will be a problem, but do look out for side effects. If your baby was premature or has health problems, then you may be better off not breastfeeding as your baby will likely struggle even more to get rid of the fluoxetine. Fluoxetine has been known to slow growth and delay sexual development puberty in a small number of children and young people.
Your doctor should check your growth while you are taking it. If this worries you, talk to your doctor or pharmacist about it.
These effects should pass after the first couple of weeks. If they do not, and this is a problem for you, go back to the doctor and see what else you could try. The good effects of fluoxetine may, after a while, have a positive impact on your sex life as your mood lifts and you become interested in life and relationships again.
Fluoxetine does not seem to affect human fertility. Talk to your doctor about your fluoxetine if you are trying to get pregnant.
Taking fluoxetine may affect your ability to do things like riding a bike, competitive gymnastics, or anything else that needs a lot of focus. It might be best to stop such sports for the first few days, until you know how it affects you or the effects get better. You might decide together to delay starting it until you have done them. If they are more than a month away, however, you might find that it is better to start fluoxetine to lift your mood and improve your motivation to study.
If you have suffered from depression in the past, you should keep taking this medication for at least two years after you start to feel better. You and your doctor should talk about how long you need to take fluoxetine before you begin your treatment. If you stop taking the fluoxetine too soon, the chance that your mental health symptoms will come back increases. You will get the best effect from fluoxetine if you take it every day at the dose prescribed by your doctor.
Your doctor might start you on a low dose and then increase it to your full dose slowly over two to four weeks. Make sure that you know your dose. If it's not written on the label, check with your pharmacist or doctor.
Young people aged eight to 18 may start taking fluoxetine at a lower dose using the liquid, and then move on to the capsules if the dose increases. It is usually best to take fluoxetine in the morning. This is to reduce the chance of it causing insomnia difficulty sleeping. However, it is important to choose a time each day that you can always remember. This could be when you wake up, a mealtime, or when you brush your teeth.
If you forget to take it for a few days, you may start getting withdrawal symptoms and should talk to your doctor about it. Stopping fluoxetine suddenly can sometimes cause side effects, which are usually mild, but for a few people can be severe. Also, if you stop taking fluoxetine too soon, the chance that your mental health symptoms will come back increases.
Once you start taking an SSRI, the brain adjusts to having a new level of serotonin around. If you stop taking the SSRI suddenly, the balance starts to change again.
You could get some symptoms from the change. Fluoxetine is less likely to cause withdrawal effects upon stopping than other antidepressant medicines.
This is because your body takes longer to get rid of it. Measure the liquid with a marked measuring spoon, oral syringe, or medicine cup. A regular household teaspoon will not measure the proper amount of medicine. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label.
The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible.
However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
It has been used in many breastfeeding mothers without any problems. Fluoxetine passes into breast milk, usually in small amounts. It has been linked with side effects in very few breastfed babies. It is important to continue taking fluoxetine to keep you well.
Breastfeeding will also benefit both you and your baby. If you notice that your baby isn't feeding as well as usual, or seems unusually sleepy, or if you have any other concerns about your baby, then talk to your health visitor or doctor as soon as possible.
Some medicines and fluoxetine can interfere with each other and increase the chances of you having side effects. Tell your doctor if you're taking these medicines before you start fluoxetine :.
Do not take St John's wort, the herbal remedy for depression, while you are being treated with fluoxetine as this will increase your risk of side effects. Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.
Fluoxetine is one of a group of antidepressants called selective serotonin reuptake inhibitors, or SSRIs. These medicines are thought to work by increasing the levels of a mood-enhancing chemical called serotonin in the brain. You may see an improvement in your symptoms after 1 to 2 weeks, although it usually takes between 4 and 6 weeks before you feel the full benefits.
That's because it takes around a week for fluoxetine levels to build up in your body, and then a few weeks longer for your body to adapt and get used to it. Do not stop taking fluoxetine after 1 to 2 weeks just because you feel it is not helping your symptoms.
Give the medicine at least 6 weeks to work. Antidepressants like fluoxetine help to jump start your mood so you feel better. You may notice that you sleep better and get on with people more easily because you're less anxious. You will hopefully take in your stride little things that used to worry you. Fluoxetine won't change your personality or make you feel euphorically happy. It will simply help you feel like yourself again.
Don't expect to feel better overnight, though. Some people feel worse during the first few weeks of treatment before they begin to feel better.
Once you're feeling better it's likely that you will continue to take fluoxetine for several more months. Most doctors recommend that you take antidepressants for 6 months to a year after you no longer feel depressed. Stopping before that time can make depression come back. A few people may get sexual side effects, such as problems getting an erection or a lower sex drive. In some cases these can continue even after stopping the medicine.
Speak to your doctor if you are worried. If you've been feeling better for 6 months or more, your doctor may suggest coming off fluoxetine. Your doctor will probably recommend reducing your dose gradually over several weeks - or longer, if you have been taking fluoxetine for a long time.
This is to help prevent any extra side effects you might get as a reaction to coming off the medicine. These include:. Do not stop taking fluoxetine suddenly, or without talking to your doctor first. However, sometimes people respond better to one antidepressant than to another. Talk to your doctor if you aren't feeling any better after 6 weeks. Fluoxetine does not affect any type of contraception including contraceptive pills or emergency contraception.
There's some evidence that fluoxetine can reduce the quality of sperm - but it's not known whether this reduces male fertility. The effect should reverse once you stop taking the medicine. Speak to your doctor if you're concerned.
For women, there's no firm evidence to suggest that taking fluoxetine will reduce your fertility.
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