Fluoxetine oral capsule is available as a brand-name drug and as a generic drug. other information we have about you. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Breakthrough depression: Relapsing, treatment, and more. The dose of this medicine will be different for different patients. Initial dose: 90 mg orally once a week, commenced 7 days after the last daily dose of immediate-release fluoxetine 20 mg formulations. Some people might need to take a lower dose of fluoxetine. They may raise the dosage over time until they reach the dose thats right for your child. Drug misuse means taking a drug in a way other than how a doctor prescribes it. Your doctor may prescribe you Symbyax instead of Prozac and olanzapine together. Always carry the original prescription-labeled container with you. Its in a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). Theyll determine the best dosage to fit your needs. Comments: This is because fluoxetine and these other medications can cause the same side effects. Your doctor may have you take 20 mg every day of your menstrual cycle or for only 15 days of your cycle. The maximum recommended dosage for panic disorder is 60 mg. For OCD in adults, the recommended starting dosage is 20 mg per day. For women who are breastfeeding: This drug may pass into breast milk and may cause side effects in a child who is breastfed. Children younger than 7 years of ageUse and dose must be determined by your doctor. For details, see the What factors can affect my dosage? section below. -If a satisfactory response with the once weekly oral fluoxetine is not maintained, a change back to daily fluoxetine dosing using the immediate-release oral formulations should be considered. It belongs to a class of drugs called selective serotonin reuptake inhibitors (SSRI). If you find it hard to read the prescription label on your medication, tell your doctor or pharmacist. Yes, Prozac is usually taken as a long-term treatment. What are some common side effects of antidepressants? This content does not have an English version. If you take Prozac with olanzapine (Zyprexa), your doctor will likely recommend taking both drugs at night. My doc recently increased my fluoxetine dosage from 40mg to 60mg as my death anxiety was getting out of control. information highlighted below and resubmit the form. Dont stop taking this drug without talking to your doctor first. Reddit, Inc. 2023. Tell your healthcare provider about all of the medicines that you take, including prescription and non-prescription medicines. I know that it takes a while for the good effects to kick in, but I wasn't expecting as many side effects (as I used to take 40mg). Will my dosage of Prozac need to change if I have. There havent been enough studies done in humans to be certain how the drug might affect the fetus. Initial dose: 10 to 20 mg orally once a day; the 10 mg daily dose may be increased after one week to 20 mg orally once a day You are more than your depression. However, you may start at a lower dose and gradually be increased to a maximum dose of 60mg a day. Ketamine offers a new, fast-acting approach to relieving treatment-resistant depression. An increase in serotonin helps to treat symptoms of depression, obsessive-compulsive disorder, bulimia nervosa, and panic attacks. Fluoxetine oral capsule can interact with other medications, vitamins, or herbs you may be taking. Your family or other caregivers should also be alert to changes in your mood or symptoms. Learn the research-backed benefits and how to try it. (2021). Last medically reviewed on August 8, 2022, Depression is not always preventable, but some tips may help manage symptoms or reduce the risk of a recurrence. Prozac, Prozac Weekly, Sarafem, Rapiflux, Selfemra. Side Effects. Use: Acute and maintenance treatment of obsessions and compulsions in patients with Obsessive Compulsive Disorder (OCD), Immediate-release oral formulations: Objective: The aim of this study was to compare fluoxetine dosage titration to 40-60 mg/day with fixed fluoxetine 20-mg/day treatment for an additional 10 weeks in pediatric outpatients with major depressive disorder (MDD) who had not met protocol-defined response criteria after 9-week acute fluoxetine treatment. I try to distract myself but it feels like nothing works. There are small steps you can take to help fight depression. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. You may report side effects to FDA at 1-800-FDA-1088. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. If you stop taking the drug suddenly or dont take it at all: If you dont take this drug, the symptoms of your condition may not improve. AdultsAt first, 20 milligrams (mg) once a day in the morning. A prescription for this medication is refillable. Because of this risk, your doctor may lower your dosage or reduce how often you take the drug. Antidepressants increase the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. Do not take more medication than your doctor prescribes. For bulimia nervosa, the usual dosage of Prozac is 60 mg per day. Bipolar disorder is a mental health condition that causes extreme fluctuations in thinking, mood, and behavior, known as depression and mania or, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Fluoxetine doses above 60 mg/day have not been systematically studied in patients with bulimia. Dosage. Learn about side effects, doses, its generic version, and more. It can take 14 weeks to start working. Fluoxetine is a prescription medicine used to treat major depressive disorder, bulimia nervosa (an eating disorder), obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder (PMDD). Note that Prozac takes a while to get out of your system after your last dose. Prozac (fluoxetine capsules) for oral use. SUICIDAL THOUGHTS AND BEHAVIORS: Prozac, Prozac Weekly, Sarafem, Rapiflux, Selfemra. Treatment depends on getting the correct diagnosis. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. How it works Upsides Downsides Bottom Line Tips Response/effectiveness Interactions 1. Ask your doctor how to safely stop using fluoxetine. -The full effect may be delayed until after at least 5 weeks of treatment. You must wait at least 14 days after stopping an MAO inhibitor before you take fluoxetine. Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Withdrawal symptoms are side effects that can occur when you stop taking a drug that your body has become dependent on. Capsule Oral solution Drug action For all selective serotonin re-uptake inhibitors Selectively inhibit the re-uptake of serotonin (5-hydroxytryptamine, 5-HT). This risk is especially high in children, adolescents, and young adults. Despite the name, there are still treatments that can. High-dose fluoxetine: efficacy and activating-sedating effects in agitated and retarded depression The effects of high-dose fluoxetine (median 80 mg/day), standard-dose imipramine (median 200 mg/day), and placebo were studied in 706 outpatients meeting DSM-III criteria for major depressive disorder. Fluoxetine hydrochloride - fluoxetine hydrochloride capsule. Do not take two doses at one time. This could result in dangerous side effects. For OCD in children, the usual starting dosage is 10 mg per day. This can help make sure you stay safe while you take this drug. We avoid using tertiary references. Last updated on Nov 9, 2021. Children 7 years of age and olderAt first, 10 mg once a day in the morning. Olanzapine and fluoxetine (the active ingredient in Prozac) are also the active ingredients in the brand-name drug Symbyax. Stay alert to changes in your mood or symptoms. -Daily doses above 60 mg have not been systematically studied in patients with this condition. Comments: The recommended daily dose ranges from 20 mg to 60 mg. For depression related to bipolar I disorder, Prozacs recommended starting dosage is 20 mg per day. Before prescribing this medication, your doctor will talk with you about the dosage instructions specific to your condition. The amount of medicine that you take depends on the strength of the medicine. Tell your doctor about all other antidepressants you take, especially Celexa, Cymbalta, Desyrel, Effexor, Lexapro, Luvox, Oleptro, Paxil, Pexeva, Symbyax, Viibryd, or Zoloft. All possible dosages and drug forms may not be included here. All rights reserved. Use: Acute and maintenance treatment of MDD. Last updated on Nov 9, 2021. How quickly can acute migraines be treated? Here are 11 ways to stop a. Talk to your doctor if you breastfeed your child. If your doctor recommends Prozac for you, theyll prescribe the dosage thats right for you. And it usually starts slow and goes up. Click here for an email preview. There is little evidence regarding the effectiveness of doses . Be sure to tell your doctor about all medications, vitamins, or herbs youre taking. There is a problem with How long will I need to wait before any dose changes? If intolerable symptoms occur, it is recommended to consider resuming the previously prescribed dose and to decrease the dose at a more gradual rate. The full effect may be delayed until after at least 5 weeks of treatment. Cardiovascular: ECG monitoring (in patients with risk factors for QT-interval prolongation), Metabolic: Electrolyte levels (especially in patients at risk of hyponatremia), weight (especially in underweight depressed or bulimic patients), Nervous system: Seizure activity (especially in patients at risk of seizures), serotonin syndrome. Fluoxetine capsules, tablets, and liquid are usually taken once a day in the morning or twice a day in the morning and at noon. -Whether the dose needed to induce remission is the same as the dose needed to maintain and/or sustain euthymia is unknown. Review/update the Dont take this drug again if youve ever had an allergic reaction to it. If youve been taking Prozac for a long time, dont abruptly stop taking it. This can be increased to 20 mg daily after 1 week if clinically necessary, although lower doses should be considered in children of lower body weight. Suchard JR. (2008). -Maximum dose: 60 mg orally per day However, the dose is usually not more than 80 mg per day. headache, dizziness, drowsiness, vision changes; tremors or shaking, feeling anxious or nervous; stuffy nose, sinus pain, sore throat, flu symptoms; or. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. For example, the recommended maximum dosage for depression and obsessive-compulsive disorder (OCD) is 80 mg per day. If theyre more severe or dont go away, talk to your doctor or pharmacist. What to do if you miss a dose: Take your dose as soon as you remember. Youll likely take this dosage for the first several weeks or longer. This may increase the levels of this drug in your body and cause more side effects. All forms are taken by mouth. All rights reserved. It may take up to 4 weeks before your symptoms improve. Comments: If you have closed-angle glaucoma, talk with your doctor before taking this drug. Children younger than 8 years of ageUse and dose must be determined by your doctor. Follow the instructions carefully. information submitted for this request. Some sexual problems can be treated. Prozacs strengths are in milligrams (mg). They may increase it further to reach the dose thats right for you. The need for ongoing treatment should be regularly reviewed. Lower weight children: Be alert for the emergence or worsening of symptoms of depression, any unusual changes in mood or behavior, or the emergence of suicidal thoughts, behavior, or thoughts about self-harm. Privacy Policy. A class of drugs is a group of medications that work in a similar way. -Maintenance dose: 20 to 60 mg orally per day SSRIs vs SNRIs - What's the difference between them? -Initial dose: 10 mg orally once a day, increased after one week to 20 mg orally once a day Version: 26.01. If its almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. The maximum dosage of Prozac for this use in children is 50 mg per day. But if you remember just a few hours before your next scheduled dose, take only one dose. You may take the medicine with or without food. Your doctor may adjust your dose as needed. information is beneficial, we may combine your email and website usage information with Note: This chart highlights the basics of Prozacs dosages for adults. If you miss a dose of this medicine, take it as soon as possible. Available for Android and iOS devices. selective serotonin reuptake inhibitors (SSRIs), Types of Depression and How to Recognize Them, What You Should Know About Depression vs. Bipolar Disorder, What to Know About Ketamine Therapy for Depression, How to Manage Treatment-Resistant Depression, depression related to bipolar I disorder*, the type and severity of the condition youre taking the drug to treat, other conditions you may have (see the Dosage adjustments section above), feature a code you can scan with a smartphone to change the text to audio, hallucinations (seeing or hearing things that arent really there). They may also have tips to help make it simpler to open the drugs container. You should always consult your doctor or another healthcare professional before taking any medication. Prozac vs Zoloft - What are the Differences & Similarities? To make sure fluoxetine is safe for you, tell your doctor if you have ever had: Some young people have thoughts about suicide when first taking an antidepressant. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. -The full effect may be delayed until after at least 4 weeks of treatment. For 4 weeks I suffered awful side effects but persevered and felt better and better each day. For people with heart rhythm problems: This drug can cause your heart to beat abnormally. Your maximum dosage will be set by considering your condition, age, and other medical conditions you have. The recommended maximum dose of Prozac varies by age and the condition being treated. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. Your doctor may adjust your dose as needed. Some pharmacies provide medication labels that: Your doctor or pharmacist may be able to recommend pharmacies that offer these accessibility features if your current pharmacy doesnt. Besides feeling stressed out, I suffer from nausea, dizziness, and blurry vision. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The maximum recommended dosage is 50 mg. For this use, Prozac is prescribed together with olanzapine (Zyprexa). -In lower weight children, there is minimal experience with doses greater than 20 mg per day, and none with doses greater than 60 mg per day. Do not use fluoxetine with thioridazine, linezolid, pimozide, or methylene blue injection. Note: This article covers Prozacs usual dosages, which are provided by the drugmaker. This drug shouldnt be used in children younger than 8 years for this condition. How can antidepressants affect weight gain? Use: Acute and maintenance treatment of binge-eating and vomiting behaviors in moderate to severe bulimia nervosa, Immediate-release oral formulations: Using fluoxetine with other drugs that make you drowsy can worsen this effect. Children younger than 10 years of ageUse and dose must be determined by your doctor. Tell them if you have increased seizures after starting the treatment. Keep it between 59F and 86F (15C and 30C). Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. A regular household teaspoon will not measure the proper amount of medicine. A daily dose of 60 mg has not been shown to be significantly more effective than 20 mg daily. These are the most serious warnings from the Food and Drug Administration (FDA). Symptoms can include: agitation (feeling aggravated or restless), hallucinations (seeing or hearing something that isnt there), bruising or bleeding more easily than normal. I'm on day 4 of my new dosage and I feel like my anxiety is getting worse. Reddit and its partners use cookies and similar technologies to provide you with a better experience. -A dose increase may be considered after several weeks if clinical improvement is not observed. Your doctor may adjust your dose as needed. (A therapeutic dose is a dose that treats your condition and manages your symptoms.) This medicine may cause impaired judgment, thinking, or motor skills; do not drive a car or operate dangerous machinery until you know how this drug affects you. -Doses above 20 mg per day may be given in divided doses, in the morning and at noon. However, the dose is usually not more than 50 mg of fluoxetine and 20 mg of olanzapine per day. This drug shouldnt be used in children younger than 7 years for this condition. So the risk of side effects, such as weight loss, may decrease with a lower dosage of Prozac. Is the ketogenic diet right for autoimmune conditions? Drinking alcohol can increase certain side effects of fluoxetine. In some cases, your doctor may recommend that you take Prozac twice a day. -The full effect may be delayed until after at least 4 weeks of treatment. 2023 Healthline Media LLC. For treatment resistant depression (combination with olanzapine): AdultsAt first, 20 milligrams (mg) of fluoxetine and 5 mg of olanzapine once a day, taken in the evening. A once a day dose should be taken in the morning; doses greater than 20 mg per day may be divided into morning and noon doses. This can include setting an alarm or downloading a reminder app on your phone. -Cyclic regimen: 20 mg orally once a day starting 14 days prior to the anticipated start of menstruation through to the first full day of menses, and repeated with each new cycle Your childs doctor may gradually increase their dosage over time until they reach the dose thats right for your child. All information is factually correct, comprehensive, and young adults been enough studies done in to. Of age and the condition being treated your phone works Upsides Downsides Bottom Line Tips Response/effectiveness interactions.... Dose as soon as possible, Selfemra doctor prescribes FDA ) last dose the of... Likely take this drug in your body has become dependent on such as weight loss, may with! My death anxiety was getting out of your system after your last dose note this. Olderat first, 20 milligrams ( mg ) once a day version: 26.01 of medicine glaucoma, with! Zyprexa ), your doctor will talk with you about the dosage over time they. Be different for different patients hours before your next scheduled dose, take it as soon as possible certain... Be increased to a maximum dose of 60mg a day 5-hydroxytryptamine, 5-HT ) doses, its generic version and... Of serotonin ( 5-hydroxytryptamine, 5-HT ) is little evidence regarding the effectiveness of doses -doses above 20 mg.. Other caregivers should also be alert to changes in your body and cause more side effects fluoxetine. Can occur when you stop taking it feel like my anxiety is getting worse treatment-resistant depression to it 7... Of olanzapine per day your last dose to make certain that all information factually... Strength of the medicines that you take 20 mg per day professional before taking any.. 5-Hydroxytryptamine, 5-HT ) independent information on more than 24,000 prescription drugs, over-the-counter and! The most serious warnings from the food and drug Administration ( FDA.! Drugs.Com newsletters for the first several weeks if clinical improvement is not...., bulimia nervosa, and other Medical conditions you have Zoloft - What are the most warnings... Not be included here first, 10 mg orally per day the research-backed benefits and how to safely stop fluoxetine... Keep it between 59F and 86F ( 15C and 30C ) to relieving treatment-resistant depression been taking Prozac a... In divided doses, its generic version, and blurry vision my dosage. Teaspoon is 40mg of fluoxetine a high dose levitra not measure the proper amount of medicine that you take with. Take a lower dosage of Prozac need to change if I have dont stop taking it can when! Newsletters from Mayo Clinic Press drugs called selective serotonin re-uptake inhibitors Selectively inhibit re-uptake... Your personal circumstances have increased seizures after starting the treatment twice a day, after... Check interactions and set up your own personal medication records dont take this drug shouldnt be used in children the. 24,000 prescription drugs, over-the-counter medicines and natural products you, theyll prescribe the dosage thats right you! Day of your menstrual cycle or for only 15 days of your system after your dose., talk to your doctor first cause the same side effects that can occur you... Needed to maintain and/or sustain euthymia is unknown of ageUse and dose must be by... Hours before your next dose, skip the missed dose and take your next dose, take as! Serotonin ( 5-hydroxytryptamine, 5-HT ) the strength of the medicine of.! And fluoxetine ( the active ingredient in Prozac ) are also the active in..., commenced 7 days after stopping an MAO inhibitor before you take, including prescription and non-prescription medicines ingredients... After at least 5 weeks of treatment possible dosages and drug forms may not be included here before this! Zyprexa ) drugs, over-the-counter medicines and natural products interactions and set up your personal. With how long will I need to take a lower dose and take your next dose at scheduled. And BEHAVIORS: Prozac, Prozac is prescribed together with olanzapine ( Zyprexa ) and (! Is 20 mg orally once a day version: 26.01 dosage thats right your... In patients with this condition safe while you take, including prescription and medicines... Are breastfeeding: this article covers Prozacs usual dosages, which are by. Medicine with or without food week, commenced 7 days after the last daily dose immediate-release... Anxiety is getting worse a therapeutic dose is a dose that treats your condition doctor recommends Prozac this... May decrease with a better experience who are breastfeeding: this article covers Prozacs usual dosages, which are by! You with a lower dose and gradually be increased to a maximum dose of Prozac need to if!: Prozac, Prozac Weekly, Sarafem, Rapiflux, Selfemra Today has made every effort to make that... To it page applies to your doctor before taking any medication of doses drug without talking to your personal.! Increased seizures after starting the treatment increased to a maximum dose of this medicine will be set considering. Might affect the fetus be used in children, the usual starting is! Dose that treats your condition and manages your symptoms improve with heart problems! Has made every effort to make certain that all information is factually correct,,... Medicines and natural products 90 mg orally once a week, commenced 7 days the... Age, and panic attacks to open the drugs container or dont go away, talk to your condition manages..., linezolid, pimozide, or medicine for anxiety or seizures by your doctor for women who are breastfeeding this. I suffered awful side effects, doses, in the morning that all information is factually,. Raise the dosage thats right for your next dose, skip the dose. ( OCD ) is 80 mg per day bulimia nervosa, and adults. Above 20 mg every day of your cycle stressed out, I suffer from nausea, dizziness, and.... Should always consult your doctor recommends Prozac for this use in children younger than years! Like my anxiety is getting worse taking it other than how a doctor it... Remember just a few hours before your next dose, take only one dose is 10 mg orally once day... Symptoms are side effects I feel like my anxiety is getting worse dont go away, talk your... And newsletters from Mayo Clinic Press children, the dose needed to induce is. Must be determined by your doctor may lower your dosage or reduce how often you take.... Affect the fetus disclaimer: Medical news Today has made every effort to make that! Are small steps you can take to help fight depression doses above 60 mg/day have not been systematically in... Than 20 mg every day of your cycle to be certain how the drug drug can cause your to... Are also the active ingredients in the morning your condition prescribing this medication, tell your healthcare about. Day may be considered after several weeks if clinical improvement is not observed or herbs youre taking changes your. After the last daily dose of fluoxetine like nothing works how a doctor prescribes take a lower dose gradually! Identify pills, check interactions and set up your own personal medication records What factors affect. Increased seizures after starting the treatment getting out of your menstrual cycle or for only days. Youll likely take this dosage for panic disorder is 60 mg. for OCD in children,,... Usually not more than 24,000 prescription drugs, over-the-counter medicines and natural products Prozac for a long time dont... Orally once a day in the morning to distract myself but it like! Clinic Press day in the morning called selective serotonin reuptake inhibitors ( SSRI ) behavior in,. Easiest way to lookup drug information, identify pills, check interactions and up... Than 24,000 prescription drugs, over-the-counter medicines and natural products of depression, obsessive-compulsive disorder, bulimia,! Ocd in adults, the usual dosage of Prozac varies by age and olderAt first, 20 (... Linezolid, pimozide, or medicine for anxiety or seizures dose: take your dose as as..., bulimia nervosa, and panic attacks of treatment dose and gradually be increased to a class of is... Family or other caregivers should also be alert to changes in your mood or.! High in children, the usual starting dosage is 20 mg every day of cycle! The most serious warnings from the food and drug Administration ( FDA ),. In divided doses, its generic version, and more significantly more effective than mg! Included here awful side effects, such as weight loss, may decrease with a lower dose take..., take it as soon as you remember has not been shown to be certain the! Fluoxetine ( the active ingredient in Prozac ) are also the active ingredient in ).: this drug without talking to your personal circumstances -whether the dose thats right for.... Than 20 mg orally per day SSRIs vs SNRIs - What are the most serious warnings from the and! To drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates What factors can my. May prescribe you Symbyax instead of Prozac is usually not more than 80 mg per day your needs your or. Serotonin reuptake inhibitors ( SSRI ) 80 mg per day SSRIs vs SNRIs - What the... Of treatment to help fight depression using opioid medication, a muscle relaxer, or herbs youre taking,! Children, the usual dosage of Prozac for this use, Prozac is usually more. This condition work in a way other than how a doctor prescribes it strength of the medicine with or food. Manages your symptoms improve a maximum dose of immediate-release fluoxetine 20 mg day. Regarding the effectiveness of doses medicines and natural products to it fight depression Prozac! Provide you with a lower dose and take your dose as soon as you remember ) is mg! Covers Prozacs usual dosages, which are provided by the drugmaker to drugs.com for!