Fluoxetine Online

How and where to order Fluoxetine Hydrochloride (Prozac, Sarafem) 10 mg, 20 mg, 40 mg, 60 mg capsules or tablets online on Gold Star Family Support Center:

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Fluoxetine (trade names include Prozac, Sarafem, Flunil, Prozac Weekly, Fluoxetina Sandoz, Pragmaten, Adofen, Apo-Fluoxetine, Deprex, Floxet, Fludac, Fluoxeren, Fluoxetin Neuraxpharm, Fluoxetine Biogaran, Fluxet, Fluxil, Lovan, Motivest, Mylan-Fluoxetine, Oxactin, Prozac Dispersable, Fluoxetine Actavis, Salipax, Sandoz Fluoxetine, Seromex, Seronil, Teva-Fluoxetine) is an antidepressant medication from selective serotonin reuptake inhibitors (SSRI) pharmacological group. This medicine is used for the treatment of major depressive disorder, depressive disorder in adults, adolescents and children 8 years of age and over; obsessive-compulsive disorder (OCD), panic disorder, post-traumatic stress disorder (PTSD), bulimia nervosa (an eating disorder), trichotillomania, premature ejaculation, cataplexy, obesity, alcohol dependence, binge eating disorder, adult autism. Prozac and Sarafem are also indicated to treat premenstrual dysphoric disorder (PMDD), a severe form of premenstrual syndrome (PMS). Fluoxetine Hydrochloride is one of the world's most widely prescribed antidepressants. This medicine helps patients with depression and anxiety by increasing the availability of serotonin in the brain.

Prozac (Fluoxetine Hydrochloride)

Related medications:

Alaproclate (Alaproclate)

Amitriptyline (Elavil, Endep)

Aripiprazole (Abilify)

Citalopram (Celexa)

Doxepin (Sinequan)

Duloxetine (Cymbalta)

Escitalopram (Lexapro)

Etoperidone (Depraser)

Fluvoxamine (Faverin)

Gabapentin (Neurontin)

Imipramine (Tofranil)

Mirtazapine (Remeron)

Nortriptyline (Pamelor)

Paroxetine (Paxil)

Quetiapine (Seroquel)

Sertraline (Zoloft)

Trazodone (Desyrel)

Venlafaxine (Effexor)

Zimeldine (Normud)

Pharmacological and medical categories:

Antidepressants

Anti-anxiety medications

Selective serotonin reuptake inhibitors (SSRI)

ATC codes:

N - Nervous system

N06 - Psychoanaleptics

N06A - Antidepressants

N06AB - Selective serotonin reuptake inhibitors

N06AB03 - Fluoxetine

ICD-10 codes:

Overweight and obesity - E66

Alcohol related disorders - F10

Alcohol dependence - F10.2

Mood [affective] disorders - F30-F39

Bipolar affective disorder - F31

Major depressive disorder, single episode - F32

Premenstrual dysphoric disorder - F32.81

Major depressive disorder, recurrent - F33

Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders - F40-F48

Other anxiety disorders - F41

Panic disorder [episodic paroxysmal anxiety] - F41.0

Obsessive-compulsive disorder - F42

Reaction to severe stress, and adjustment disorders - F43

Post-traumatic stress disorder (PTSD) - F43.1

Eating disorders - F50

Bulimia nervosa - F50.2

Binge eating disorder - F50.81

Sexual dysfunction not due to a substance or known physiological condition - F52

Premature ejaculation - F52.4

Impulse disorders - F63

Trichotillomania - F63.3

Pervasive developmental disorders - F84

Autistic disorder - F84.0

Sleep disorders - G47

Narcolepsy and cataplexy - G47.4

Pain and other conditions associated with female genital organs and menstrual cycle - N94

Indications and usage:

Prozac (Fluoxetine Hydrochloride) is a selective serotonin reuptake inhibitor indicated for:

Acute and maintenance treatment of major depressive disorder (MDD).

Acute and maintenance treatment of obsessive compulsive disorder (OCD).

Acute and maintenance treatment of bulimia nervosa.

Acute treatment of panic disorder, with or without agoraphobia.

Prozac and olanzapine in combination for treatment of:

Acute depressive episodes associated with bipolar I disorder.

Treatment resistant depression.

Dosage and administration:

Take Prozac exactly as prescribed. Your healthcare provider may need to change the dose of this medication until it is the right dose for you.

Fluoxetine capsules may be taken with or without food.

If you miss a dose of Prozac, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of fluoxetine at the same time.

If you take too much of this drug, call your healthcare provider or poison control center right away, or get emergency treatment.

A lower or less frequent dosage should be used in patients with hepatic impairment, the elderly, and for patients with concurrent disease or on multiple concomitant medications.

Dosage forms and strengths:

Prozac (Fluoxetine Hydrochloride) capsules or pulvules: 10 mg, 20 mg, 40 mg, 60 mg.

Sarafem (Fluoxetine Hydrochloride) tablets: 10 mg, 15 mg, 20 mg.

Overdosage:

For current information on the management of Prozac overdose, contact your local certified poison control center. Treatment should consist of those general measures employed in the management of overdosage with any drug. Consider the possibility of multi-drug overdose.

Ensure an adequate airway, oxygenation, and ventilation. Monitor cardiac rhythm and vital signs. Use general supportive and symptomatic measures. Induction of emesis is not recommended.

Activated charcoal should be administered. Due to the large volume of distribution of this drug, forced diuresis, dialysis, hemoperfusion, and exchange transfusion are unlikely to be of benefit. No specific antidotes for fluoxetine are known.

A specific caution involves patients who are taking or have recently taken fluoxetine and might ingest excessive quantities of a TCA. In such a case, accumulation of the parent tricyclic and/or an active metabolite may increase the possibility of clinically significant sequelae and extend the time needed for close medical observation.

Contraindications:

Serotonin Syndrome and MAOIs: do not use MAOIs intended to treat psychiatric disorders with Prozac or within 5 weeks of stopping treatment with Fluoxetine. Do not use this medicines within 14 days of stopping an MAOI intended to treat psychiatric disorders. In addition, do not start Prozac in a patient who is being treated with linezolid or intravenous methylene blue.

Pimozide: do not use. Risk of QT prolongation and drug interaction.

Thioridazine: do not use. Risk of QT interval prolongation and elevated thioridazine plasma levels. Do not use thioridazine within 5 weeks of discontinuing Fluoxetine HCl. Do not use thioridazine within 5 weeks of discontinuing Prozac.

Warnings and precautions:

Suicidal Thoughts and Behaviors in Children, Adolescents, and Young Adults: monitor for clinical worsening and suicidal thinking and behavior.

Serotonin Syndrome: serotonin syndrome has been reported with SSRIs and SNRIs, including Prozac, both when taken alone, but especially when co-administered with other serotonergic agents (including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. John's Wort). If such symptoms occur, discontinue Prozac and initiate supportive treatment. If concomitant use of Fluoxetine capsules with other serotonergic drugs is clinically warranted, patients should be made aware of a potential increased risk for serotonin syndrome, particularly during treatment initiation and dose increases.

Allergic Reactions and Rash: discontinue upon appearance of rash or allergic phenomena.

Activation of Mania/Hypomania: screen for bipolar disorder and monitor for mania/hypomania.

Seizures: use cautiously in patients with a history of seizures or with conditions that potentially lower the seizure threshold.

Altered Appetite and Weight: significant weight loss has occurred.

Abnormal Bleeding: may increase the risk of bleeding. Use with NSAIDs, aspirin, warfarin, or other drugs that affect coagulation may potentiate the risk of gastrointestinal or other bleeding.

Angle-Closure Glaucoma: angle-closure glaucoma has occurred in patients with untreated anatomically narrow angles treated with antidepressants.

Hyponatremia: has been reported with Prozac in association with syndrome of inappropriate antidiuretic hormone (SIADH). Consider discontinuing if symptomatic hyponatremia occurs.

Anxiety and Insomnia: may occur.

QT Prolongation: QT prolongation and ventricular arrhythmia including Torsades de Pointes have been reported with Prozac use. Use with caution in conditions that predispose to arrhythmias or increased fluoxetine exposure. Use cautiously in patientswith risk factors for QT prolongation.

Potential for Cognitive and Motor Impairment: has potential to impair judgment, thinking, and motor skills. Use caution when operating machinery.

Long Half-Life: changes in dose will not be fullyreflected in plasma for several weeks.

Side effects, adverse reactions:

Most common adverse reactions ( >= 5% and at least twice that for placebo) associated with major depressive disorder, obsessive compulsive disorder, bulimia, and panic disorder: abnormal dreams, abnormal ejaculation, anorexia, anxiety, asthenia, diarrhea, dry mouth, dyspepsia, flu syndrome, impotence, insomnia, libido decreased, nausea, nervousness, pharyngitis, rash, sinusitis, somnolence, sweating, tremor, vasodilatation, and yawn.

To report suspected adverse reactions, contact Eli Lilly pharmaceutical company or your local FDA.

Drug interactions:

Monoamine Oxidase Inhibitors (MAOIs).

Drugs Metabolized by CYP2D6: fluoxetine is a potent inhibitor of CYP2D6 enzyme pathway.

Tricyclic Antidepressants (TCAs): monitor TCA levels during coadministration with Prozac or when Fluoxetine HCl has been recently discontinued.

CNS Acting Drugs: caution should be used when taken in combination with other centrally acting drugs.

Benzodiazepines: diazepam - increased T1/2, alprazolam - further psychomotor performance decrement due to increased levels.

Antipsychotics: potential for elevation of haloperidol and clozapine levels.

Anticonvulsants: potential for elevated phenytoin and carbamazepine levels and clinical anticonvulsant toxicity.

Serotonergic drugs.

Drugs that Interfere with Hemostasis (e.g. NSAIDs, Aspirin, Warfarin): may potentiate the risk of bleeding.

Drugs Tightly Bound to Plasma Proteins: may cause a shift in plasma concentrations.

Olanzapine: when used in combination with Prozac, also refer to the Drug Interactions section of the package insert for Symbyax.

Drugs that Prolong the QT Interval: do not use Prozac with thioridazine or pimozide. Use with caution in combination with other drugs that prolong the QT interval.

Use in specific populations:

Pregnancy

SSRI use, particularlylater in pregnancy, may increase risk for persistent pulmonary hypertension and symptoms of poor adaptation (respiratory distress, temperature instability, feeding difficulty, hypotonia, tremor, irritability) in the neonate.

Pediatric Use

Safety and effectiveness of Prozac pills in patients < 8 years of age with Major Depressive Disorder and < 7 years of age with OCD have not been established. Safety and effectiveness of Prozac and olanzapine in combination in patients < 10 years of age for depressive episodes associated with Bipolar I Disorder have not been established.

Hepatic impairment

Lower or less frequent dosing may be appropriate in patients with cirrhosis.

Pregnancy categories:

C - Australia

C - United States (Risk cannot be ruled out)

Salts and other forms:

Fluoxetine Base

Fluoxetine Hydrochloride

Synonyms, international and chemical names:

3-(p-Trifluoromethylphenoxy)-N-methyl-3-phenylpropylamine

Benzenepropamine, N-methyl-gamma-(4-(trifluoromethyl)phenoxy)-

Clorhidrato de Fluoxetina

DL-3-(P-Trifluoromethylphenoxy)-N-methyl-3-phenylpropylamine

Fluoksetiini

Fluoksetin

Fluoksetino

Fluoksetyna

Fluoxetene

Fluoxetin

Fluoxetina

Fluoxetine HCl

Fluoxetinum

Methyl-[3-phenyl-3-(4-trifluoromethyl-phenoxy)-propyl]-amine

N-Methyl-3-(p-trifluoromethylphenoxy)-3-phenylpropylamine

Brands, generics, trade names:

Actan - Saval Laboratorios, Eurolab

Adofen - Ferrer Farma

Alental - Soubeiran Chobet

Andepin - Synteza Przedsiebiorstwo Farmaceutyczno-Chemiczne

Anisimol - Medipharm

Anoxen - Roemmers Laboratorios

Antiprestin - Pharos Indonesia

Apo-Fluoxetine - Apotex, Pharmaforte

Auscap - Sigma Pharmaceuticals

CO Fluoxetine - Dr. Reddy's Laboratories

Dawnex - Micro Labs

Deprex - Zentiva

Deprozan - Meridian Pharma

Digassim - Vitoria Laboratorios

Farmaxetina - Investigacion Farmaceutica

Floxet - Egis, Mekim

Fluctine - Eli Lilly, Alpharma Laboratorios

Fludac - Cadila Pharmaceuticals

Flunil - Intas Pharmaceuticals

Fluocim - Cimex Pharmazeutika, Siegfried CMS, Teva

Flutinol - Sun Pharmaceutical Industries

Fluox - AbZ-Pharma, Basics, Pacific Pharmaceuticals

Fluoxac - Psicofarma Laboratorio

Fluoxeren - Menarini

Fluoxetin - Actavis, Azupharma, Betapharm Arzneimittel, CT-Arzneimittel, Helvepharm, Mepha, Neuraxpharm Arzneimittel, Ratiopharm, Sandoz, Stada, TAD Pharma, Teva

Fluoxetina - Chile Laboratorios, Sandoz, Sanitas Laboratorio Chimico Farmaceutico

Fluoxetine - Actavis, Alphapharm, Alpharma, Arrow Generiques, Biogaran, Dr. Reddy's Laboratories, Eon Labs, Genpharm, Hexal, IVAX, Mallinckrodt, Merck, Mutual Pharmaceuticals, Mylan, Pliva, Pro Doc, Ranbaxy, Ratiopharm, Recordati, Sandoz, Sanofi-Aventis, Teva, Wockhardt

Flutin - Gulf Pharmaceutical Industries, Julphar, East West Pharma, Orion Pharma

Flutine - Teva

Fluxene - Eurofarma Laboratorios

Fluxet - Krewel Meuselbach

Fluxil - Aegis

Foxetin - Gador, The Government Pharmaceutical Organization

Hapilux - Novartis, Sandoz

Indozul - Degort's Chemical

Ladose - Eli Lilly

Lovan - Alphapharm, Eli Lilly

Magrilan - Medochemie, Derek Marketing, Medline, Thailand, Star Medical Supplies

Motivest - Medichem Pharmaceuticals, United Laboratories

Mylan-Fluoxetine - Mylan

Nuzak - Cipla

Nycoflox - Nycomed

Oxactin - Discovery Pharmaceuticals

Pragmaten - Sanofi-Aventis

Prosac - Eli Lilly

Prozac - Eli Lilly

Prozac Dispersable - Eli Lilly

Prozac Weekly - Eli Lilly

Prozamel - Clonmel Healthcare

Psiquial - Merck

Salipax - Mepha, Mepharm Malaysia

Sandoz Fluoxetine - Sandoz

Sarafem - Eli Lilly, Warner Chilcott

Seromex - Ratiopharm

Seronil - Sandoz, Orion Pharma

Stressless - Faran Laboratories

Teva-Fluoxetine - Teva

Tuneluz - Baldacci Farmoquimica

Verotina - Libbs Farmaceutica

Xeredien - Valeas

Zactin - Alphapharm, Merck, Serono, Zuellig Pharma

APIs used in medicine in combinations with fluoxetine:

Alprazolam

Olanzapine

Here is a list of popular medications containing fluoxetine as a main active pharmaceutical ingredient; their trade names, forms, doses, companies - manufacturers, distributors, suppliers, researchers and developers:

Trade name of the drug	Pharmaceutical forms and doses	Companies
Fluoxetine	Capsules; Oral; Fluoxetine Hydrochloride 10 mg Capsules; Oral; Fluoxetine Hydrochloride 20 mg Capsules; Oral; Fluoxetine Hydrochloride 40 mg Tablets, Dispersible; Oral; Fluoxetine Hydrochloride 20 mg	Mylan
Flutine	Capsules; Oral; Fluoxetine Hydrochloride 20 mg Syrup; Oral; Fluoxetine Hydrochloride 20 mg / 5 ml	Teva Central Poly Trading Pharmasant Laboratories Reliance
Prozac	Capsules; Oral; Fluoxetine Hydrochloride 10 mg Capsules; Oral; Fluoxetine Hydrochloride 20 mg Capsules; Oral; Fluoxetine Hydrochloride 40 mg Capsules; Oral; Fluoxetine Hydrochloride 60 mg Capsules; Oral; Fluoxetine Hydrochloride 90 mg Solution; Oral; Fluoxetine Hydrochloride 20 mg / 5 ml Tablets, Dispersible; Oral; Fluoxetine Hydrochloride 20 mg Tablets, Soluble; Oral; Fluoxetine Hydrochloride 20 mg Tablets; Oral; Fluoxetine Hydrochloride 10 mg Tablets; Oral; Fluoxetine Hydrochloride 20 mg	Eli Lilly Aktuapharma Diethelm Dista DKSH Four Star Olympo Pharma Patheon Y.C. Woo Zuellig Pharma
Sarafem	Capsules; Oral; Fluoxetine Hydrochloride 10 mg Capsules; Oral; Fluoxetine Hydrochloride 20 mg Tablets; Oral; Fluoxetine Hydrochloride 10 mg Tablets; Oral; Fluoxetine Hydrochloride 15 mg Tablets; Oral; Fluoxetine Hydrochloride 20 mg	Eli Lilly Warner Chilcott

References:

Fluoxetine main article on Wikipedia: https://en.wikipedia.org/wiki/Fluoxetine

Fluoxetine compound on PubChem: https://pubchem.ncbi.nlm.nih.gov/compound/Fluoxetine

Fluoxetine Hydrochloride compound on PubChem: https://pubchem.ncbi.nlm.nih.gov/compound/Fluoxetine-hydrochloride

Fluoxetine medicine on DrugBank: https://go.drugbank.com/drugs/DB00472

Fluoxetine Hydrochloride on DrugBank: https://go.drugbank.com/salts/DBSALT000087

Fluoxetine FAQ on MedlinePlus (revised 03/15/2020): https://medlineplus.gov/druginfo/meds/a689006.html

Prozac (Fluoxetine Hydrochloride) capsules drug label on DailyMed (revised October 27, 2009): https://dailymed.nlm.nih.gov/dailymed/drugInfo...

Sarafem (Fluoxetine Hydrochloride) tablets drug label on DailyMed (revised January 1, 2017): https://dailymed.nlm.nih.gov/dailymed/lookup...

Fluoxetine Hydrochloride capsules drug label on DailyMed (revised February 4, 2019): https://dailymed.nlm.nih.gov/dailymed/drugInfo...

Fluoxetine containing drugs on Drugs-About.com: https://drugs-about.com/ing/fluoxetine.html

Fluoxetine for sale on Pharma Doctor: https://pharma-doctor.com/fluoxetine.html

Prozac (Fluoxetine Hydrochloride) capsules and delayed-release capsules for oral use official prescribing information and medication guide from the U.S. FDA (revised 01/2017): https://www.accessdata.fda.gov/drugsatfda_docs/label/...

Sarafem (Fluoxetine Hydrochloride) tablets for oral use official prescribing information and medication guide from the U.S. FDA (revised 01/2017): https://www.accessdata.fda.gov/drugsatfda_docs/label/...

Prozac (Fluoxetine Hydrochloride) capsules for oral use official prescribing information from Eli Lilly pharmaceutical company (revised 04/2020): https://pi.lilly.com/us/prozac.pdf

Prozac (Fluoxetine Hydrochloride) capsules for oral use official medication guide from Eli Lilly pharmaceutical company (revised April 2020): http://pi.lilly.com/us/Prozac-Medguide.pdf

Fluoxetine Accord Healthcare 20 mg capsules patient information leaflet from Medicines.org.uk (revised 12/2020): https://www.medicines.org.uk/emc/files/pil.6013.pdf

Revised: April 2021