Fluoxetine

MDD: Start with 20mg per day. A maximum dose of 80mg per day may be necessary.

OCD: The typical dose is 20mg to 60mg per day.

Bulimia Nervosa: Typically 60mg per day.

Panic Disorder: Begin with 10mg per day and can increase to a maximum of 60mg per day.

PMDD: Usually start with 20mg per day and adjust as needed.

PTSD: 20mg to 60mg per day.

Social Anxiety Disorder: The standard dose is 20mg to 60mg per day. These dosage suggestions are typical guidelines; however, the patient's doctor will ultimately determine the correct dosage based on individual health status and treatment response.

For pediatric dosing, please consult the primary care provider first. Here are the standard pediatric dosing by

• For depression or OCD, it's usually 10-20 mg daily to start and can go up to 60 mg daily if needed.
• For bulimia, it's usually 60 mg daily.
• For panic disorder, it starts at 10 mg daily and can go up to 60 mg daily if needed.

People allergic to fluoxetine or similar medications: If fluoxetine causes you to break out in hives or makes you struggle to breathe, you'll want to skip this one.

Recent MAOI users: If you've used a type of antidepressant called an MAOI in the last two weeks, you can't take fluoxetine. The combo could cause some serious problems.

Glaucoma: If you've got this eye condition, fluoxetine might not be your best bet.

Take it slow: Fluoxetine doesn't work instantly - it can take a few weeks to kick in. So don't stress if you're not feeling 100% right away.

Food is your friend: Try to take fluoxetine with some grub. It helps to keep your tummy from getting upset.

Be consistent: It's essential to take your fluoxetine at the same time each day to keep a steady amount in your body.

Skip the booze: Alcohol can mix badly with fluoxetine, so it's a good idea to avoid drinking while you're taking this medication.

Don't quit cold turkey: If you want to stop taking fluoxetine, talk to your doc first. They'll help you slowly reduce your dose to avoid withdrawal symptoms.

Sexual Life: Fluoxetine can sometimes mess with your sex drive. If this happens, don't be embarrassed to talk to your doctor about it.

Watch for mood changes: If you notice any new or worsening feelings of depression or thoughts of harming yourself, reach out to your healthcare provider right away.

• Nausea or vomiting
• Trouble sleeping
• Shakiness or nervousness
• Excess sweating
• Losing your appetite
• Diarrhea or constipation
• Changes in sex drive or ability

• Weight changes

• If you've taken an MAOI recently, wait at least 14 days before starting fluoxetine to avoid serious serotonin syndrome.
• Watch for worsening depression or anxiety, especially early on or with dose changes. If you have any thoughts of self-harm, contact your doctor immediately.
• Fluoxetine can cause drowsiness or dizziness, so be careful driving or using machinery until you know how it affects you.
• If you have glaucoma, fluoxetine could make it worse. Talk to your doctor about alternatives.
• Don't stop fluoxetine suddenly—work with your doctor to taper off gradually to avoid withdrawal symptoms.

• Monoamine oxidase inhibitors (MAOIs), such as selegiline and phenelzine
• Other SSRIs, like citalopram and sertraline
• Serotonin and norepinephrine reuptake inhibitors (SNRIs), like venlafaxine and duloxetine
• Some antipsychotics, like clozapine and thioridazine
• Certain migraine medications, like sumatriptan and zolmitriptan
• Blood thinners, like warfarin
• Pimozide
• Certain heart rhythm medications, like amiodarone and quinidine

• Bipolar disorder
• Liver disease
• Kidney disease
• Seizure disorder
• Diabetes
• Glaucoma
• History of drug abuse or suicidal thoughts