About fluoxetine hcl
Selective serotonin reuptake inhibitor (SSRI)
Used for
- Depression
- Obsessive-compulsive disorder
- Panic disorder
- Bulimia nervosa
Usual adult dose
Usually 20 mg once daily initially; dose may be adjusted by condition and response.
Usual dose in children
For depression, ages 8–18: usually 10 mg daily initially, increasing to 20 mg daily if needed. OCD dosing varies by age.
Common side effects
- Nausea, diarrhea, or reduced appetite
- Headache or trouble sleeping
- Anxiety or restlessness
- Sexual problems
Important warnings
- May increase suicidal thoughts in children, teens, and young adults, especially early in treatment.
- Can cause serotonin syndrome, particularly with other serotonin-raising medicines.
- Do not stop suddenly without medical guidance; withdrawal symptoms may occur.
- May trigger mania or increase bleeding risk.
Pregnancy
Use requires careful consideration; late-pregnancy exposure may cause newborn adaptation problems. Do not stop prescribed treatment without medical guidance.
Breastfeeding
Fluoxetine enters breast milk and may accumulate; discuss infant monitoring and treatment options with a healthcare professional.
Interactions
- MAO inhibitors: risk of serious serotonin syndrome; separation is required.
- Other serotonergic medicines, including tramadol and triptans, may increase serotonin syndrome risk.
- Blood thinners and NSAIDs may increase bleeding risk.
- Thioridazine and pimozide can cause serious heart rhythm problems with fluoxetine.
AI-generated from general medical knowledge, not from this product's official leaflet. It may be incomplete or out of date. Not medical advice — ask a pharmacist or doctor before making any decision.