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Seek medical attention right away if any of these severe side effects occur: severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bizarre behavior; black or bloody stools; chest pain; confusion; exaggerated reflexes; excessive sweating; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; increased urination; joint or wrist aches or pain; loss of coordination; new or worsening agitation, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; persistent or severe ringing in the ears;persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent anxiety or trouble sleeping; significant weight loss; stomach pain; suicidal thoughts or attempts; tremor; unusual bruising or bleeding; unusual hoarseness; unusual or severe mental or mood changes; unusual swelling; vision changes; worsening of depression.

FDA pregnancy category C. Fluoxetine (Prozac) may cause serious lung problems in a newborn if you take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you become pregnant while taking Fluoxetine (Sarafem), do not stop taking the medication without first talking to your health care professional. Fluoxetine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your healthcare professional if you are breast-feeding a baby. Do not give Fluoxetine (Sarafem) to anyone younger than 18 years old without a healthcare professional's advice.

You must wait at least 14 days after stopping an MAO inhibitor before you can take Fluoxetine (Prozac). You must wait 5 weeks after stopping Fluoxetine (Sarafem) before you can take thioridazine (Mellaril) or an MAOI.

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Fluoxetine for Depression: I have taken Fluoxetine for about fifteen years. No more cyclical valleys of depression followed by highs. Capable of handling extreme stress, exercising, weekly sex - reduced libido. My weight has stayed the SAME. The two to three times of exercising a week is all it takes to be healthy. Only downside is acting out dreams 3-4 times a year and kicking legs while sleeping. The dreams I can't predict. The kicking legs can be sensed in early evening and I just take two Liquid Advils to subdue them. Life Is Good!

Fluoxetine (Prozac) for Premenstrual Dysphoric Disorder: I started taking Fluoxetine for my severe PMS about 2 months ago and am SHOCKED at how well it has worked for me! I take it for about 7 days before my cycle - the same week that normally I would be paralyzed with anxiety and absurd thoughts due to my PMS. The Fluoxetine worked the first day. What is also odd is the rest of the month was even better, even though I wasn't taking anything. The 15mg was a little too much for me -- I was WAY TOO HAPPY --- but splitting it in half is perfect.

Fluoxetine for Depression: It took me a long time to realize that I had an issue with depression and finally talked to my healthcare professional about it. I have no excuse for depression, I have a wonderful life, two beautiful boys and a wonderful husband but I would get such an overwhelming sense of sadness that would just envelope me and I couldn't even smile. Not every day, not even all day. I have been on this drug for a month now and WHAT A DIFFERENCE. I don't get the sadness at all anymore and I'm not as 'edgy'. It hasn't changed who I am but has allowed me to live my life.

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Victoria Wood: I sometimes think that being widowed is God's way of telling you to come off the Pill.

Lewis Thomas: As a people, we have become obsessed with Health. There is something fundamentally, radically unhealthy about all this. We do not seem to be seeking more exuberance in living as much as staving off failure, putting off dying. We have lost all confidence in the human body.

Graham Chapman: Health care does not worry me a great deal. I've been impressed by some wonderful old people.

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Usual Pediatric Fluoxetine (Prozac) dose for Obsessive Compulsive Disorder. 6 years or younger: Safety and efficacy have not been established. 7 years to less than 18 years: Initial Fluoxetine (Sarafem) dosage: 10 mg orally once daily. Adolescents and higher weight children: After 2 weeks at 10 mg/day, the Fluoxetine (Sarafem) dosage should be increased to 20 mg/day. Additional Fluoxetine (Sarafem) dosage increases may be considered after several more weeks if clinical improvement is insufficient. A Fluoxetine (Prozac) dosage range of 20 to 60 mg/day is recommended.

Check with your doctor if any of these most common side effects persist or become bothersome: anxiety; decreased sexual desire or ability; diarrhea; dizziness; drowsiness; dry mouth; increased sweating; loss of appetite; nausea; nervousness; stomach upset; trouble sleeping; weakness.

Usual Adult Fluoxetine (Sarafem) dose for Premenstrual Dysphoric Disorder - Initial Fluoxetine dosage: 20 mg orally once daily. Maintenance Fluoxetine (Sarafem) dose: 20 mg/day continuously or, alternatively, 20 mg/day during the luteal phase of the menstrual system (the 14 days prior to the anticipated start of menses). The 20 mg/day dosage has been shown to be effective for up to six months of treatment. A 60 mg/day dosage has also been studied, but has not been shown to be significantly more effective than 20 mg/day. Maximum Fluoxetine dose: 80 mg/day.

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Fluoxetine (Sarafem) for Depression: I've been on Fluoxetine (Sarafem) for 17 years, and it's still a miracle drug for me. It definitely saved my life. I tried going off of it, and that was a mistake. Fortunately, it still works for me.

Fluoxetine (Prozac) for Depression: I have been on Fluoxetine (Prozac) since I had post natal depression in 1994. It has saved my life and my marriage. I take 20mgs but my only son left home recently to go overseas and join the army so my doctor increased the dose to 30mg as I have been feeling anxious and not sleeping as well.

Fluoxetine for Depression: I have been on Fluoxetine (Sarafem) for about 3 months after being diagnosed with Dysthymia( 40 year old male ) and can positively say that it has improved my quality of life. In retrospect, I have felt "dysthymic" probably since early adulthood, and it took me so long to find out why I felt this way. It was only after doing my own internet searches that I found a condition which was exactly how I had been feeling for so long (..and this is the important point to note about Dysthymia - many people have it for so long, that they just accept that the depressive feelings etc. are part of their personality). I had a few side effects early on - mainly nausea, but that subsided after a couple of weeks. After a very long time in my life - I feel positive!

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