What other information should I know?
Keep all appointments with your doctor.
Before having any laboratory test (especially those that involve methylene blue), tell your doctor and the laboratory personnel that you are taking Flutinax.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
How should this medicine be used?
Flutinax (Prozac) comes as a capsule, a tablet, a delayed-release (releases the medication in the intestine) capsule, and a solution (liquid) to take by mouth. Flutinax may be taken with or without food. Flutinax (Sarafem) comes as a capsule to take by mouth. Flutinax (Prozac) capsules, tablets, and liquid are usually taken once a day in the morning or twice a day in the morning and at noon. Flutinax delayed-released capsules are usually taken once a week. Flutinax (Sarafem) is usually taken once a day, either every day of the month or on certain days of the month. Take Flutinax at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Flutinax exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Your doctor may start you on a low dose of Flutinax and gradually increase your dose.
It may take 4 to 5 weeks or longer before you feel the full benefit of Flutinax. Continue to take Flutinax even if you feel well. Do not stop taking Flutinax without talking to your doctor. If you suddenly stop taking Flutinax, you may experience withdrawal symptoms such as mood changes, irritability, agitation, dizziness, numbness or tingling in the hands or feet, anxiety, sweating, confusion, headache, tiredness, and difficulty falling asleep or staying asleep. Your doctor will probably decrease your dose gradually.
More common side effects
The more common side effects of Flutinax can include:
- strange dreams
- decreased sex drive and trouble having an orgasm
- decreased appetite
- anxiety and nervousness
- dry mouth
- erectile dysfunction (trouble getting or keeping an erection)
- trouble sleeping
- sore throat
- watery nasal discharge
- sweating and hot flashes
- tremors (uncontrollable rhythmic movement in one part of your body)
If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist.
Initiate treatment with PROZAC 10 mg/day. After one week, increase the dose to 20 mg/day. Consider a dose increase after several weeks if no clinical improvement is observed. Flutinax doses above 60 mg/day have not been systematically evaluated in patients with Panic Disorder. In the controlled clinical trials of Flutinax supporting its effectiveness in the treatment of Panic Disorder, patients were administered Flutinax doses in the range of 10 to 60 mg/day . The most frequently administered dose in the 2 flexible-dose clinical trials was 20 mg/day.
Periodically reassess to determine the need for continued treatment.
History and Etymology for Flutinax
International Scientific Vocabulary, probably from fluor- + oxy + m ethyl + am ine
Wiktionary (0.00 / 0 votes) Rate this definition:
Eli Lilly trademark name for Flutinax.
Q: Is Prozac really safe to take for a lifetime at 50 mg daily? I am male and 66. Is it safe with natural nutrient/supplement blood-thinners like fish oils, vitamin E, and others? The fact sheet says, "Proceed with caution with anything which affects platelet-action." Is it safe if you are also a heavy cocoa drinker in view of cocoa's relatively high content of tryptophan and monoamine oxidase inhibitor?
A: Your question regards if Prozac (Flutinax) //www.everydayhealth.com/drugs/prozac is safe to take for a lifetime at 50 mg per day. You also asked if it is safe to take with natural blood thinners and if you are a heavy cocoa drinker. According to Lexi-Comp, Prozac is dosed anywhere between 20 mg to 60 mg per day depending on the indication. The maximum amount that is recommended is 80 mg/day. Unfortunately, I can not say one way or the other if the medication will be safe to take for your entire lifetime. There are a lot of factors that play into this. I will say though that when evaluating taking a medication, the patient and the physician must take into consideration the benefits and the risks associated with the medication. If you begin experiencing adverse reactions from the medication or if it is not an effective treatment, then you and your physician may need to consider another therapy. According to Lexi-Comp, Prozac can interact with medications that thin the blood or have anti-platelet effects. Please talk to your health care provider to see if you should be on the fish oils and vitamin E while taking Prozac. According to Lexi-Comp, recommendation on management of this interaction if it is necessary for the patient to be on the combination is to closely monitor the patient for signs and symptoms of bleeding or excessive bruising. The therapy should be monitored by your physician. I understand your reasoning with concerns about cocoa and Prozac, but could not find any well-documented information regarding this. Lexi-Comp did not mention anything in the dietary considerations specific to cocoa and Prozac. However, there is mention that caffeine should be avoided while on the medication and sometimes cocoa contains caffeine. I did come across a research article that hypothesized that after a patient taking Prozac ate chocolate he developed a rash that may have been attributed to the patient being very sensitive to activity in the serotonergic system at the dermal and epidermo-dermal junctional area. As always, talk with your health care provider regarding questions you have about your medications and interactions between medications and supplements. Always talk with your health care provider before beginning to take over-the-counter supplements so that it can be determined if the supplement is appropriate for you. Jen Marsico RPh
Flutinax side effects
Get emergency medical help if you have signs of an allergic reaction to Flutinax: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have:
blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
signs of high levels of serotonin in the body--agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting;
signs of low levels of sodium in the body--headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady;
very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out; or
severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Common Flutinax side effects may include:
sleep problems (insomnia), strange dreams;
headache, dizziness, vision changes;
tremors or shaking, feeling anxious or nervous;
pain, weakness, yawning, tired feeling;
upset stomach, loss of appetite, nausea, vomiting, diarrhea;
dry mouth, sweating, hot flashes;
changes in weight or appetite;
stuffy nose, sinus pain, sore throat, flu symptoms; or
decreased sex drive, impotence, or difficulty having an orgasm.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Mixing Flutinax with herbal remedies and supplements
Do not take St John's wort, the herbal remedy for depression, while you are being treated with Flutinax as this will increase your risk of side effects.
Q: Does Prozac cause weight gain?
A: Prozac (Flutinax) is classified as a selective serotonin reuptake inhibitor (SSRI) antidepressant. Prozac is approved for the treatment of depression, binge-eating, and vomiting in patients with bulimia, obsessive compulsive disorder (OCD), premenstrual dysphoric disorder (PMDD), panic disorder and with other medication to treat bipolar disorder. According to medical references, weight gain is a possible reported side effect of Prozac. Increased appetite and weight loss are also listed side effects of the medication. These are not a complete list of side effects associated with the use of Prozac. Drugs can cause weight gain in several different ways. Some can increase appetite or make you crave certain types of foods like those high in carbohydrates or fat. Other medications may slow down metabolism or cause fluid retention. However, the effect of prescription drugs on body weight is complex. Some drugs have no effect on weight, while others cause weight gain or weight loss. Also, the same medications can cause weight gain in certain individuals and weight loss in others. There are also drugs that initially cause weight loss and then lead to weight gain with long-term use. Most prescription medications associated with changes in body weight affect the central nervous system. These include antidepressants like monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and selective serotonin reuptake inhibitors (SSRIs). Mood stabilizers (lithium, valproic acid), antipsychotics, and anticonvulsants have also been linked with weight gain. Other drugs that have been reported to cause weight gain include diabetes medications (insulin, sulfonylureas, and thiazolidinediones), antihypertensive drugs, certain hormonal contraceptives, corticosteroids, antihistamines, some chemotherapy regimens, and antiretroviral protease inhibitors. If you think a drug you are taking is causing weight gain, tell your health care provider. Do not stop any medication or change the dose without first talking to your provider. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Jen Marsico, RPh
Other uses for this medicine
Flutinax is also sometimes used to treat alcoholism, attention-deficit disorder, borderline personality disorder, sleep disorders, headaches, mental illness, posttraumatic stress disorder, Tourette's syndrome, obesity, sexual problems, and phobias. Talk to your doctor about the possible risks of using this medication for your condition.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Q: Does Flutinax (Prozac) make you gain weight?
A: Weight changes are common side effects with the selective serotonin reuptake inhibitors (SSRIs), the class of drugs that includes Prozac (Flutinax). There are a variety of medications in this class and some cause more weight gain than others. Switching agents may or may not help. Consult your healthcare provider about any unusual weight gain and to see if changing medications is appropriate based on your specific circumstances. Do not stop or change the amount of medication you take without talking to your healthcare provider first. You may also find helpful information at //www.everydayhealth.com/drugs/prozac Sarah Lewis, PharmD
Q: I'm currently taking Prozac 10 mg and I'm wondering if this could be impacting my weight, the swollenness/redness in my face?
A: According to the literature available for Prozac (Flutinax), changes in weight were a reported side effect. The studies have shown that various types of dermatologic side effects were reported. If you are experiencing unusual or bothersome symptoms while taking Prozac (Flutinax), you may want to speak to your health care provider to determine the cause. For additional information regarding Prozac (Flutinax) you may want to visit our Web site: //www.everydayhealth.com/drugs/prozac.