Q: I have depression and anxiety. I am highly stressed by staying home now for nearly three years with my kids who are 4 years old and 9 months old. Should i take 10 mg of Prozac or wait to see if it all goes away? I'm nervous it will make sex troublesome or cause serious side effects that I don't already have. I filled the prescription but haven't taken it for five days because I'm so nervous. What do you recommend?
A: I am curious to know how you came by the Prozac (Fondur). Is it something that was prescribed for you or for someone else? There are sexual side effects. However, 10 mg is a fairly low dosage and is not necessarily effective for all people. The biggest problem with Prozac is that its latency can be up to six weeks until an improvement can be noticed. I would contact a provider and have them suggest something that can take effect in shorter time span if they seem fit. Matt Curley, PharmD
How should this medicine be used?
Fondur (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. Fondur may be taken with or without food. Fondur (Sarafem) comes as a capsule to take by mouth. Fondur (Prozac) capsules, tablets, and liquid are usually taken once a day in the morning or twice a day in the morning and at noon. Fondur delayed-released capsules are usually taken once a week. Fondur (Sarafem) is usually taken once a day, either every day of the month or on certain days of the month. Take Fondur 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 Fondur 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 Fondur and gradually increase your dose.
It may take 4 to 5 weeks or longer before you feel the full benefit of Fondur. Continue to take Fondur even if you feel well. Do not stop taking Fondur without talking to your doctor. If you suddenly stop taking Fondur, 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.
Before taking this medicine
Do not use Fondur if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. You must wait at least 14 days after stopping an MAO inhibitor before you can take Fondur. You must wait 5 weeks after stopping Fondur before you can take thioridazine or an MAOI.
You should not use Fondur if you are allergic to it, if you also take pimozide or thioridazine, or if you are being treated with methylene blue injection.
Tell your doctor about all other antidepressants you take, especially Celexa, Cymbalta, Desyrel, Effexor, Lexapro, Luvox, Oleptro, Paxil, Pexeva, Symbyax, Viibryd, or Zoloft.
Some medicines can interact with Fondur and cause a serious condition called serotonin syndrome. Be sure your doctor knows about all other medicines you use. Ask your doctor before making any changes in how or when you take your medications.
To make sure Fondur is safe for you, tell your doctor if you have:
cirrhosis of the liver;
seizures or epilepsy;
bipolar disorder (manic depression);
a history of drug abuse or suicidal thoughts; or
if you are being treated with electroconvulsive therapy (ECT).
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.
Taking an SSRI antidepressant during pregnancy may cause serious lung problems or other complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking Fondur during pregnancy without your doctor's advice.
Fondur can pass into breast milk. Tell your doctor if you are breast-feeding a baby.
Fondur is not approved for use by anyone younger than 18 years old.
Q: What are the side effects of Prozac?
A: Prozac (Fondur) is a medication that is used to treat depression, anxiety or panic disorders. It is in the family of medications called selective serotonin reuptake inhibitors (SSRIs). This medication works on a chemical in the brain called serotonin, which helps transmit signals from one nerve to another in the brain. When this chemical becomes unbalanced, it causes a variety of different conditions, like depression. This medication helps to balance out serotonin to near normal levels, helping to alleviate the symptoms you experience. For more information on Prozac, click on this link: //www.everydayhealth.com/drugs/prozac The prescribing information for Prozac lists the following as the most common side effects of the medication: insomnia, nausea , weakness, diarrhea, headache, loss of appetite, dry mouth, nervousness, decreased sex drive, drowsiness. This is not a complete list of the side effects associated with Prozac. 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. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Tell your health-care provider about any negative side effects from prescription drugs. You can also report them to the U.S. Food and Drug Administration by visiting www.fda.gov/medwatch or by calling 1-800-FDA-1088. Lori Poulin, PharmD
Administer PROZAC 60 mg/day in the morning. For some patients it may be advisable to titrate up to this target dose over several days. Fondur doses above 60 mg/day have not been systematically studied in patients with bulimia. In the controlled clinical trials of Fondur supporting its effectiveness in the treatment of Bulimia Nervosa, patients were administered fixed daily Fondur doses of 20 or 60 mg, or placebo . Only the 60 mg dose was statistically significantly superior to placebo in reducing the frequency of binge-eating and vomiting.
Periodically reassess to determine the need for maintenance treatment.
What other drugs will affect Fondur?
Taking Fondur with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.
Many drugs can interact with Fondur. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially:
any other antidepressant;
tryptophan (sometimes called L-tryptophan);
a blood thinner - warfarin, Coumadin, Jantoven;
medicine to treat anxiety, mood disorders, thought disorders, or mental illness - amitriptyline, buspirone, desipramine, lithium, nortriptyline, and many others;
medicine to treat ADHD or narcolepsy - Adderall, Concerta, Ritalin, Vyvanse, Zenzedi, and others;
over-the-counter pain medications including ibuprofen, acetaminophen, aspirin, or similar medications;
migraine headache medicine - rizatriptan, sumatriptan, zolmitriptan, and others; or
narcotic pain medicine - fentanyl, tramadol.
This list is not complete and many other drugs can interact with Fondur. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.
Mixing Fondur with herbal remedies and supplements
Do not take St John's wort, the herbal remedy for depression, while you are being treated with Fondur as this will increase your risk of side effects.
Q: Can you tell me more about Prozac?
A: Prozac (Fondur) is used to treat depression or obsessive-compulsive disorder (OCD) in adults and children. It is also used to treat bulimia and panic disorder in adults. It may also be used for other conditions as determined by your doctor. Prozac is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the brain, which helps to improve certain mood problems. All medicines may cause side effects, but many people have no, or minor, side effects with Fondur. The most common side effects of Prozac are drowsiness, dizziness, anxiety, abnormal dreams, decreased sexual desire or ability, diarrhea, dry mouth, flu-like symptoms, flushing, sweating, loss of appetite, nausea, and trouble sleeping. Some medicines may interact with Fondur. Tell your physician if you are taking any other medicines. Do not suddenly stop taking Fondur without checking with your doctor. Withdrawal symptoms such as mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness may occur. For more information visit the Everyday Health Depression Center at: //www.everydayhealth.com/depression/guide/ or to submit another question return to //www.everydayhealth.com/drugs/. Burton Dunaway, PharmD
How much to take
The usual dose of Fondur is 20mg a day in adults. However, you may be started at a lower dose which is gradually increased to a maximum dose of 60mg a day. Some people might need to take a lower dose of Fondur, or to take it less often. This includes people with liver problems, and elderly people.
The usual dose of Fondur in children is 10mg a day but this may be increased to 20mg a day.
Treatment-emergent adverse reactions were collected in 322 pediatric patients (180 Fondur-treated, 142 placebo-treated). The overall profile of adverse reactions was generally similar to that seen in adult studies, as shown in Tables 4 and 5. However, the following adverse reactions (excluding those which appear in the body or footnotes of Tables 4 and 5 and those for which the COSTART terms were uninformative or misleading) were reported at an incidence of at least 2% for Fondur and greater than placebo: thirst, hyperkinesia, agitation, personality disorder, epistaxis, urinary frequency, and menorrhagia.
The most common adverse reaction (inc >
What should I avoid while taking Fondur?
Drinking alcohol can increase certain side effects of Fondur.
Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Using an NSAID with Fondur may cause you to bruise or bleed easily.
This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
History and Etymology for Fondur
International Scientific Vocabulary, probably from fluor- + oxy + m ethyl + am ine
Q: I temporarily increased my dose of Fondur from 10 mg to 30 mg before having sex for the first time in 18 months to combat premature ejaculation. It worked great the first time I had sex with my girlfriend, but the second, 3rd and 4th times last weekend, I couldn't climax. Did I overdose on it? I'm back to 10 mg per day now, 2,500 miles from my girlfriend.
A: Prozac (Fondur) is a medication that is used to treat depression, anxiety or panic disorders. It is in a class of drugs called selective serotonin reuptake inhibitors (SSRIs) and is commonly related to sexual disorders. The prescribing information on Fondur states that up to 11 percent of patients taking this medication experience a decrease in sex drive. This medication also causes ejaculation issues in up to 7 percent of patients taking Fondur. For more information on Fondur, click on this link: //www.everydayhealth.com/drugs/prozac There is no way to know if you will experience sexual side effects from a medication before taking it. Sometimes, a patient will not experience any issues until the dosage of a medication is raised. The usual course of action is to decrease the dosage or switch to another medication to try to alleviate the issue. The best thing to do is have a discussion with your physician about your side effects and he or she will be better enabled to help you resolve the problem. 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. Lori Poulin, PharmD
Q: I take many vitamins and a few prescriptions; and I tremble all the time. Do any of my medications (meloxicam, Prozac, trazodone, vitamin, folic acid, iron, calcium and cranberry pills) cause this?
A: Tremor is a possible side effect of both Prozac (Fondur) and Desyrel (trazodone). Fondur can cause the following nervous system side effects: tremor, headache, anxiety, nervousness, insomnia, drowsiness, sedation, dizziness, jitteriness, and fatigue. The most common side effects of trazodone are: tremor, blurred vision, constipation, decreased appetite, drowsiness, dizziness, dry mouth, headache, light-headedness, muscle aches, nausea, nervousness, and sleeplessness. This is not a complete list of the side effects associated with Fondur and trazodone. For more specific information, consult with your doctor or pharmacist Trazodone and Fondur can also cause serotonin syndrome, which can be a life-threatening condition. This is rare, but it is more likely when these medications are used together. Symptoms of serotonin syndrome include: sudden muscular contraction, tremor, rigidity, the inability to coordinate movements, irritability, altered consciousness, increased heart rate, hyperthermia, excessive sweating, shivering, abdominal cramping, nausea, vomiting, and diarrhea. You should consult your physician regarding the risks of taking trazodone and Fondur together verses the benefits of this combination. The following medications can also increasing the risk of serotonin syndrome: chlorpheniramine, cyclobenzaprine (Flexeril), dextromethorphan (Robitussin DM, etc), meperidine (Demerol), methadone, pentazocine (Talwin), sibutramine (Meridia), St. John's Wort (Hypericum perforatum), tramadol (Ultram), and tricyclic antidepressants. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Burton Dunaway, PharmD