فلوكستين

About fluoxetine

What is fluoxetine used for?

Fluoxetine is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). It is used to treat depression, bulimia nervosa, and obsessive-compulsive disorder (OCD).

How does fluoxetine work?

مثبطات استرداد السيروتونين الانتقائية (SSRIs) like fluoxetine increase the amount of circulating serotonin available in your brain. Altering the balance of the chemicals in the brain can help improve symptoms of depression, eating disorders like bulimia, and OCD.

الاكتئاب can develop for no apparent reason, or it can be triggered by a life event such as a relationship problem, a bereavement, or an illness. الشره المرضي العصبي is an eating disorder. People with bulimia nervosa have episodes of binge eating which they counteract by making themselves sick. Obsessive-compulsive disorder (OCD) is a condition where you have recurring and persistent ideas that make you do repetitive actions.

Side effects of fluoxetine

The most common side effects of fluoxetine are:

• الشعور بالغثيان.

• التقيؤ.

• الإسهال.

• عسر الهضم.

• جفاف الفم.

• Headache..

• Feeling more anxious, nervous, or agitated

• الشعور بالتوتر أو الارتعاش.

• Feeling dizzy, tired or weak.

• رؤية ضبابية.

• Trouble sleeping.

• انخفاض الرغبة الجنسية (الشهوة الجنسية).

• التثاؤب.

• تعرق.

ستجد قائمة كاملة في النشرة المعلوماتية التي يوفرها المصنع مع دوائك. غالبًا ما تتحسن الآثار غير المرغوب فيها مع تكيف جسمك مع الدواء الجديد، ولكن تحدث مع طبيبك أو الصيدلي إذا استمرت أي من الآثار التالية أو أصبحت مزعجة.

How to manage fluoxetine side effects

إذا شعرت بأي أعراض أخرى تعتقد أنها قد تكون بسبب هذا الدواء، تحدث مع طبيبك أو الصيدلي للحصول على مزيد من النصائح.

Who should not take fluoxetine?

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking fluoxetine it is important that your doctor knows:

• إذا كنتِ حاملاً، تحاولين الإنجاب أو تقومين بالرضاعة الطبيعية.

• إذا كان لديك أي مشاكل في كيفية عمل الكبد لديك.

• إذا كنت تعاني من حالة قلبية.

• إذا كنت تعاني من الصرع.

• إذا كنت تعاني من ارتفاع مستويات السكر في الدم (داء السكري).

• إذا كنت تعاني من مشكلة في العين تسمى الجلوكوما.

• إذا كنت قد عانيت من قبل من اضطراب نزيف.

• إذا كنت قد عانيت من قبل من حالات مزاجية مرتفعة بشكل غير طبيعي، تُسمى الهوس.

• إذا كنت تتلقى علاجًا بالصدمات الكهربائية (ECT).

• إذا كنت قد تعرضت في أي وقت مضى لرد فعل تحسسي تجاه دواء.

• إذا كنت قد تناولت مضادًا للاكتئاب يُعرف بمثبط أوكسيداز أحادي الأمين (MAOI) خلال الأسبوعين الماضيين.

• إذا كنت تتناول أي أدوية أخرى. يشمل ذلك أي أدوية تتناولها والتي يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.

How to take fluoxetine

• Read the manufacturer's printed information leaflet from inside the pack. It will give you more information about fluoxetine and will provide you with a full list of the side effects which you may experience from taking it.

• Take fluoxetine exactly as your doctor tells you to - the directions will be printed on the label of the pack to remind you of what your doctor said.

  • As a guide, if you are being treated for depression or OCD, it is usual to be prescribed 20 mg (one capsule or 5 ml liquid medicine) as a once-daily dose. Your dose may later be increased.

  • For people being treated for bulimia, the usual daily dose is 60 mg (three capsules or 15 ml liquid medicine).

• You can take fluoxetine before or after food. If you have been given capsules, swallow them whole with a drink of water - do not chew or open the capsules.

  • If you have difficulty swallowing capsules, let your doctor know, as you could be prescribed liquid medicine or soluble tablets to take instead.

  • Try to take your doses at the same time of day, each day.

• If you have been given soluble (dispersible) tablets, they can be swallowed whole with a drink of water or dissolved in half a glass of water before taking. Do not crush or chew the tablets.

• إذا نسيت تناول جرعة، فتناولها بمجرد أن تتذكر. إذا لم تتذكر حتى اليوم التالي، فتجاوز الجرعة الفائتة. لا تتناول جرعتين معًا لتعويض الجرعة المنسية.

تحقيق أقصى استفادة من علاجك

• You may feel that fluoxetine is not working for you straightaway. It can take a week or two after starting this treatment before the effect begins to build up, and 4-6 weeks before you feel the full benefit. Do not stop taking it, even if you feel it is not helping.

• حاول الحفاظ على مواعيدك المنتظمة مع طبيبك. هذا لكي يتمكن طبيبك من متابعة تقدمك.

• While you are taking fluoxetine, you may have thoughts about harming yourself or ending your life. These thoughts may also be associated with your condition. It is very important that you tell your doctor about this if it happens.

• Do not stop taking fluoxetine unless your doctor tells you to do so. Stopping treatment suddenly can cause problems and your doctor will probably want you to reduce your dose gradually when this becomes necessary.

• يجب أن تتوقع أن يستمر العلاج لعدة أشهر. هذا أمر طبيعي ويساعد في منع عودة الأعراض.

• If you drink alcohol, ask your doctor for advice. Your doctor is likely to recommend that you do not drink alcohol while you are on fluoxetine.

• If you have diabetes, you may need to check your blood glucose more frequently, as fluoxetine may affect the levels of sugar in your blood. Your doctor will be able to advise you about this.

• If you buy any medicines, check with a pharmacist that they are safe to take with fluoxetine. This is because several medicines which are available from general retail outlets can interfere with this treatment.

  • على وجه الخصوص، لا تتناول العلاج العشبي نبتة سانت جون، واطلب النصيحة قبل شراء أي مسكنات للألم مضادة للالتهابات.

• A few people taking fluoxetine find that their skin is more sensitive to sunlight than normal. Until you know how your skin reacts, use a sun cream with a high sun protection factor (SPF) in strong sunlight.

• There are several types of antidepressants and they differ in their possible side effects. If you find that fluoxetine does not suit you then let your doctor know, as another may be found that will.

How to store fluoxetine

• احفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.

• احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.

• The oral liquid medicine usually lasts for one month after first opening. After this time make sure you have a fresh supply.

معلومات هامة عن جميع الأدوية

الأسئلة الشائعة

Can you drink alcohol on fluoxetine?

You should avoid or limit alcohol when taking fluoxetine, as it can worsen side effects and affect mood. However, an occasional small drink is unlikely to cause serious harm.

Is fluoxetine used more for anxiety or depression?

Fluoxetine is used for both depression and some anxiety disorders, such as obsessive compulsive disorder (OCD). Your doctor will decide if it’s suitable based on your symptoms.

Can you overdose on fluoxetine?

Yes, it’s possible to overdose on fluoxetine. Taking more than the prescribed dose can cause serious side effects such as nausea, tremors, rapid heartbeat or, in severe cases, seizures. Seek urgent medical help if you think you or someone else may have taken too much.

Does fluoxetine make you gain weight?

Fluoxetine can affect weight. Some people may notice slight weight gain, others may lose weight, and many experience no change at all. Changes can be linked to appetite, lifestyle, and how the medication affects mood.