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Fluoxetine 20 mg and 10 mg Pills Over-the-Counter

The article features Fluoxetine and explains what health problems it can sure and what side effects it can cause, as well as why you need to be careful while taking it.

What's Fluoxetine?

Fluoxetine belongs to the class of medical preparations that are known as SSRIs - selective serotonin reuptake inhibitors. It boosts the levels of serotonin in the human organism. Serotonin is a natural substance that regulates the mental balance in the brain.

The uses of Fluoxetine are different. Physicians mostly recommend it for treating the following states:

  • depression;
  • obsessive-compulsive disorder;
  • panic attacks;
  • eating disorders;
  • dysphoria before to menstruation;
  • bipolar I condition and depression;

It reduces the signs of irritation, bloating, and mood swings.

This medication is also administered for treating alcoholism, borderline personality disorder, Tourette’s syndrome, attention-deficit disorder, headaches, sleep disorders, posttraumatic stress disorder, mental illness, sexual problems, phobias, and even obesity.

Dosage and Intake

Fluoxetine is made in pills, capsules, delayed-release capsules, and solutions. It's taken orally. Fluoxetine 20 mg and 10 mg tablets, capsules, and liquids are taken once or twice a day, ideally in the morning. The delayed-release capsules are taken once a week.

Try to take the medication at approximately the same times of the day if no other schedule is recommended by your doctor. You need to follow the directions prescribed on the label accurately or consider your physician’s recommendations. Never try to take more or less of the preparation than was prescribed.

Your doctor may offer to start with a lower dose to see your body’s reactions and then increase the dose gradually. Do not worry if you don’t observe the immediate effects. The medication can improve your condition within 4-5 weeks. You need to continue taking the drug even if you feel better. Never stop the preparation intake without your doctor’s consent. If you do it abruptly, you may experience such symptoms as mood changes, dizziness, sweating, irritability, anxiety, tiredness, sleep difficulties, agitation, tingling in hands and feet, and numbness in them. It means the withdrawal effect that is due to your overall health condition. If your doctor considers that it’s time to stop taking this medication, the dose will be decreased gradually.

Fluoxetine's Unwanted Consequences

This drug can cause some side effects that may be light, medium, and severe. You need to report all of them to your physician or ask for urgent help in the worst cases. The commonly encountered side effects include the following:

  • dry mouth;
  • yawning;
  • nervousness;
  • loss of appetite;
  • anxiety;
  • stuffy nose;
  • weakness;
  • sleep issues;
  • nausea;
  • uncontrollable shaking of separate body parts;
  • diarrhea;
  • weight loss;
  • sexual issues;
  • unusual dreams;
  • excessive sweating;
  • memory problems;
  • difficulty concentrating;
  • headache;
  • Confusion.

However, these symptoms disappear within several days of the preparation intake. You need to be alert if you experience more serious side effects, such as the following:

  • joint pain;
  • blisters or hives;
  • difficulty swallowing or breathing;
  • rash;
  • itching;
  • swelling of different body parts;
  • fast or irregular heartbeat;
  • fever;
  • hallucinations;
  • loss of coordination;
  • vomiting;
  • severe muscle stiffness or twitching;
  • shortness of breath;
  • fainting and dizziness;
  • abnormal bruising or bleeding;
  • seizures.

Discuss these symptoms with your doctor. See a doctor or pharmacist for unusual symptoms.


Report vitamins, supplements, and herbs to your doctor.

Fluoxetine, its components, and other drugs may induce allergies. Inform family members about extended QT intervals. Before prescribing, your therapist should assess these risk factors:

  • low blood potassium, sodium, or magnesium;
  • treatment with electroshock therapy;
  • recent heart attack;
  • a slow or irregular heartbeat;
  • heart failure;
  • other heart problems;
  • bleeding problems;
  • high blood pressure;
  • diabetes;
  • a stroke;
  • seizures;
  • liver or kidney disease.

If you're pregnant, particularly in the latter trimester or nursing, your doctor needs to know. Fluoxetine may harm neonates.

You also need to consider that this drug can make you drowsy, so avoid driving or using complex machinery while taking it. Alcohol can add a lot to drowsiness, so avoid its consumption entirely.

Your doctor may also ask you to have an eye examination because angle-closure glaucoma may be caused by this medication. Call your doctor immediately if you start having eye problems while taking the drug.

author: Wing Yap