Oxetin (20mg) 14 Capsules

Fluoxetine HCl, a selective serotonin reuptake inhibitor (SSRI), exerts its antidepressant effect by blocking the reabsorption of serotonin (a neurotransmitter) in the brain. This is achieved by selectively inhibiting the serotonin transporter, a protein responsible for the reuptake of serotonin. By increasing the availability of serotonin in the synaptic cleft, Fluoxetine enhances serotonergic activity, which is believed to play a crucial role in regulating mood, emotion, and other cognitive functions. This mechanism of action is thought to contribute to the therapeutic effects observed in the treatment of depression and other psychiatric disorders.

Fluoxetine 20MG

Antidepressant, SSRI (Selective Serotonin Reuptake Inhibitor)

Capsule

The following are the uses of Fluoxetine HCl 20mg Capsule:

• Used for treating depression and helping to improve mood, feelings of well-being, and energy levels.
• Used for managing obsessive-compulsive disorder (OCD) to reduce persistent thoughts and compulsive behaviors.
• Used for alleviating symptoms of panic disorder, including panic attacks and excessive worry.
• Used for treating bulimia nervosa, an eating disorder, by reducing binge-eating and purging behaviors.
• Used for managing premenstrual dysphoric disorder (PMDD) and its associated symptoms.
• Used for enhancing mood and overall well-being in patients with chronic illnesses.
• Used for aiding in the treatment of certain anxiety disorders, promoting relaxation and reducing excessive anxiety.

In the case of an overdose of Fluoxetine HCl 20mg Capsules, the severity of symptoms can vary depending on the amount ingested. Common symptoms may include nausea, vomiting, seizures, irregular heartbeat, and in severe cases, a potentially life-threatening condition called serotonin syndrome. Prompt medical intervention is necessary to manage these symptoms, and emergency services should be contacted immediately. Treatment may involve gastric lavage, administration of activated charcoal, and supportive care in a medical facility.

In the case of a missed dose of Fluoxetine HCl 20mg Capsule, it is important to take the medication as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for the missed one. If you miss several doses, contact your healthcare provider for guidance on how to safely resume your medication without affecting your treatment plan. It is crucial to maintain consistency in taking your medication as prescribed.

To take Fluoxetine HCl 20mg Capsule, swallow the capsule whole with a full glass of water, preferably in the morning or as directed by your healthcare professional, without crushing or chewing the capsule.

Following are the conditions/situations when Fluoxetine HCl 20mg Capsule should not be taken:

• Should not be taken by individuals with a known allergy to Fluoxetine or any selective serotonin reuptake inhibitors (SSRIs).
• Contraindicated in patients who are taking Monoamine Oxidase Inhibitors (MAOIs) or have taken them within the last 14 days.
• Not suitable for individuals with a history of seizures or epilepsy.
• Should not be used in patients with a history of bleeding disorders or those taking blood thinners.
• Contraindicated in individuals with severe kidney or liver impairment.
• Not recommended for patients with diabetes, as it may affect blood sugar levels.
• Should be avoided in patients with glaucoma.
• Not suitable for individuals with a history of manic episodes or bipolar disorder.
• Should not be taken by patients with a history of serotonin syndrome or those taking other medications that increase serotonin levels.
• Contraindicated during the last trimester of pregnancy and in breastfeeding mothers.

The side effects of Fluoxetine HCl 20mg Capsule may include:

• Nausea and vomiting
• Diarrhea or constipation
• Loss of appetite
• Headaches or dizziness
• Insomnia or excessive drowsiness
• Anxiety or restlessness
• Sexual dysfunction, including decreased libido
• Tremors or muscle stiffness

Following are the precautions and warnings for Fluoxetine HCl 20mg Capsules:

• Do not start or stop taking this medication without consulting your healthcare provider, as sudden discontinuation may lead to withdrawal symptoms.
• Fluoxetine may increase the risk of suicidal thoughts or behavior, especially in children, adolescents, and young adults; close monitoring is essential during the initial weeks of treatment.
• This medication may cause serotonin syndrome, a potentially life-threatening condition. Seek immediate medical attention if you experience symptoms like agitation, hallucinations, rapid heart rate, etc.
• Patients with a history of seizures or conditions that lower the seizure threshold should use Fluoxetine with caution, as it may increase the risk of seizures.
• It may affect your judgment or reaction time; avoid driving or operating machinery until you know how the medication affects you.
• Elderly patients may be more sensitive to the side effects of Fluoxetine, and dosage adjustments might be necessary.
• Inform your doctor about all the medications you are taking to avoid potential drug interactions.

Following are the drug interactions for Fluoxetine HCl 20mg Capsule:

• Serotonin syndrome risk with other serotonergic agents like SSRIs, SNRIs, triptans, and some opioids.
• Contraindicated with Monoamine Oxidase Inhibitors (MAOIs), may lead to fatal reactions.
• Increases anticoagulant effect of Warfarin, requiring close monitoring.
• Enhanced sedative effects with central nervous system depressants like benzodiazepines and alcohol.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) may increase bleeding risk.
• May elevate blood levels of certain anticonvulsants and antipsychotics.
• Liver enzyme inducers/inhibitors can alter Fluoxetine metabolism.

Following are the food interactions for Fluoxetine HCl 20mg Capsule:

• Avoid consuming alcohol as it can increase the risk of side effects and may lead to excessive drowsiness or sedation.
• Grapefruit and grapefruit juice should be consumed with caution as they may alter the blood levels of Fluoxetine, potentially increasing the risk of side effects.
• Avoid high-fat meals as they can slow down the absorption of Fluoxetine, affecting its effectiveness.
• Do not take with herbal supplements like St. John's Wort, as it can increase the risk of serotonin syndrome.
• Caffeine intake should be monitored as Fluoxetine may increase its effects, leading to jitteriness or anxiety.
• Avoid aged cheeses and cured meats containing tyramine to reduce the risk of hypertension.
• Certain spices like turmeric and black pepper may enhance Fluoxetine's effects, so consult a healthcare professional for guidance.
• Always follow the advice of your healthcare provider regarding specific dietary restrictions or recommendations.

Fluoxetine HCl 20mg Capsules should be stored in a secure and dry location, preferably in a medicine cabinet or a designated storage area. Keep the capsules in their original packaging, ensuring the container is tightly sealed to maintain their integrity. It is crucial to maintain a consistent room temperature, avoiding exposure to extreme heat or cold, as this can compromise the medication's effectiveness. Never store the capsules in a bathroom medicine cabinet due to the humidity, and keep them away from direct sunlight. When disposing of unused or expired Fluoxetine HCl capsules, do not flush them down the toilet or throw them into the trash. Instead, consult your pharmacist or local waste management guidelines for safe disposal methods to prevent environmental contamination. Lastly, ensure that the medication is kept out of children's reach to prevent accidental ingestion.

Following are the quick tips for Fluoxetine HCl 20mg Capsule:

• Consult a healthcare professional for personalized advice and prescription.
• Take the capsule as directed by your doctor, typically once daily.
• Swallow the capsule whole; do not crush, chew, or open it.
• Maintain a consistent daily routine for taking the medication.
• Avoid alcohol consumption while on this medication.
• Store the capsules in a cool, dry place, away from direct sunlight.
• Do not share your medication with others, even if their symptoms are similar.
• Inform your doctor about all medications you are taking to ensure safe usage.