Fluoxetine Capsule 20mg (Fluoxetine Hydrochloride)

Adult dosage

Adults 1. Depression 1) Initial treatment: The initial dose is 20mg of fluoxetine hydrochloride orally once daily in the morning. In controlled clinical trials, doses of 20～80mg per day were administered. If no improvement is observed, an increase in dose may be considered after several weeks. Doses exceeding 20mg per day should be administered twice daily (morning and noon), and the maximum dose of 80mg per day should not be exceeded. The onset of an adequate antidepressant effect may be delayed until 4 weeks or longer after starting treatment. 2) Maintenance/continuation/extended treatment: There are no definitive data on how long patients should be treated with this medicine; however, psychopharmacologists recognize that acute episodes of depression require medication treatment for several months or longer. It is not known whether the amount of antidepressant needed to relieve symptoms is the same as that needed to maintain or sustain stability. 2. Bulimia nervosa Administer 60mg of this medicine per day. The daily dose should not exceed 80mg. 3. Obsessive-compulsive disorder Administer 20～60mg of this medicine per day. The daily dose should not exceed 80mg. 4. Premenstrual dysphoric disorder Administer 20mg of this medicine per day. After 6 months of treatment, reassess whether continued treatment is necessary. Patients with renal and/or hepatic impairment, patients receiving multiple medications, older adults, and patients with comorbid conditions: Administer a lower dose or reduce the frequency of administration. Adjust the dose as appropriate according to age and symptoms. Switching from MAO inhibitors used to treat psychiatric disorders When discontinuing an MAO inhibitor used to treat a psychiatric disorder and starting treatment with this medicine, allow an interval of at least 14 days. Conversely, when starting an MAO inhibitor to treat a psychiatric disorder, at least 5 weeks must have elapsed after discontinuing this medicine.

This medication is an antidepressant used for the treatment of psychiatric disorders such as depression. It may increase the risk of suicidal thoughts or behaviors, especially in younger individuals between the ages of 18 and 24, so caution is especially advised when administering it to patients in this age group. It should not be used in patients with hypersensitivity, severe renal impairment, or in those taking a specific type of medication known as MAO inhibitors. Patients with a history of seizures, or those at high risk for suicide should be closely monitored for symptoms while on this medication; likewise, patients with mania or heart disease should use it with caution. Dose adjustments are needed for patients with liver or renal impairment, and diabetic patients need to be cautious as it may affect blood sugar control. This medication can cause various side effects such as insomnia, headaches, nausea, fatigue, diarrhea, and decreased appetite, and in rare cases, there is a risk of severe allergic reactions or heart arrhythmias. Withdrawal from this medication may lead to symptoms such as dizziness, anxiety, and sleep disturbances; thus, it should be tapered gradually as per doctor's instructions. This medication may interact with others; therefore, inform your doctor or pharmacist of all medications you are taking, and it is advisable to avoid alcohol consumption. Women who are pregnant or breastfeeding should consult their doctor before taking this medication, as it may affect the fetus or newborn. Safety for children and adolescents has not been established, so it is not recommended, and elderly patients should also use it cautiously. In case of overdose, symptoms such as nausea, vomiting, seizures, and heart problems may occur, necessitating immediate medical attention. This medication should be kept out of reach of children and should not be transferred to another container.

Headache, nausea, insomnia, fatigue, diarrhea, anaphylactic reaction, serum sickness, inappropriate secretion of antidiuretic hormone, decreased appetite, hyponatremia, anxiety, nervousness, restlessness, tension, decreased libido, sleep disturbances, abnormal dreams, depersonalization, euphoric mood, happy mood, thought disturbances, atypical sexual desire, bruxism, hypomania, mania, hallucinations, agitation, panic attacks, suicidal thoughts and behaviors, confusion, attention deficit, dizziness, taste disturbances, somnolence, drowsiness, tremors, psychomotor agitation, movement disorders, ataxia, balance disorders, dystonic muscle contractions, seizures, inability to sit still, buccoglossal syndrome, serotonin syndrome, memory disturbances, blurred vision, mydriasis, palpitations, ventricular arrhythmia, QT prolongation, flushing, hypotension, vasculitis, vasodilation, yawning, shortness of breath, pharyngitis, events related to the lungs, nosebleeds, vomiting, dyspepsia, dry mouth, dysphagia, esophageal pain, gastrointestinal bleeding, specific hepatitis, rash, urticaria, pruritus, hyperhidrosis, hair loss, increased tendency for bruising, diaphoresis, angioedema, petechiae, photosensitivity reaction, purpura, erythema multiforme, arthralgia, muscle spasms, myalgia, increased urinary frequency, dysuria, urinary retention, urinary disorders, gynecological bleeding, erectile dysfunction, ejaculation disorders, sexual dysfunction, galactorrhea, hyperprolactinemia, priapism, anxious mood, chills, fatigue, abnormal mood, feeling cold, feeling hot, mucosal bleeding, weight loss, abnormal liver function tests, fractures, withdrawal symptoms, dizziness, sensory disturbances, sleep disturbances, weakness, agitation, anxiety, tremors, headache, aplastic anemia, atrial fibrillation, cataracts, cerebrovascular accidents, cholestatic jaundice, movement disorders, eosinophilic pneumonia, epithelial necrosis, nodular erythema, exfoliative dermatitis, gynecomastia, cardiac arrest, liver failure, necrosis, hypoglycemia, immune-related hemolytic anemia, renal failure, exacerbation of movement disorders, optic neuritis, pancreatitis, pancytopenia, pulmonary embolism, pulmonary hypertension, thrombocytopenia, thrombocytopenic purpura, ventricular tachycardia, vaginal bleeding, aggressive behavior

This medication should be kept in a tightly sealed container to protect it from air and moisture. It is best to maintain a storage temperature between 1 degree and 30 degrees Celsius. Storing it this way can help maintain the effectiveness and safety of the medication for a longer time.

Appearance

Capsule filled with white-gray powder, green upper part, yellowish lower part.

Package unit

30 capsules/bottle, 300 capsules/bottle